Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige).
Saved in:
| Title: | Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige). |
|---|---|
| Authors: | Manganotti, Paolo (AUTHOR), Naccarato, Marcello (AUTHOR), Scali, Ilario (AUTHOR), Cappellari, Manuel (AUTHOR), Bonetti, Bruno (AUTHOR), Burlina, Alessandro (AUTHOR), Turinese, Emanuele (AUTHOR), Bogo, Sabrina (AUTHOR), Teatini, Francesco (AUTHOR), Franchini, Enrica (AUTHOR), Caneve, Giorgio (AUTHOR), Ruzza, Giampietro (AUTHOR), Gaudenzi, Anna (AUTHOR), Bombardi, Roberto (AUTHOR), Bozzato, Giulio (AUTHOR), Padoan, Roberta (AUTHOR), Gentile, Carolina (AUTHOR), Rana, Michele (AUTHOR), Turazzini, Michelangelo (AUTHOR), Alessandra, Danese (AUTHOR) |
| Source: | Neurological Sciences. Nov2021, Vol. 42 Issue 11, p4599-4606. 8p. 2 Graphs. |
| Subjects: | COVID-19, Stroke, COVID-19 pandemic, Stroke patients, Pandemics, Stroke units |
| Geographic Terms: | Italy, Veneto (Italy) |
| Abstract: | Background: Efficiency of care chain response and hospital reactivity were and are challenged for stroke acute care management during the pandemic period of coronavirus disease 2019 (COVID-19) in North-Eastern Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige), counting 7,193,880 inhabitants (ISTAT), with consequences in acute treatment for patients with ischemic stroke. Methods: We conducted a retrospective data collection of patients admitted to stroke units eventually treated with thrombolysis and thrombectomy, ranging from January to May 2020 from the beginning to the end of the main first pandemic period of COVID-19 in Italy. The primary endpoint was the number of patients arriving to these stroke units, and secondary endpoints were the number of thrombolysis and/or thrombectomy. Chi-square analysis was used on all patients; furthermore, patients were divided into two cohorts (pre-lockdown and lockdown periods) and the Kruskal-Wallis test was used to test differences on admission and reperfusive therapies. Results: In total, 2536 patients were included in 22 centers. There was a significant decrease of admissions in April compared to January. Furthermore, we observed a significant decrease of thrombectomy during the lockdown period, while thrombolysis rate was unaffected in the same interval across all centers. Conclusions: Our study confirmed a decrease in admission rate of stroke patients in a large area of northern Italy during the lockdown period, especially during the first dramatic phase. Overall, there was no decrease in thrombolysis rate, confirming an effect of emergency care system for stroke patients. Instead, the significant decrease in thrombectomy rate during lockdown addresses some considerations of local and regional stroke networks during COVID-19 pandemic evolution. [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 |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 153079839 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige). – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Manganotti%2C+Paolo%22">Manganotti, Paolo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Naccarato%2C+Marcello%22">Naccarato, Marcello</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scali%2C+Ilario%22">Scali, Ilario</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cappellari%2C+Manuel%22">Cappellari, Manuel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonetti%2C+Bruno%22">Bonetti, Bruno</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burlina%2C+Alessandro%22">Burlina, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turinese%2C+Emanuele%22">Turinese, Emanuele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bogo%2C+Sabrina%22">Bogo, Sabrina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Teatini%2C+Francesco%22">Teatini, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Franchini%2C+Enrica%22">Franchini, Enrica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Caneve%2C+Giorgio%22">Caneve, Giorgio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruzza%2C+Giampietro%22">Ruzza, Giampietro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaudenzi%2C+Anna%22">Gaudenzi, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bombardi%2C+Roberto%22">Bombardi, Roberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bozzato%2C+Giulio%22">Bozzato, Giulio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Padoan%2C+Roberta%22">Padoan, Roberta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gentile%2C+Carolina%22">Gentile, Carolina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rana%2C+Michele%22">Rana, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turazzini%2C+Michelangelo%22">Turazzini, Michelangelo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alessandra%2C+Danese%22">Alessandra, Danese</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Nov2021, Vol. 42 Issue 11, p4599-4606. 