Abstract
Abstract 2: Acute Stroke Care During The Covid-19 Pandemic: The Society Of Vascular And Interventional Neurology Collaboration
Stroke (1970), Vol.52(Suppl_1), p.A2
03/2021
DOI: 10.1161/str.52.suppl_1.2
Abstract
Background:
We sought to evaluate whether the coronavirus disease 2019 (COVID-19) pandemic may have contributed to delays in acute stroke management at Comprehensive Stroke Centers (CSCs).
Methods:
Pooled clinical data of consecutive adult stroke patients from 12 U.S. CSCs (1/1/2019-5/31/2020) were queried. The rate of thrombolysis for non-transferred patients within the Target: Stroke goal of 60min was compared between patients admitted 3/1/2019-5/31/2019 (pre-COVID-19) and 3/1/2020-5/31/2020 (COVID-19). The time from arrival to imaging and treatment with thrombolysis or thrombectomy, as continuous variables, were also assessed.
Results:
Of the 7906 patients included, 1319 were admitted pre-COVID-19 and 933 were admitted during COVID-19, 15% of whom underwent intravenous thrombolysis. There was no difference in the rate of thrombolysis within 60min during COVID-19 (OR 0.88, 95%CI 0.42-1.86, p=0.74), despite adjustment for variables associated with earlier treatment (adjusted OR 0.82, 95%CI 0.38-1.76, p=0.61). There was no significant overall delay to thrombolysis during the COVID-19 period vs. pe-COVID-19 (p=0.42), even after multivariable adjustment (p=0.63) or after comparison across months leading to COVID-19 (Figure). The only independent predictor of delayed treatment time between periods was the use of emergency medical services (adjusted β=-6.93, 95%CI -12.83 - -1.04, p=0.03). There was no significant delay from hospital arrival to imaging in all patients, or imaging to skin puncture in patients who underwent thrombectomy.
Conclusions:
There was no independent effect of the COVID-19 period on delays in acute care with respect to thrombolysis or thrombectomy in this multicenter observational cohort. Further studies are warranted to externally validate these findings, and determine if site volume or center accreditation may mediate a collateral effect of the pandemic on stroke care paradigms.
Details
- Title: Subtitle
- Abstract 2: Acute Stroke Care During The Covid-19 Pandemic: The Society Of Vascular And Interventional Neurology Collaboration
- Creators
- James E Siegler - Cooper Neurologic Institute, Cooper Univ Hosp, Camden, NJAlicia Zha - UT Health Science Cntr Houston, Houston, TXAlexandra L Czap - Univ of Texas at Houston, Houston, TXSantiago Ortega-Gutierrez - University of IowaMudassir Farooqui - University of IowaDavid S Liebeskind - UCLA, Los Angeles, CAShashvat Desai - Univ of Pittsburgh, Pittsburgh, PAAmeer E Hassan - UTRGV - VALLEY BAPTIST MEDICAL CENT, Harlingen, TXAmy K Starosciak - Baptist Health South Florida, Coral Gables, FLItalo Linfante - MIAMI CARDIAC AND VASCULAR INST., Miami, FLVivek Rai - OhioHealth Neuroscience Cntr, Riverside Methodist Hosp, Columbus, OHJesse M Thon - Cooper Neurologic Institute, Cooper Univ Hosp, Camden, NJRyna Then - Cooper Neurologic Institute, Cooper Univ Hosp, Camden, NJMark Heslin - Cooper Med Sch of Rowan Univ, Camden, NJLauren Thau - Cooper Neurologic Institute, Cooper Med Sch of Rowan Univ, Camden, NJPriyank Khandelwal - Dept of Endovascular Neurological Surgery & Neurology, Robert Wood Johnson Univ Hosp, New Brunswick, NJMahmoud Mohammaden - Marcus Stroke & Neuroscience Cntr, Grady Memorial Hosp, Atlanta, GADiogo C Haussen - Marcus Stroke & Neuroscience Cntr, Grady Memorial Hosp, Atlanta, GARaul G Nogueira - Emory Univ, Atlanta, GADinesh V Jillella - Emory Univ Hosp, Atlanta, GAArtem Kaliaev - Dept of Interventional Neurology and Neuroradiology, Boston Med Cntr,, Boston, MAThanh Nguyen - Dept of Neurology, Neurosurgery and Radiology, Boston Med Cntr, Boston, MAOsama O Zaidat - Saint Vincent Health SystemTudor G Jovin - Cooper Neurological Institute, Camden, NJAshutosh Jadhav - University of Pittsburgh
- Resource Type
- Abstract
- Publication Details
- Stroke (1970), Vol.52(Suppl_1), p.A2
- DOI
- 10.1161/str.52.suppl_1.2
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Language
- English
- Date published
- 03/2021
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984303263302771
Metrics
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