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10.1016/j.jstrokecerebrovasdis.2020.105179 http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2020.105179 32912564!7375301!32912564     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Stroke+Cerebrovasc+Dis 2020 ; 29 (10): 105179 Nephropedia Template TP {{tp|p=32912564|t=2020. Clinician s Perception of Practice Changes for Stroke During the COVID-19 Pandemic |pdf=|usr=}}{{32912564}} gab.com Text Clinician s Perception of Practice Changes for Stroke During the COVID-19 Pandemic JO: J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=32912564 #FOAvip BACKGROUND: Approach to acute cerebrovascular disease management has evolved in the past few months to accommodate the rising needs of the 2019 novel coronavirus (COVID-19) pandemic. In this study, we investigated the changes in practices and policies related to stroke care through an online survey. METHODS: A 12 question, cross-sectional survey targeting practitioners involved in acute stroke care in the US was distributed electronically through national society surveys, social media and personal communication. RESULTS: Respondants from 39 states completed 206 surveys with the majority (82.5%) from comprehensive stroke centers. Approximately half stated some change in transport practices with 14 (7%) reporting significant reduction in transfers. Common strategies to limit healthcare provider exposure included using personal protective equipment (PPE) for all patients (127; 63.5%) as well as limiting the number of practitioners in the room (129; 64.5%). Most respondents (81%) noted an overall decrease in stroke volume. Many (34%) felt that the outcome or care of acute stroke patients had been impacted by COVID-19. This was associated with a change in hospital transport guidelines (OR 1.325, P?=?0.047, 95% CI: 1.004-1.748), change in eligibility criteria for IV-tPA or mechanical thrombectomy (MT) (OR 3.146, P?=?0.052, 95% CI: 0.988-10.017), and modified admission practices for post IV-tPA or MT patients (OR 2.141, P?=?0.023, 95% CI: 1.110-4.132). CONCLUSION: Our study highlights a change in practices and polices related to acute stroke management in response to COVID-19 which are variable among institutions. There is also a reported reduction in stroke volume across hospitals. Amongst these changes, updates in hospital transport guidelines and practices related to IV-tPA and MT may affect the perceived care and outcome of acute stroke patients. Twit Text FOAVip Clinician s Perception of Practice Changes for Stroke During the COVID-19 Pandemic ????J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=32912564 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32912564 #FOAvip English Wikipedia <ref>{{Cite pmid|32912564}}</ref> Clinician s Perception of Practice Changes for Stroke During the COVID-19 Pandemic #MMPMID32912564 Kamdar HA; Senay B; Mainali S; Lee V; Gulati DK; Greene-Chandos D; Hinduja A; Strohm T J Stroke Cerebrovasc Dis 2020[Oct]; 29 (10): 105179 PMID32912564show ga BACKGROUND: Approach to acute cerebrovascular disease management has evolved in the past few months to accommodate the rising needs of the 2019 novel coronavirus (COVID-19) pandemic. In this study, we investigated the changes in practices and policies related to stroke care through an online survey. METHODS: A 12 question, cross-sectional survey targeting practitioners involved in acute stroke care in the US was distributed electronically through national society surveys, social media and personal communication. RESULTS: Respondants from 39 states completed 206 surveys with the majority (82.5%) from comprehensive stroke centers. Approximately half stated some change in transport practices with 14 (7%) reporting significant reduction in transfers. Common strategies to limit healthcare provider exposure included using personal protective equipment (PPE) for all patients (127; 63.5%) as well as limiting the number of practitioners in the room (129; 64.5%). Most respondents (81%) noted an overall decrease in stroke volume. Many (34%) felt that the outcome or care of acute stroke patients had been impacted by COVID-19. This was associated with a change in hospital transport guidelines (OR 1.325, P?=?0.047, 95% CI: 1.004-1.748), change in eligibility criteria for IV-tPA or mechanical thrombectomy (MT) (OR 3.146, P?=?0.052, 95% CI: 0.988-10.017), and modified admission practices for post IV-tPA or MT patients (OR 2.141, P?=?0.023, 95% CI: 1.110-4.132). CONCLUSION: Our study highlights a change in practices and polices related to acute stroke management in response to COVID-19 which are variable among institutions. There is also a reported reduction in stroke volume across hospitals. Amongst these changes, updates in hospital transport guidelines and practices related to IV-tPA and MT may affect the perceived care and outcome of acute stroke patients. |*Attitude of Health Personnel[MESH] |*Health Knowledge, Attitudes, Practice[MESH] |Betacoronavirus/pathogenicity[MESH] |COVID-19[MESH] |Clinical Decision-Making[MESH] |Coronavirus Infections/diagnosis/epidemiology/*therapy/virology[MESH] |Cross-Sectional Studies[MESH] |Delivery of Health Care, Integrated/*trends[MESH] |Eligibility Determination/trends[MESH] |Health Care Surveys[MESH] |Host-Pathogen Interactions[MESH] |Humans[MESH] |Infection Control/*trends[MESH] |Occupational Exposure/prevention & control[MESH] |Pandemics[MESH] |Patient Admission/trends[MESH] |Patient Transfer/trends[MESH] |Personal Protective Equipment/trends[MESH] |Pneumonia, Viral/diagnosis/epidemiology/*therapy/virology[MESH] |Policy Making[MESH] |Practice Patterns, Physicians'/*trends[MESH] |SARS-CoV-2[MESH] |Stroke/diagnosis/epidemiology/*therapy/virology[MESH] |Telemedicine/trends[MESH] |Time Factors[MESH]Clinician s Perception of Practice Changes for Stroke During the COVID(epmc).pdf DeepDyve Pubget Overpricing