8p. 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink><br /><searchLink fieldCode="DE" term="%22Pandemics%22">Pandemics</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+units%22">Stroke units</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink><br /><searchLink fieldCode="DE" term="%22Veneto+%28Italy%29%22">Veneto (Italy)</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Efficiency of care chain response and hospital reactivity were and are challenged for stroke acute care management during the pandemic period of coronavirus disease 2019 (COVID-19) in North-Eastern Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige), counting 7,193,880 inhabitants (ISTAT), with consequences in acute treatment for patients with ischemic stroke. Methods: We conducted a retrospective data collection of patients admitted to stroke units eventually treated with thrombolysis and thrombectomy, ranging from January to May 2020 from the beginning to the end of the main first pandemic period of COVID-19 in Italy. The primary endpoint was the number of patients arriving to these stroke units, and secondary endpoints were the number of thrombolysis and/or thrombectomy. Chi-square analysis was used on all patients; furthermore, patients were divided into two cohorts (pre-lockdown and lockdown periods) and the Kruskal-Wallis test was used to test differences on admission and reperfusive therapies. Results: In total, 2536 patients were included in 22 centers. There was a significant decrease of admissions in April compared to January. Furthermore, we observed a significant decrease of thrombectomy during the lockdown period, while thrombolysis rate was unaffected in the same interval across all centers. Conclusions: Our study confirmed a decrease in admission rate of stroke patients in a large area of northern Italy during the lockdown period, especially during the first dramatic phase. Overall, there was no decrease in thrombolysis rate, confirming an effect of emergency care system for stroke patients. Instead, the significant decrease in thrombectomy rate during lockdown addresses some considerations of local and regional stroke networks during COVID-19 pandemic evolution. [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=153079839 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10072-021-05066-9 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 4599 Subjects: – SubjectFull: COVID-19 Type: general – SubjectFull: Stroke Type: general – SubjectFull: COVID-19 pandemic Type: general – SubjectFull: Stroke patients Type: general – SubjectFull: Pandemics Type: general – SubjectFull: Stroke units Type: general – SubjectFull: Italy Type: general – SubjectFull: Veneto (Italy) Type: general Titles: – TitleFull: Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige). Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Manganotti, Paolo – PersonEntity: Name: NameFull: Naccarato, Marcello – PersonEntity: Name: NameFull: Scali, Ilario – PersonEntity: Name: NameFull: Cappellari, Manuel – PersonEntity: Name: NameFull: Bonetti, Bruno – PersonEntity: Name: NameFull: Burlina, Alessandro – PersonEntity: Name: NameFull: Turinese, Emanuele – PersonEntity: Name: NameFull: Bogo, Sabrina – PersonEntity: Name: NameFull: Teatini, Francesco – PersonEntity: Name: NameFull: Franchini, Enrica – PersonEntity: Name: NameFull: Caneve, Giorgio – PersonEntity: Name: NameFull: Ruzza, Giampietro – PersonEntity: Name: NameFull: Gaudenzi, Anna – PersonEntity: Name: NameFull: Bombardi, Roberto – PersonEntity: Name: NameFull: Bozzato, Giulio – PersonEntity: Name: NameFull: Padoan, Roberta – PersonEntity: Name: NameFull: Gentile, Carolina – PersonEntity: Name: NameFull: Rana, Michele – PersonEntity: Name: NameFull: Turazzini, Michelangelo – PersonEntity: Name: NameFull: Alessandra, Danese IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 15901874 Numbering: – Type: volume Value: 42 – Type: issue Value: 11 Titles: – TitleFull: Neurological Sciences Type: main |
| ResultId | 1 |
