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http://hdl.handle.net/2183/37334 Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain
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Tejada Meza, Herbert
Lambea Gil, Álvaro
Sancho Saldaña, Agustín
Martínez-Zabaleta, Maite
de la Riva, Patricia
López-Cancio Martínez, Elena
Castañón Apilánez, María
Herrera Isasi, María
Marta Enguita, Juan
Lera Alfonso, Mercedes de
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Tejada Meza H, Lambea Gil Á, Saldaña AS, Martínez-Zabaleta M, Juez PR, Martínez EL, Apilánez MC, Isasi MH, Enguita JM, Alfonso ML, Arenillas JF, Olaizola JS, Fernández JJT, Sánchez J, Castellanos-Rodrigo M, Roel A, Menéndez IC, Freijo M, Rodriguez AL, Portilla EP, López YJ, Castro ER, Rivas SA, García JT, Rodríguez IB, Julián-Villaverde F, García MPM, Trejo-Gabriel-Galán JM, Iñiguez AE, Juste CT, Lázaro CP, Moreno JM, On Behalf Of The Nordictus Investigators. Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain. Int J Stroke. 2020 Oct;15(7):755-762.
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Abstract
[Abstract]
Background and purpose: Spain has been one of the countries heavily stricken by COVID-19. But this epidemic has not affected all regions equally. We analyzed the impact of the COVID-19 pandemic on hospital stroke admissions and in-hospital mortality in tertiary referral hospitals from North-West Spain.
Methods: Spanish multicenter retrospective observational study based on data from tertiary hospitals of the NORDICTUS network. We recorded the number of patients admitted for ischemic stroke between 30 December 2019 and 3 May 2020, the number of IVT and EVT procedures, and in-hospital mortality.
Results: In the study period, 2737 patients were admitted with ischemic stroke. There was a decrease in the weekly mean admitted patients during the pandemic (124 vs. 173, p<0.001). In-hospital mortality of stroke patients increased significantly (9.9% vs. 6.5%, p = 0.003), but there were no differences in the proportion of IVT (17.3% vs. 16.1%, p = 0.405) or EVT (22% vs. 23%, p = 0.504).
Conclusion: We found a decrease in the number of ischemic stroke admissions and an increase in in-hospital mortality during the COVID-19 epidemic in this large study from North-West Spain. There were regional changes within the network, not fully explained by the severity of the pandemic in different regions.
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Observational study
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Creative Commons Attribution 4.0 International License (CC-BY 4.0)
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