Association of the COVID-19 outbreak with acute stroke care in Switzerland.

Details

Serval ID
serval:BIB_3CDFD925DD49
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Association of the COVID-19 outbreak with acute stroke care in Switzerland.
Journal
European journal of neurology
Author(s)
De Marchis G.M., Wright P.R., Michel P., Strambo D., Carrera E., Dirren E., Luft A.R., Wegener S., Cereda C.W., Kägi G., Vehoff J., Gensicke H., Lyrer P., Nedeltchev K., Khales T., Bolognese M., Salmen S., Sturzenegger R., Bonvin C., Berger C., Schelosky L., Mono M.L., Rodic B., von Reding A., Schwegler G., Tarnutzer A.A., Medlin F., Humm A.M., Peters N., Beyeler M., Kriemler L., Bervini D., Fandino J., Hemkens L.G., Mordasini P., Arnold M., Fischer U., Bonati L.H.
Working group(s)
Swiss Stroke Registry Investigators
ISSN
1468-1331 (Electronic)
ISSN-L
1351-5101
Publication state
Published
Issued date
03/2022
Peer-reviewed
Oui
Volume
29
Number
3
Pages
724-731
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
In Switzerland, the COVID-19 incidence during the first pandemic wave was high. Our aim was to assess the association of the outbreak with acute stroke care in Switzerland in spring 2020.
This was a retrospective analysis based on the Swiss Stroke Registry, which includes consecutive patients with acute cerebrovascular events admitted to Swiss Stroke Units and Stroke Centers. A linear model was fitted to the weekly admission from 2018 and 2019 and was used to quantify deviations from the expected weekly admissions from 13 March to 26 April 2020 (the "lockdown period"). Characteristics and 3-month outcome of patients admitted during the lockdown period were compared with patients admitted during the same calendar period of 2018 and 2019.
In all, 28,310 patients admitted between 1 January 2018 and 26 April 2020 were included. Of these, 4491 (15.9%) were admitted in the periods March 13-April 26 of the years 2018-2020. During the lockdown in 2020, the weekly admissions dropped by up to 22% compared to rates expected from 2018 and 2019. During three consecutive weeks, weekly admissions fell below the 5% quantile (likelihood 0.38%). The proportion of intracerebral hemorrhage amongst all registered admissions increased from 7.1% to 9.3% (p = 0.006), and numerically less severe strokes were observed (median National Institutes of Health Stroke Scale from 3 to 2, p = 0.07).
Admissions and clinical severity of acute cerebrovascular events decreased substantially during the lockdown in Switzerland. Delivery and quality of acute stroke care were maintained.
Keywords
COVID-19, Communicable Disease Control, Humans, Pandemics, Retrospective Studies, SARS-CoV-2, Stroke/epidemiology, Stroke/therapy, Switzerland/epidemiology, epidemiology, stroke
Pubmed
Web of science
Open Access
Yes
Create date
20/12/2021 14:20
Last modification date
07/03/2022 7:30
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