View in EDS HTML Full Text PDF Full Text

Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital.

Saved in:
Bibliographic Details
Title: Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital.
Authors: Frisullo, Giovanni (AUTHOR), Brunetti, Valerio (AUTHOR), Di Iorio, Riccardo (AUTHOR), Broccolini, Aldobrando (AUTHOR), Caliandro, Pietro (AUTHOR), Monforte, Mauro (AUTHOR), Morosetti, Roberta (AUTHOR), Piano, Carla (AUTHOR), Pilato, Fabio (AUTHOR), Calabresi, Paolo (AUTHOR), Della Marca, Giacomo (AUTHOR), on behalf of STROKE TEAM Collaborators (AUTHOR), De Belvis, Antonio Giulio (AUTHOR), Angioletti, Carmen (AUTHOR), Scala, Irene (AUTHOR), Marotta, Jessica (AUTHOR), Bellavia, Simone (AUTHOR), Reale, Giuseppe (AUTHOR), Pennisi, Alberto Mariano (AUTHOR), Franceschi, Francesco (AUTHOR)
Source: Neurological Sciences. Sep2020, Vol. 41 Issue 9, p2309-2313. 5p. 2 Charts.
Subjects: Stroke patients, COVID-19, COVID-19 pandemic, Stroke units, Stay-at-home orders, Stroke, Transient ischemic attack
Abstract: Objective: To evaluate the impact of the lockdown measures, consequent to the outbreak of COVID-19 pandemic, on the quality of pre-hospital and in-hospital care of patients with acute ischemic stroke. Methods: This is an observational cohort study. Data sources were the clinical reports of patients admitted during the first month of lockdown and discharged with a confirmed diagnosis of stroke or TIA. Data were collected in the interval ranging from March 11th to April 11th 2020. As controls, we evaluated the clinical reports of patients with stroke or TIA admitted in the same period of 2019. Results: The clinical reports of patients eligible for the study were 52 in 2020 (71.6 ± 12.2 years) and 41 in 2019 (73.7 ± 13.1 years). During the lockdown, we observed a significant increase in onset-to-door time (median = 387 vs 161 min, p = 0.001), a significant reduction of the total number of thrombolysis (7 vs 13, p = 0.033), a non-significant increase of thrombectomy (15 vs 9, p = 0.451), and a significant increase in door-to-groin time (median = 120 vs 93 min, p = 0.048). No relevant difference was observed between 2019 and 2020 in the total number of patients admitted. Conclusions: Due to the COVID-19 pandemic and lockdown measures, the stroke care pathway changed, involving both pre-hospital and in-hospital performances. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 145048650
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Frisullo%2C+Giovanni%22">Frisullo, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brunetti%2C+Valerio%22">Brunetti, Valerio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Di+Iorio%2C+Riccardo%22">Di Iorio, Riccardo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Broccolini%2C+Aldobrando%22">Broccolini, Aldobrando</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Caliandro%2C+Pietro%22">Caliandro, Pietro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Monforte%2C+Mauro%22">Monforte, Mauro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morosetti%2C+Roberta%22">Morosetti, Roberta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Piano%2C+Carla%22">Piano, Carla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pilato%2C+Fabio%22">Pilato, Fabio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Calabresi%2C+Paolo%22">Calabresi, Paolo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Della+Marca%2C+Giacomo%22">Della Marca, Giacomo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22on+behalf+of+STROKE+TEAM+Collaborators%22">on behalf of STROKE TEAM Collaborators</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Belvis%2C+Antonio+Giulio%22">De Belvis, Antonio Giulio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Angioletti%2C+Carmen%22">Angioletti, Carmen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scala%2C+Irene%22">Scala, Irene</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marotta%2C+Jessica%22">Marotta, Jessica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bellavia%2C+Simone%22">Bellavia, Simone</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reale%2C+Giuseppe%22">Reale, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pennisi%2C+Alberto+Mariano%22">Pennisi, Alberto Mariano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Franceschi%2C+Francesco%22">Franceschi, Francesco</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Sep2020, Vol. 41 Issue 9, p2309-2313. 5p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+units%22">Stroke units</searchLink><br /><searchLink fieldCode="DE" term="%22Stay-at-home+orders%22">Stay-at-home orders</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Transient+ischemic+attack%22">Transient ischemic attack</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To evaluate the impact of the lockdown measures, consequent to the outbreak of COVID-19 pandemic, on the quality of pre-hospital and in-hospital care of patients with acute ischemic stroke. Methods: This is an observational cohort study. Data sources were the clinical reports of patients admitted during the first month of lockdown and discharged with a confirmed diagnosis of stroke or TIA. Data were collected in the interval ranging from March 11th to April 11th 2020. As controls, we evaluated the clinical reports of patients with stroke or TIA admitted in the same period of 2019. Results: The clinical reports of patients eligible for the study were 52 in 2020 (71.6 ± 12.2 years) and 41 in 2019 (73.7 ± 13.1 years). During the lockdown, we observed a significant increase in onset-to-door time (median = 387 vs 161 min, p = 0.001), a significant reduction of the total number of thrombolysis (7 vs 13, p = 0.033), a non-significant increase of thrombectomy (15 vs 9, p = 0.451), and a significant increase in door-to-groin time (median = 120 vs 93 min, p = 0.048). No relevant difference was observed between 2019 and 2020 in the total number of patients admitted. Conclusions: Due to the COVID-19 pandemic and lockdown measures, the stroke care pathway changed, involving both pre-hospital and in-hospital performances. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=145048650
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10072-020-04545-9
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 2309
    Subjects:
      – SubjectFull: Stroke patients
        Type: general
      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Stroke units
        Type: general
      – SubjectFull: Stay-at-home orders
        Type: general
      – SubjectFull: Stroke
        Type: general
      – SubjectFull: Transient ischemic attack
        Type: general
    Titles:
      – TitleFull: Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Frisullo, Giovanni
      – PersonEntity:
          Name:
            NameFull: Brunetti, Valerio
      – PersonEntity:
          Name:
            NameFull: Di Iorio, Riccardo
      – PersonEntity:
          Name:
            NameFull: Broccolini, Aldobrando
      – PersonEntity:
          Name:
            NameFull: Caliandro, Pietro
      – PersonEntity:
          Name:
            NameFull: Monforte, Mauro
      – PersonEntity:
          Name:
            NameFull: Morosetti, Roberta
      – PersonEntity:
          Name:
            NameFull: Piano, Carla
      – PersonEntity:
          Name:
            NameFull: Pilato, Fabio
      – PersonEntity:
          Name:
            NameFull: Calabresi, Paolo
      – PersonEntity:
          Name:
            NameFull: Della Marca, Giacomo
      – PersonEntity:
          Name:
            NameFull: on behalf of STROKE TEAM Collaborators
      – PersonEntity:
          Name:
            NameFull: De Belvis, Antonio Giulio
      – PersonEntity:
          Name:
            NameFull: Angioletti, Carmen
      – PersonEntity:
          Name:
            NameFull: Scala, Irene
      – PersonEntity:
          Name:
            NameFull: Marotta, Jessica
      – PersonEntity:
          Name:
            NameFull: Bellavia, Simone
      – PersonEntity:
          Name:
            NameFull: Reale, Giuseppe
      – PersonEntity:
          Name:
            NameFull: Pennisi, Alberto Mariano
      – PersonEntity:
          Name:
            NameFull: Franceschi, Francesco
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2020
              Type: published
              Y: 2020
          Identifiers:
            – Type: issn-print
              Value: 15901874
          Numbering:
            – Type: volume
              Value: 41
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: Neurological Sciences
              Type: main
ResultId 1