The influence of COVID-19 on the treatment of patients with acute ischemic stroke: a retrospective observational study.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Folia neuropathologica Pub Date : 2023-01-01 DOI:10.5114/fn.2023.124565

Wei Chen, Fangju Lin, Wei Zhao, Baoling Yang, Weihua Jia

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引用次数: 0

Abstract

Introduction: Since December 2019, coronavirus 2019 (COVID-19) has rapidly spread to become a global pandemic, exerting a great pressure on medical staff worldwide. This study aimed to observe whether COVID-19 influenced the diagnosis and treatment of ischemic stroke (IS).

Material and methods: This study retrospectively analysed the clinical data (number of emergencies, time from onset to treatment, and door-to-needle time [DNT]) of patients with acute IS (AIS) treated in our hospital within six months of the first case of COVID-19 reported in the city; the derived data were then compared with the situation of patients during the same period in 2019.

Results: The results showed that the number of medical visits during the period of COVID-19 decreased by 44.3%, and the median time from the onset of IS to emergency treatment was 35 min longer than that during the same period in 2019. The median time from entering the emergency department to the completion of cranial computerized tomography was 8 min shorter than during the same period in 2019, and the median time of DNT was relatively shorter than that during the same period in 2019.

Conclusions: The pandemic situation of COVID-19 significantly reduced the number of patients with AIS and prolonged the travel time to the hospital whereas most of the stroke treatment services were maintained.

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COVID-19对急性缺血性脑卒中患者治疗的影响:一项回顾性观察研究

导语:2019年12月以来，新型冠状病毒2019 (COVID-19)迅速蔓延，成为全球大流行，给全球医务人员带来了巨大压力。本研究旨在观察COVID-19是否影响缺血性脑卒中(IS)的诊断和治疗。材料与方法:本研究回顾性分析了自我市报告首例COVID-19病例以来6个月内在我院治疗的急性IS (AIS)患者的临床资料(急诊次数、发病至治疗时间、门到针时间[DNT]);然后将所得数据与2019年同期患者情况进行比较。结果:新冠肺炎期间就诊次数比2019年同期减少44.3%，从IS发病到急诊治疗的中位时间比2019年同期延长35 min。从进入急诊科到完成颅脑ct的中位时间较2019年同期缩短8 min, DNT的中位时间较2019年同期相对缩短。结论:新冠肺炎疫情显著减少了AIS患者数量，延长了前往医院的时间，而卒中治疗服务大部分得以维持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Folia neuropathologica 医学-病理学

CiteScore

2.50

自引率

5.00%

发文量

审稿时长

>12 weeks

期刊介绍： Folia Neuropathologica is an official journal of the Mossakowski Medical Research Centre Polish Academy of Sciences and the Polish Association of Neuropathologists. The journal publishes original articles and reviews that deal with all aspects of clinical and experimental neuropathology and related fields of neuroscience research. The scope of journal includes surgical and experimental pathomorphology, ultrastructure, immunohistochemistry, biochemistry and molecular biology of the nervous tissue. Papers on surgical neuropathology and neuroimaging are also welcome. The reports in other fields relevant to the understanding of human neuropathology might be considered.