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Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture

Rabih Aboukaïs1, Antoine Devalckeneer1, Pierre Boussemart2

  • 1Department of Neurosurgery, Lille University Hospital, France.

Clinical Neurology and Neurosurgery
|December 19, 2020
PubMed

Insights

The COVID-19 pandemic negatively impacted early outcomes for patients with ruptured intracranial aneurysms, leading to delayed hospital admissions and increased severity of neurological and radiological presentation. Public education on symptoms is crucial for future pandemics.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Ruptured intracranial aneurysms represent a critical neurosurgical emergency.
  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • Understanding the pandemic's impact on acute neurological conditions is vital for patient care.

Purpose of the Study:

  • To evaluate the early outcomes of patients with ruptured intracranial aneurysms during the COVID-19 pandemic.
  • To compare patient outcomes between a pandemic period (2020) and a pre-pandemic period (2019).

Main Methods:

  • Prospective study comparing 26 patients from the 2020 COVID-19 period with 28 control patients from 2019.
  • Defined poor neurological status (WFNS score >3) and severe radiological status (intracerebral hematoma, hydrocephalus, or vasospasm).
  • Statistical analysis to compare outcomes between the two groups.

Main Results:

  • Higher rates of poor neurological presentation (p=0.01) and severe radiological presentation (p=0.02) were observed in the 2020 group.
  • Delayed hospital admission was significantly longer in 2020 (2.7 days) compared to 2019 (0.75 days) (p=0.005).
  • Increased vasospasm rate on presentation in the 2020 group (p=0.04).

Conclusions:

  • The COVID-19 pandemic was associated with worse early outcomes for patients with ruptured intracranial aneurysms.
  • Delayed presentation and increased disease severity were key findings during the pandemic.
  • Emphasizing public awareness of critical symptoms is recommended for future pandemic preparedness.
Abstract

Keywords:
COVID-19 pandemicCoronavirusRuptured aneurysmSARS-CoV-2Subarachnoid hemorrhage

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