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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Decline in Stroke Presentations During COVID-19 Surge.
Ken Uchino1, Murali K Kolikonda1, Dena Brown1
1Cerebrovascular Center, Neurological Institute, Cleveland Clinic, OH.
Stroke
|July 28, 2020
Summary
During the COVID-19 pandemic, acute stroke alerts in emergency departments decreased by approximately 30%. This reduction in stroke presentations may be due to fewer stroke incidents or patients delaying emergency care.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- The coronavirus disease 2019 (COVID-19) pandemic impacted healthcare systems globally.
- Acute stroke presentations are a critical neurological emergency.
Purpose of the Study:
- To investigate changes in acute stroke presentations during the COVID-19 pandemic.
- To compare stroke alert data from before and during the pandemic surge.
Main Methods:
- Retrospective analysis of stroke alerts from 19 emergency departments in Ohio.
- Comparison of data from a baseline period (Jan 1-Mar 8, 2020) and a COVID-19 period (Mar 9-Apr 2, 2020).
- Statistical analysis using nonparametric methods and Poisson regression.
Main Results:
- A significant decrease of approximately 30% in total daily stroke alerts was observed during the COVID-19 period (rate ratio 0.70).
- Thrombolysis rates also decreased (rate ratio 0.52), while thrombectomy rates remained unchanged.
- Time to presentation, stroke severity, and time to treatment were not significantly different between the periods.
Conclusions:
- The study observed a substantial decline in acute stroke presentations during the COVID-19 pandemic surge.
- This decrease may reflect a true reduction in stroke incidence or patients avoiding emergency care.
- Further research is needed to understand the contributing factors to this observed phenomenon.
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