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COVID-19 Impact on Stroke Presentations.

Sheryl Strasser1, Laszlo Miskolczi1, John Cunha1

  • 1Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 11, 2020
PubMed
Summary

The COVID-19 pandemic led to fewer emergency department visits for stroke, but an increase in younger patients experiencing large-vessel occlusions requiring intervention. Further research is needed to understand these unique stroke presentations.

Keywords:
Acute strokeCovid-19IV tPAThrombectomyThromboembolic

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic caused a significant decrease in hospital emergency department visits.
  • Hospitals observed a subsequent rise in young individuals presenting with large-vessel occlusions (LVOs).
  • This study aimed to identify novel stroke trends during the pandemic.

Purpose of the Study:

  • To analyze stroke patient data during the COVID-19 pandemic.
  • To investigate changes in stroke presentation and patient demographics.
  • To compare findings with existing literature on pandemic-related stroke trends.

Main Methods:

  • Retrospective review of patient database at a Thrombectomy Stroke Center.
  • Analysis of emergency department visits, stroke alerts, and stroke admissions.
  • Examination of patient demographics, including age and eligibility for tissue plasminogen activator (tPA).

Main Results:

  • Emergency department visits and stroke alerts decreased significantly during the early pandemic months.
  • Despite overall lower stroke presentations, the number of patients eligible for tPA doubled unexpectedly.
  • A notable increase in younger patients (≤60 years old) requiring acute intervention for LVOs was observed, which was unusual for the center's demographic profile.

Conclusions:

  • COVID-19 has been associated with unique stroke presentations, even in lower-risk populations.
  • Understanding the mechanisms behind these changes is crucial for effective stroke prevention.
  • Timely acute interventions must be maintained despite evolving stroke patterns.