在COVID-19时代,短暂性脑缺血发作、轻度和中度中风住院人数减少
2020年08月09日 【健康号】 刘建仁     阅读 8223

COVID-19,脑卒中,脑梗死,脑缺血,刘建仁,神经内科,新冠病毒肺炎

摘要


背景和目的自2019年冠状病毒病(COVID-19)大流行以来,医生和公共当局对由于社会限制和资源缺乏导致的其他健康状况的护理质量下降表示关切。利用基于人群的中风登记,我们调查了COVID-19大流行对巴西Joinville中风入院的影响。

方法将我市(2020年3月17日)实施COVID-19限制后住院的患者与2019年住院患者进行比较。我们分析了中风发病率、类型、严重程度、再灌注治疗以及从中风发病到入院的时间的差异。还进行了统计检验,以比较COVID-19前后30天与2019年同期。

结果我们观察到卒中总入院人数从2019年的平均每月12.9/10万下降到COVID-19后的8.3(P=0.0029)。与2019年同期相比,中风入院人数减少了36.4%。严重中风(国立卫生研究院卒中量表评分>8分)、脑实质内出血和蛛网膜下腔出血的入院率没有差异。

结论COVID-19的出现与短暂、轻度和中度中风入院人数减少有关。考虑到需要防止这些人群症状恶化和医疗并发症的发生,有必要对中风护理网络进行重组,以减少COVID-19引起的副作用损害。



Decrease in Hospital Admissions for Transient Ischemic Attack, Mild, and Moderate Stroke During the COVID-19 Era.
Diegoli H,et al Stroke 2020 08
MORE

Abstract 翻译

BACKGROUND AND PURPOSE Since the onset of the coronavirus disease 2019 (COVID-19) pandemic, doctors and public authorities have demonstrated concern about the reduction in quality of care for other health conditions due to social restrictions and lack of resources. Using a population-based stroke registry, we investigated the impact of the onset of the COVID-19 pandemic in stroke admissions in Joinville, Brazil.
METHODS Patients admitted after the onset of COVID-19 restrictions in the city (defined as March 17, 2020) were compared with those admitted in 2019. We analyzed differences between stroke incidence, types, severity, reperfusion therapies, and time from stroke onset to admission. Statistical tests were also performed to compare the 30 days before and after COVID-19 to the same period in 2019.
RESULTS We observed a decrease in total stroke admissions from an average of 12.9/100 000 per month in 2019 to 8.3 after COVID-19 (P=0.0029). When compared with the same period in 2019, there was a 36.4% reduction in stroke admissions. There was no difference in admissions for severe stroke (National Institutes of Health Stroke Scale score >8), intraparenchymal hemorrhage, and subarachnoid hemorrhage.
CONCLUSIONS The onset of COVID-19 was correlated with a reduction in admissions for transient, mild, and moderate strokes. Given the need to prevent the worsening of symptoms and the occurrence of medical complications in these groups, a reorganization of the stroke-care networks is necessary to reduce collateral damage caused by COVID-19.

提示x

您已经顶过了!

确认
''
|
请选择举报原因
垃圾广告信息
色情低俗内容
违规有害信息
侵犯隐私、虚假谣传