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Impact of the Coronavirus Disease Pandemic on the Number of Strokes and Mechanical Thrombectomies: A Systematic Review and Meta-Analysis

Authors :
Raymond Pranata
Julius July
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

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