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Neurological Sciences

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01-02-2021 | Subarachnoid Hemorrhage | COVID-19

Changed pattern of hospital admission in stroke during COVID-19 pandemic period in Iran: a retrospective study

Authors: Roozbeh Tavanaei, Kaveh Oraii Yazdani, Mohammadhosein Akhlaghpasand, Alireza Zali, Saeed Oraee-Yazdani

Published in: Neurological Sciences | Issue 2/2021

Abstract

Background

Some previous reports have shown a reduced number of admission in stroke cases during the coronavirus disease 2019 (COVID-19) pandemic period. The present study aimed to investigate this changing pattern and the potential causes behind it at an academic neurology and neurosurgery center in Iran.

Methods

Patients admitted to our center with the diagnosis of ischemic and hemorrhagic stroke, between March 1, 2019, Jun 1, 2019, and the similar 3-month period in 2020 (COVID-19 pandemic period), were compared in terms of clinical characteristics and outcome. Poisson regression was also conducted to assess the correlation between daily admissions and the COVID-19 pandemic period.

Results

A total of 210 patients with stroke (ischemic and hemorrhagic) in 2019 were compared with 106 patients in 2020. COVID-19 pandemic period was significantly associated with the decline in the number of daily admissions in ischemic stroke (IRR, 0.51 [95% CI, 0.4–0.64]). A significant reduction (P = 0.003) in time from onset to arrival at hospital from median 12 h [IQR, 5–32] in 2019 to median 6 h [IQR, 4–16] in 2020 was found in ischemic stroke cases. National Institute of Health Stroke Scale (NIHSS) was significantly increased (P < 0.001) from median 4 [IQR, 2–7] in 2019 to median 9 [IQR, 4–14] in 2020. Glasgow coma scale (GCS) was significantly decreased from 13.9 (SD, 2) in 2019 to 12.8 (SD, 2.9) in 2020 (P < 0.001).

Conclusions

The present study provided new pieces of evidence regarding the changed pattern of hospital admission in stroke especially the possible reasons for its decline.

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Title: Changed pattern of hospital admission in stroke during COVID-19 pandemic period in Iran: a retrospective study
Authors: Roozbeh Tavanaei
Kaveh Oraii Yazdani
Mohammadhosein Akhlaghpasand
Alireza Zali
Saeed Oraee-Yazdani
Publication date: 01-02-2021
Publisher: Springer International Publishing
Keywords: Subarachnoid Hemorrhage
Stroke
Subarachnoid Hemorrhage
COVID-19
Cerebral Hemorrhage
Published in: Neurological Sciences / Issue 2/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-020-05030-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Changed pattern of hospital admission in stroke during COVID-19 pandemic period in Iran: a retrospective study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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