COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China
Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBac...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ouyang H [verfasserIn] Jiang H [verfasserIn] Huang J [verfasserIn] Liu Z [verfasserIn] |
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E-Artikel |
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Englisch |
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2023 |
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In: Risk Management and Healthcare Policy - Dove Medical Press, 2009, (2023), Seite 2893-2905 |
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year:2023 ; pages:2893-2905 |
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DOAJ098107445 |
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| 520 | |a Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management | ||
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(DE-627)DOAJ098107445 (DE-599)DOAJ170b1322e1c143bbb409795a765836f0 DE-627 ger DE-627 rakwb eng RA1-1270 Ouyang H verfasserin aut COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management stroke covid-19 hospital management Public aspects of medicine Jiang H verfasserin aut Huang J verfasserin aut Liu Z verfasserin aut In Risk Management and Healthcare Policy Dove Medical Press, 2009 (2023), Seite 2893-2905 (DE-627)600307638 (DE-600)2495128-6 11791594 nnns year:2023 pages:2893-2905 https://doaj.org/article/170b1322e1c143bbb409795a765836f0 kostenfrei https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP kostenfrei https://doaj.org/toc/1179-1594 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2023 2893-2905 |
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(DE-627)DOAJ098107445 (DE-599)DOAJ170b1322e1c143bbb409795a765836f0 DE-627 ger DE-627 rakwb eng RA1-1270 Ouyang H verfasserin aut COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management stroke covid-19 hospital management Public aspects of medicine Jiang H verfasserin aut Huang J verfasserin aut Liu Z verfasserin aut In Risk Management and Healthcare Policy Dove Medical Press, 2009 (2023), Seite 2893-2905 (DE-627)600307638 (DE-600)2495128-6 11791594 nnns year:2023 pages:2893-2905 https://doaj.org/article/170b1322e1c143bbb409795a765836f0 kostenfrei https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP kostenfrei https://doaj.org/toc/1179-1594 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2023 2893-2905 |
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(DE-627)DOAJ098107445 (DE-599)DOAJ170b1322e1c143bbb409795a765836f0 DE-627 ger DE-627 rakwb eng RA1-1270 Ouyang H verfasserin aut COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management stroke covid-19 hospital management Public aspects of medicine Jiang H verfasserin aut Huang J verfasserin aut Liu Z verfasserin aut In Risk Management and Healthcare Policy Dove Medical Press, 2009 (2023), Seite 2893-2905 (DE-627)600307638 (DE-600)2495128-6 11791594 nnns year:2023 pages:2893-2905 https://doaj.org/article/170b1322e1c143bbb409795a765836f0 kostenfrei https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP kostenfrei https://doaj.org/toc/1179-1594 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2023 2893-2905 |
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(DE-627)DOAJ098107445 (DE-599)DOAJ170b1322e1c143bbb409795a765836f0 DE-627 ger DE-627 rakwb eng RA1-1270 Ouyang H verfasserin aut COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management stroke covid-19 hospital management Public aspects of medicine Jiang H verfasserin aut Huang J verfasserin aut Liu Z verfasserin aut In Risk Management and Healthcare Policy Dove Medical Press, 2009 (2023), Seite 2893-2905 (DE-627)600307638 (DE-600)2495128-6 11791594 nnns year:2023 pages:2893-2905 https://doaj.org/article/170b1322e1c143bbb409795a765836f0 kostenfrei https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP kostenfrei https://doaj.org/toc/1179-1594 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2023 2893-2905 |
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(DE-627)DOAJ098107445 (DE-599)DOAJ170b1322e1c143bbb409795a765836f0 DE-627 ger DE-627 rakwb eng RA1-1270 Ouyang H verfasserin aut COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management stroke covid-19 hospital management Public aspects of medicine Jiang H verfasserin aut Huang J verfasserin aut Liu Z verfasserin aut In Risk Management and Healthcare Policy Dove Medical Press, 2009 (2023), Seite 2893-2905 (DE-627)600307638 (DE-600)2495128-6 11791594 nnns year:2023 pages:2893-2905 https://doaj.org/article/170b1322e1c143bbb409795a765836f0 kostenfrei https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP kostenfrei https://doaj.org/toc/1179-1594 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2023 2893-2905 |
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COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China |
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Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management |
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Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management |
| abstract_unstemmed |
Hui Ouyang,1 Hong Jiang,1 Jin Huang,2 Zunjing Liu1 1Department of Neuromedicine, Peking University People’s Hospital, Beijing, People’s Republic of China; 2Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, People’s Republic of ChinaCorrespondence: Zunjing Liu, Email 490644424qq.comBackground: An international public health emergency has resulted from the emergence of the new coronavirus-2. Both direct and indirect influences have been felt on the treatment of acute stroke. However, no conclusive link between COVID-19 and the alleged decline in admissions for stroke-related reasons has been established, and the findings of recent studies are contentious. Most of those researches are not made use of authentic data. Therefore, the goal of this study is to examine how the COVID-19 pandemic has affected hospital admissions for stroke patients, to provide a basis for managing stroke patients in hospitals during COVID-19 pandemic.Methods: This retrospective study took place at the People’s Hospital of Peking University in Beijing, China. For each patient, interventions such as the application of tissue plasminogen activator (tPA) were examined. We recorded each patient’s outcomes. The stroke patients’ hospital admissions were compared to the average of the prior year. As the time span of interest, we selected the epidemic period (January 2020 to December 2020).Results: When compared to the previous year in the pre-COVID period, mean monthly stroke hospitalizations decreased during the pandemic by 54.42% (P< 0.001); average lengths of stay (ALOS) increased; and non-emergency admissions decreased by 78.8% (P< 0.001). The monthly volume of stroke patients exceeding the intravenous thrombolysis (IVT) window decreased by 25% and 59.73%, respectively (P < 0.001). There was a 5.3% increase in the percentage of IVT or within IVT time window in male stroke patients (p=0.019; p=0.049). During COVID-19, the proportion of non-local patients among male stroke patients decreased by 10% compared with the previous year (p=0.006).Conclusion: The COVID-19 epidemic has had a negative impact on stroke management in China, healthcare systems must work to assess and adapt to the new reality.Keywords: stroke, COVID-19, hospital management |
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COVID-19 Pandemic Brings Challenges to the Management of Stroke—The Differences Between Stroke Cases Admitted to a Tertiary Hospital Before and During COVID-19 Pandemic in China |
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https://doaj.org/article/170b1322e1c143bbb409795a765836f0 https://www.dovepress.com/covid-19-pandemic-brings-challenges-to-the-management-of-strokethe-dif-peer-reviewed-fulltext-article-RMHP https://doaj.org/toc/1179-1594 |
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