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Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-42806

Stroke Admissions, Stroke Severity, and Treatment Rates in Urban and Rural Areas During the COVID-19 Pandemic

  • Background: Many regions worldwide reported a decline of stroke admissions during the early phase of the coronavirus disease 2019 (COVID-19) pandemic. It remains unclear whether urban and rural regions experienced similar declines and whether deviations from historical admission numbers were more pronounced among specific age, stroke severity or treatment groups. Methods: We used registry datasets from (a) nine acute stroke hospitals in Berlin, and (b) nine hospitals from a rural TeleNeurology network in Northeastern Germany for primary analysis of 3-week-rolling average of stroke/TIA admissions before and during the COVID-19 pandemic. We compared course of stroke admission numbers with regional cumulative severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2) infections. In secondary analyses, we used emergency department logs of the Berlin Charité University hospital to investigate changes in age, stroke severity, and thrombolysis/thrombectomy frequencies during the early regional Sars-CoV-2 spread (March and April 2020) and compared them with preceding years. Results: Compared to past years, stroke admissions decreased by 20% in urban and 20-25% in rural hospitals. Deviations from historical averages were observable starting in early March and peaked when numbers of regional Sars-CoV-2 infections were still low. At the same time, average admission stroke severity and proportions of moderate/severe strokes (NIHSS >5) were 20 and 20–40% higher, respectively. There were no relevant deviations observed in proportions of younger patients (<65 years), proportions of patients with thrombolysis, or number of thrombectomy procedures. Stroke admissions at Charité subsequently rebounded and reached near-normal levels after 4 weeks when the number of new Sars-CoV-2 infections started to decrease. Conclusions: During the early pandemic, deviations of stroke-related admissions from historical averages were observed in both urban and rural regions of Northeastern Germany and appear to have been mainly driven by avoidance of admissions of mildly affected stroke patients.

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Metadaten
Author: Hebun Erdur, Bob Siegerink, Christoph Leithner, Christiana Franke, Irina Lorenz-Meyer, Sarah Theen, Anselm Angermaier, Stephan Kinze, Joachim E. Weber, Jessica L. Rohmann, Jan F. Scheitz, Christian H. Nolte, Matthias Endres, Heinrich J. Audebert
URN:urn:nbn:de:gbv:9-opus-42806
DOI:https://doi.org/10.3389/fneur.2020.607193
ISSN:1664-2295
Parent Title (English):Frontiers in Neurology
Publisher:Frontiers Media S.A.
Document Type:Article
Language:English
Date of first Publication:2021/01/06
Release Date:2021/02/15
Tag:COVID19; SARS-CoV-2; epidemiology; public health; stroke
GND Keyword:-
Volume:11
Faculties:Universitätsmedizin / Klinik und Poliklinik für Neurologie
Licence (German):License LogoCreative Commons - Namensnennung