在COVID-19大流行期间,中风患者的管理:来自Sun4Patients基于Web的注册表的结果
Eleni Korompoki1, George Ntaios2, Haralampos Milionis3
1Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Athens, Greece.
Studies in health technology and informatics
|June 30, 2023
概括
由于Covid-19的流行,希腊急性中风病例减少了40%. 脑卒中严重程度和患者概况仍然相似,但在疫情期间诊断延迟增加.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19 疫情对全球的医疗保健服务产生了重大影响,包括中风护理.
- 希腊的早期限制措施与较轻微的SARS-CoV-2激增有关.
- 报告显示,在疫情期间,急性中风患者的入院率在全球范围内有所下降.
研究的目的:
- 调查COVID-19大流行对希腊急性中风病例的影响.
- 为了比较中风患者的特征和在流行病前和期间的治疗.
主要方法:
- 在希腊进行了一项前性多中心队列研究.
- 分析了112名首次急性中风患者 (出血或缺血) 的数据,这些患者在48小时内入院.
- 患者数据在两个时期之间进行了比较:"在Covid-19之前" (2019年12月15日 - 2020年2月15日) 和"在Covid-19期间" (2020年2月16日 - 2020年4月15日).
主要成果:
- 在Covid-19期间,急性中风入院率下降了40%.
- 在这两个时期中,中风严重程度,风险因素或基线特征之间没有发现显著差异.
- 在Covid-19时代 (p=0.03) 观察到CT扫描症状出现的显著延迟.
结论:
- 由于Covid-19的流行,希腊急性中风病例大幅减少.
- 虽然患者资料保持一致,但诊断时间表延长了.
- 需要进一步的研究来确定这种减轻中风体积的原因.
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