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Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic
- Source :
- Stroke and Vascular Neurology, Stroke and Vascular Neurology, 2021, pp.svn-2020-000695. ⟨10.1136/svn-2020-000695⟩, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP, Stroke and Vascular Neurology, London : BMJ, [2016]-, 2021, pp.svn-2020-000695. ⟨10.1136/svn-2020-000695⟩, Stroke and Vascular Neurology, Vol, Iss
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- BackgroundDuring the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study’s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines.MethodsWe conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March–31 May 2020. The prior 1-year control period (1 March–31 May 2019) was obtained to account for seasonal variation.FindingsThere was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI −24.3% to −20.7%, pInterpretationThere was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.
- Subjects :
- [SDV]Life Sciences [q-bio]
COVID-19
Subarachnoid Hemorrhage* / diagnostic imaging
030204 cardiovascular system & hematology
Intracranial Aneurysm* / therapy
lcsh:RC346-429
0302 clinical medicine
Pandemic
Myocardial infarction
Prospective Studies
Stroke
Original Research
3. Good health
[SDV] Life Sciences [q-bio]
Treatment Outcome
Intracranial Aneurysm* / diagnostic imaging
Cardiology
Subarachnoid haemorrhage
haemorrhage
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Subgroup analysis
subarachnoid
Intracranial Aneurysm* / epidemiology
03 medical and health sciences
Aneurysm
Internal medicine
medicine
Humans
coil
cardiovascular diseases
Pandemics
lcsh:Neurology. Diseases of the nervous system
Retrospective Studies
business.industry
SARS-CoV-2
Intracranial Aneurysm
Subarachnoid Hemorrhage
medicine.disease
infection
nervous system diseases
Mechanical thrombectomy
Cross-Sectional Studies
aneurysm
Neurology (clinical)
Subarachnoid Hemorrhage* / epidemiology
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20598696
- Database :
- OpenAIRE
- Journal :
- Stroke and Vascular Neurology, Stroke and Vascular Neurology, 2021, pp.svn-2020-000695. ⟨10.1136/svn-2020-000695⟩, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP, Stroke and Vascular Neurology, London : BMJ, [2016]-, 2021, pp.svn-2020-000695. ⟨10.1136/svn-2020-000695⟩, Stroke and Vascular Neurology, Vol, Iss
- Accession number :
- edsair.doi.dedup.....6a28f48bfda7c47d7a43a14bd209cb7c