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Title

Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain

AuthorsTejada Meza, Herbert; Lambea-Gil, Álvaro; Sancho Saldaña, Agustín; Martínez-Zabaleta, Maite; Riva Juez, Patricia de la; López-Cancio, Elena; Castañón Apilánez, María; Herrera Isasi, María; Marta Enguita, Juan; Lera Alfonso, Mercedes de; Arenillas, Juan F.; Segurola Olaizola, Jon; Timiraos Fernández, Juan José; Sánchez, Joaquín; Castellanos-Rodrigo, Mar; Roel, Alexia; Casado Menéndez, Ignacio; Freijo, Mar; Luna, Alain; Palacio Portilla, Enrique; Jiménez López, Yésica; Rodríguez Castro, Emilio; Arias Rivas, Susana; Tejada García, Javier; Beltrán Rodríguez, Iria; Julián-Villaverde, Francisco; Moreno García, María Pilar; Trejo-Gabriel-Galán, José María; Echavarría Iñiguez, Ana; Tejero Juste, Carlos; Pérez Lázaro, Cristina; Marta Moreno, Javier
KeywordsStroke
Stroke care
Mortality
Spain
COVID-19
Ischemic stroke
Issue Date26-Jun-2020
PublisherSage Publications
CitationInternational Journal of Stroke (2020)
AbstractBackground and purpose Spain has been one of the countries heavily stricken by COVID-19. But this epidemic has not affected all regions equally. We analyzed the impact of the COVID-19 pandemic on hospital stroke admissions and in-hospital mortality in tertiary referral hospitals from North-West Spain.
Methods Spanish multicenter retrospective observational study based on data from tertiary hospitals of the NORDICTUS network. We recorded the number of patients admitted for ischemic stroke between 30 December 2019 and 3 May 2020, the number of IVT and EVT procedures, and in-hospital mortality.
Results In the study period, 2737 patients were admitted with ischemic stroke. There was a decrease in the weekly mean admitted patients during the pandemic (124 vs. 173, p<0.001). In-hospital mortality of stroke patients increased significantly (9.9% vs. 6.5%, p = 0.003), but there were no differences in the proportion of IVT (17.3% vs. 16.1%, p = 0.405) or EVT (22% vs. 23%, p = 0.504).
Conclusion We found a decrease in the number of ischemic stroke admissions and an increase in in-hospital mortality during the COVID-19 epidemic in this large study from North-West Spain. There were regional changes within the network, not fully explained by the severity of the pandemic in different regions.
Publisher version (URL)https://doi.org/10.1177/1747493020938301
URIhttp://hdl.handle.net/10261/217214
DOIhttp://dx.doi.org/10.1177/1747493020938301
ISSN1747-4930
E-ISSN1747-4949
Appears in Collections:(IBGM) Artículos
(VICYT) Colección Especial COVID-19
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