在SARS-CoV-2大流行期间的快速门诊短暂缺血性发作诊所和中风服务活动:多中心时间序列分析
Andy Lim1, Peter M Rothwell2, Linxin Li2
1School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.
Frontiers in neurology
|February 22, 2024
概括
COVID-19大流行并没有显著影响TIA诊所或中风服务活动. 然而,IV血栓溶解 (IVT) 的降低表明,在此期间寻求患者治疗的潜在延迟.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 快速门诊评估和治疗过渡性缺血性发作 (TIA) 对于减少中风复发至关重要.
- COVID-19大流行对TIA诊所活动的持久影响尚不清楚.
- 了解大流行对中风服务的影响对于维持患者护理至关重要.
研究的目的:
- 评估COVID-19大流行对医院快速TIA诊所的影响.
- 在疫情期间分析TIA和缺血性中风呈现的趋势.
- 在大流行期间评估反治疗 (IV血栓溶解和内血管血栓切除) 的变化.
主要方法:
- 通过文献搜索,确定了收集数据的相关TIA服务.
- 分析了跨越三年的月度数据 (COVID前和COVID期间).
- 使用中断时间序列分析来衡量大流行对TIA和中风服务活动的影响.
主要成果:
- 在疫情期间,TIA诊所体积和缺血性中风呈现保持稳定.
- 静脉血栓溶解 (IVT) 使用率显著下降,但血管内血栓切除 (EVT) 率没有变化.
- 用IVT治疗的缺血性中风的比例下降,而EVT的比例保持不变.
结论:
- COVID-19大流行并没有对研究中心的TIA诊所或中风服务活动产生持久影响.
- IVT的下降表明患者可能推迟治疗,呈现在治疗窗口之外.
- 公共卫生干预措施应针对流行病期间寻求中风症状护理的延迟.
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