Influence of the first wave of COVID-19 pandemic on numbers of admitted ischemic stroke patients, on their diagnostics and therapy

Česká verzia

Authors: L. Jurák ^1-3; V. Beneš lll ^1,4; O. Bradáč ⁵; J. Dienelt ⁶; P. Suchomel ¹
Authors place of work: Neurochirurgické oddělení, Krajská nemocnice Liberec, a. s. ¹; Neurochirurgická klinika LF UP v Olomouci ²; Fakulta zdravotnických studií, Technická univerzita v Liberci ³; Neurochirurgická klinika dětí a dospělých 2. LF UK a FN Motol, Praha ⁴; Neurochirurgická klinika 1. LF UK, IPVZ a ÚVN – VFN Praha ⁵; Neurologické oddělení, Krajská nemocnice Liberec, a. s. ⁶
Published in the journal: Cesk Slov Neurol N 2021; 84/117(1): 89-91
Category: Short Communication
doi: https://doi.org/10.48095/cccsnn202189

Summary

The first wave of COVID-19 pandemic has affected the lives of all of us in some way. There was an assumption that at the time of the pandemic, there were lower numbers of hospitalized patients, not only with a diagnosis of ischemic stroke, because of people‘s fear of getting infected with COVID-19 virus in hospital facilities. Moreover, there was a concern about the negative impact of the regimen measures on the diagnostics and treatment of patients with ischemic stroke. We carried out a retrospective analysis of 191 patients admitted to our department with a diagnosis of ischemic stroke in a 3-month period of the first wave of COVID-19 pandemic from March to May 2020 and in a 3-month period from March to May 2019. The number of ischemic stroke patients hospitalized at Regional Hospital Liberec during the first wave of COVID-19 pandemic (3–5/2020) was slightly higher than during a comparable time a year ago (3–5/2019). Regarding the observed times of therapeutic procedures and the clinical outcome of patients with ischemic stroke, there were minimal, statistically non-significant, differences. The first wave of COVID-19 pandemic affected neither the numbers of patients with ischemic stroke nor their diagnostics and therapy at Regional Hospital Liberec.

Keywords:

COVID-19 – pandemic – stroke – ischemic stroke

Zdroje

1. České noviny. Obavy Čechů z koronaviru rostou, strach jich má 74 procent. [online]. Dostupné z URL: https: //www.ceskenoviny.cz/zpravy/obavy-cechu-z-koronaviru-rostou-strach-jich-ma-74-procent/1870169.

2. Teo KC, Leung WC, Wong YK et al. Delays in stroke onset to hospital arrival time during COVID-19. Stroke 2020; 51 (7): 2228–2231. doi: 10.1161/STROKEAHA.120.030 105.

3. Nguyen-Huynh MN, Tang XN, Vinson DR et al. Acute stroke presentation, care, and outcomes in community hospitals in northern california during the COVID-19 pandemic. Stroke 2020; 51 (10): 2918–2924. doi: 10.1161/STROKEAHA.120.031099.

4. Hsiao J, Sayles E, Antzoulatos E et al. Effect of COVID-19 on emergent stroke care: a regional experience. Stroke 2020; 51 (9): e2111–e2114. doi: 10.1161/STROKEAHA.120.030499.

5. Powers WJ, Rabinstein AA, Ackerson T et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 Guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2019; 50 (12): e344–e418. doi: 10.1161/STR.0000000000000 211.

6. Neumann J, Tomek A, Školoudík D et al. Doporučený postup pro intravenózní trombolýzu v léčbě akutního mozkového infarktu – verze 2014. Cesk Slov Neurol N 2014; 77/110 (3): 381–385.

7. Šaňák D, Neumann J, Tomek A et al. Doporučení pro rekanalizační léčbu akutního mozkového infarktu – verze 2016. Cesk Slov Neurol N 2016; 79/112 (2): 231–234. doi: 10.14735/amcsnn2016231.

8. Šaňák D, Mikulík R, Tomek A et al. Doporučení pro mechanickou trombektomii akutního mozkového infarktu – verze 2019. Cesk Slov Neurol N 2019; 82/115 (6): 700–705. doi: 10.14735/amcsnn2019700.

9. Interní databáze Krajské hygienické stanice Libereckého kraje a Krajské nemocnice Liberec

10. Medical Tribune. Kvůli strachu z COVID 19 umírají na infarkt. [online]. Dostupné z URL: https: //www.tribune.cz/clanek/45712-kvuli-strachu-z-covid-umiraji-na-infarkt.

11. iDnes. Lidé kvůli strachu z koronaviru podceňují i vlastní rakovinu, varují lékaři. [online]. Dostupné z URL: https: //www.idnes.cz/liberec/zpravy/nemocni-lide-liberec-nemocnice-koronavirus.A200409_140144_liberec-zpravy_jape.

12. iRozhlas. Méně infarktů v nemocnicích? ‚Někteří lidé je kvůli strachu z koronaviru přechodili,‘ říká lékař. [online]. Dostupné z URL: https: //www.irozhlas.cz/zpravy-domov/koronavirus-srdecni-selhani-infarkt-pocty-nemocnice_2005060600_kno.

13. Luostarinen T, Virta J, Satopää J et al. Intensive care of traumatic brain injury and aneurysmal subarachnoid hemorrhage in Helsinki during the Covid-19 pandemic. Acta Neurochir (Wien) 2020; 162 (11): 2715–2724. doi: 10.1007/s00701-020-04583-4.