E-viri
Recenzirano
Odprti dostop
-
Bhatia, Rohit; Sylaja, P.N.; Srivastava, M.V. Padma; Komakula, Snigdha; Iype, Thomas; Parthasarathy, Rajsrinivas; Khurana, Dheeraj; Pardasani, Vibhor; Pamidimukkala, Vijaya; Kumaravelu, S.; Pandian, Jeyaraj; Kushwaha, Suman; Chowdhury, Debashish; Gupta, Salil; Rajendran, Srijithesh P.; Reddy, Rajshekar; Roy, Jayanta; Sharma, Arvind; Nambiar, Vivek; Rai, Nirendra Kumar; Upadhyay, Ashish Datt; Parkipandla, Sathish; Singh, Mamta Bhushan; Vibha, Deepti; Vishnu, Venugopalan Y.; Rajan, Roopa; Gupta, Anu; Pandit, Awadh Kishore; Agarwal, Ayush; Gaikwad, Shailesh B.; Garg, Ajay; Joseph, Leve; Sreedharan, Sapna Erat; Reddy, Sritheja; Sreela, Krishna; Ramachandran, Dileep; George, Githin Benoy; Panicker, Praveen; Suresh, M.K.; Gupta, Vipul; Ray, Sucharita; Suri, Vikas; Ahuja, Chirag; Kajal, Kamal; Lal, Vivek; Singh, Rakesh K.; Oza, Harsh; Halani, Hiral; Sanivarapu, Srinivasareddy; Sahonta, Rajeshwar; Duggal, Ashish; Dixit, Prashant; Kulkarni, Girish Baburao; Taallapalli, A.V.R.; Parmar, Mamta; Chalasani, Vamsi; Kashyap, Manshi; Misra, Biswamohan; Pachipala, Sudheer; Yogeesh, P.M.; Salunkhe, Manish; Gupta, Pranjal
Journal of the neurological sciences, 09/2021, Letnik: 428Journal Article
As the health systems around the world struggled to meet the challenges of COVID-19 pandemic, care of many non-COVID emergencies was affected. The present study examined differences in the diagnosis, evaluation and management of stroke patients during a defined period in the ongoing pandemic in 2020 when compared to a similar epoch in year 2019. The COVID stroke study group (CSSG) India, included 18 stroke centres spread across the country. Data was collected prospectively between February and July 2020 and retrospectively for the same period in 2019. Details of demographics, stroke evaluation, treatment, in-hospital and three months outcomes were collected and compared between these two time points. A total of 2549 patients were seen in both study periods; 1237 patients (48.53%) in 2019 and 1312 (51.47%) in 2020. Although the overall number of stroke patients and rates of thrombolysis were comparable, a significant decline was observed in the month of April 2020, during the initial period of the pandemic and lockdown. Endovascular treatment reduced significantly and longer door to needle and CT to needle times were observed in 2020. Although mortality was higher in 2020, proportion of patients with good outcome were similar in both the study periods. Although stroke admissions and rates of thrombolysis were comparable, some work flow metrics were delayed, endovascular stroke treatment rates declined and mortality was higher during the pandemic study period. Reorganization of stroke treatment pathways during the pandemic has likely improved the stroke care delivery across the globe. •This multicentric study compares demographic profile, treatment and outcomes of the stroke patients during pre- pandemic and pandemic period.•No significant difference in stroke admissions or thrombolysis was observed apart from a decline during the initial phase of pandemic and lockdown.•A significant reduction in rates of endovascular stroke therapy were observed.•In hospital workflow metrics were affected possibly due to overwhelmed health care systems for COVID care.•Although higher mortality rate was observed during the pandemic study period, the proportion of patients achieving a good outcome were similar.
Avtor
![loading ... loading ...](themes/default/img/ajax-loading.gif)
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.