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Impact of the Coronavirus Disease Pandemic on the Number of Strokes and Mechanical Thrombectomies: A Systematic Review and Meta-Analysis
- Source :
- Journal of Stroke and Cerebrovascular Diseases
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background This systematic review and meta-analysis aimed to evaluate the impact of the coronavirus disease (COVID-19) pandemic on stroke care, including the number of stroke alerts/codes, number of reperfusions, and number of thrombectomies during the pandemic compared to those during the pre-pandemic period. Methods A systematic literature search was performed using the PubMed, EuropePMC, and Cochrane Central databases. The data of interest were the number of strokes, reperfusions, and mechanical thrombectomies during the COVID-19 pandemic versus that during the pre-pandemic period (in a historical comparator group over a specified period of same period length). Results The study included 59,233 subjects from 9 studies. Meta-analysis showed that the number of stroke alerts during the pandemic was 64% (56-71%) of that during the pre-pandemic period. The number of reperfusion therapies during the pandemic was 69% (61-77%) of that during the pre-pandemic period. Pooled analysis showed that the number of mechanical thrombectomies performed during the pandemic was 78% (75-80%) of that during the pre-pandemic period. The number of mechanical thrombectomies per stroke patient was higher during the pandemic (OR 1.23 [1.12-1.36], p
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Coronavirus disease 2019 (COVID-19)
Cerebrovascular Diseases
Pneumonia, Viral
Clinical Neurology
Mechanical Thrombectomy
Disease
medicine.disease_cause
Article
03 medical and health sciences
0302 clinical medicine
Risk Factors
Pandemic
medicine
Humans
Thrombolytic Therapy
Pandemics
Stroke
Aged
Thrombectomy
Coronavirus
Aged, 80 and over
SARS-CoV-2
business.industry
Rehabilitation
COVID-19
Middle Aged
medicine.disease
Mechanical thrombectomy
Treatment Outcome
Pooled analysis
Meta-analysis
Emergency medicine
Female
Surgery
Neurology (clinical)
Coronavirus Infections
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 10523057
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Stroke and Cerebrovascular Diseases
- Accession number :
- edsair.doi.dedup.....3d042a5484cc1371d3f37977826759f2
- Full Text :
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105185