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在COVID-19大流行期间,中风和TIA入院的变化:元分析

Karin Gunnarsson¹, Avin Tofiq¹, Alen Mathew¹

¹Department of Neurology and rehabilitation, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.

European stroke journal

|September 30, 2023

概括

在COVID-19大流行期间,中风和暂时性缺血性发作 (TIA) 的入院数量显著下降. 与严重中风相比,轻度中风的入院减少更大.

科学领域:

神经学神经学
流行病学流行病学
公共卫生公共卫生

背景情况:

COVID-19 疫情对全球医疗保健系统产生了重大影响.
了解中风和暂时性缺血性发作 (TIA) 住院的变化对于公共卫生规划至关重要.

研究的目的:

在COVID-19大流行期间对中风和TIA入院的变化进行元分析.
评估疫情对入院的影响是否因中风严重程度而有所不同.

主要方法:

在PubMed和Embase上进行了对观察性队列研究的系统文献搜索.
研究比较了大流行期间和大流行前期间的中风/TIA入院病例.
从59项符合条件的研究中提取了数据并进行了元分析.

主要成果:

缺血性中风 (ARR=0.77),脑内出血 (ARR=0.79) 和TIA (ARR=0.66) 的入院病例显著减少.
轻度 (ARR=0.61) 和重度 (ARR=0.82) 的中风的入院人数均有所下降.
与严重中风相比,轻度中风的入院人数比例较大 (PR=0.76).

结论:

随着COVID-19大流行,中风和TIA住院率有所减少.
诸如医疗保健优先级,患者对感染的恐惧以及与封锁相关的访问问题等因素可能导致了这一下降.
这些发现突出了轻度中风病例的入院率不成比例的下降.

关键词:

急性缺血性中风是一次急性缺血性中风.冠状病毒冠状病毒美国国家卫生保健局 (NIHSSSS)这就是SARS-CoV-2病毒.这就是TIA.大脑梗塞脑梗塞脑内出血脑内出血

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