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10.1016/j.clineuro.2020.106436 http://scihub22266oqcxt.onion/10.1016/j.clineuro.2020.106436 33383463!7836428!33383463     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Clin+Neurol+Neurosurg 2021 ; 201 (ä): 106436 Nephropedia Template TP {{tp|p=33383463|t=2021. Decline in mild stroke presentations and intravenous thrombolysis during the COVID-19 pandemic: The Society of Vascular and Interventional Neurology Multicenter Collaboration |pdf=|usr=}}{{33383463}} gab.com Text Decline in mild stroke presentations and intravenous thrombolysis during the COVID-19 pandemic: The Society of Vascular and Interventional Neurology Multicenter Collaboration JO: Clin Neurol Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=33383463 #FOAvip BACKGROUND: To evaluate overall ischemic stroke volumes and rates, specific subtypes, and clinical presentation during the COVID-19 pandemic in a multicenter observational study from eight states across US. METHODS: We compared all ischemic strokes admitted between January 2019 and May 2020, grouped as; March-May 2020 (COVID-19 period) and March-May 2019 (seasonal pre-COVID-19 period). Primary outcome was stroke severity at admission measured by NIHSS stratified as mild (0-7), moderate [8-14], and severe (>14). Secondary outcomes were volume of large vessel occlusions (LVOs), stroke etiology, IV-tPA rates, and discharge disposition. RESULTS: Of the 7969 patients diagnosed with acute ischemic stroke during the study period, 933 (12 %) presented in the COVID-19 period while 1319 (17 %) presented in the seasonal pre-COVID-19 period. Significant decline was observed in the mean weekly volumes of newly diagnosed ischemic strokes (98 +/- 3 vs 50 +/- 20,p = 0.003), LVOs (16.5 +/- 3.8 vs 8.3 +/- 5.9,p = 0.008), and IV-tPA (10.9 +/- 3.4 vs 5.3 +/- 2.9,p = 0.0047), whereas the mean weekly proportion of LVOs (18 % +/-5 vs 16 % +/-7,p = 0.24) and IV-tPA (10.4 % +/-4.5 vs. 9.9 % +/-2.4,p = 0.66) remained the same, when compared to the seasonal pre-COVID-19 period. Additionally, an increased proportion of patients presented with a severe disease (NIHSS > 14) during the COVID-19 period (29.7 % vs 24.5 %,p < 0.025). The odds of being discharged to home were 26 % greater in the COVID-19 period when compared to seasonal pre-COVID-19 period (OR:1.26, 95 % CI:1.07-1.49,p = 0.016). CONCLUSIONS: During COVID-19 period there was a decrease in volume of newly diagnosed ischemic stroke cases and IV-tPA administration. Patients admitted to the hospital had severe neurological clinical presentation and were more likely to discharge home. Twit Text FOAVip Decline in mild stroke presentations and intravenous thrombolysis during the COVID-19 pandemic: The Society of Vascular and Interventional Neurology Multicenter Collaboration ????Clin Neurol Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=33383463 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33383463 #FOAvip English Wikipedia <ref>{{Cite pmid|33383463}}</ref> Decline in mild stroke presentations and intravenous thrombolysis during the COVID-19 pandemic: The Society of Vascular and Interventional Neurology Multicenter Collaboration #MMPMID33383463 Ortega-Gutierrez S; Farooqui M; Zha A; Czap A; Sebaugh J; Desai S; Jadhav A; Vora N; Rai V; Jovin TG; Thon JM; Heslin M; Thau L; Zevallos C; Quispe-Orozco D; Jillella DV; Nahab F; Mohammaden MH; Nogueira RG; Haussen DC; Nguyen TN; Romero JR; Aparicio HJ; Osman M; Haq IU; Liebeskind D; Hassan AE; Zaidat O; Siegler JE Clin Neurol Neurosurg 2021[Feb]; 201 (ä): 106436 PMID33383463show ga BACKGROUND: To evaluate overall ischemic stroke volumes and rates, specific subtypes, and clinical presentation during the COVID-19 pandemic in a multicenter observational study from eight states across US. METHODS: We compared all ischemic strokes admitted between January 2019 and May 2020, grouped as; March-May 2020 (COVID-19 period) and March-May 2019 (seasonal pre-COVID-19 period). Primary outcome was stroke severity at admission measured by NIHSS stratified as mild (0-7), moderate [8-14], and severe (>14). Secondary outcomes were volume of large vessel occlusions (LVOs), stroke etiology, IV-tPA rates, and discharge disposition. RESULTS: Of the 7969 patients diagnosed with acute ischemic stroke during the study period, 933 (12 %) presented in the COVID-19 period while 1319 (17 %) presented in the seasonal pre-COVID-19 period. Significant decline was observed in the mean weekly volumes of newly diagnosed ischemic strokes (98 +/- 3 vs 50 +/- 20,p = 0.003), LVOs (16.5 +/- 3.8 vs 8.3 +/- 5.9,p = 0.008), and IV-tPA (10.9 +/- 3.4 vs 5.3 +/- 2.9,p = 0.0047), whereas the mean weekly proportion of LVOs (18 % +/-5 vs 16 % +/-7,p = 0.24) and IV-tPA (10.4 % +/-4.5 vs. 9.9 % +/-2.4,p = 0.66) remained the same, when compared to the seasonal pre-COVID-19 period. Additionally, an increased proportion of patients presented with a severe disease (NIHSS > 14) during the COVID-19 period (29.7 % vs 24.5 %,p < 0.025). The odds of being discharged to home were 26 % greater in the COVID-19 period when compared to seasonal pre-COVID-19 period (OR:1.26, 95 % CI:1.07-1.49,p = 0.016). CONCLUSIONS: During COVID-19 period there was a decrease in volume of newly diagnosed ischemic stroke cases and IV-tPA administration. Patients admitted to the hospital had severe neurological clinical presentation and were more likely to discharge home. |Administration, Intravenous[MESH] |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19/diagnosis/*epidemiology[MESH] |Cohort Studies[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Neurology/*trends[MESH] |Pandemics[MESH] |Retrospective Studies[MESH] |Societies, Medical/*trends[MESH] |Stroke/diagnosis/*drug therapy/*epidemiology[MESH] |Thrombolytic Therapy/*trends[MESH] |Tissue Plasminogen Activator/administration & dosage[MESH] |United States/epidemiology[MESH]Decline in mild stroke presentations and intravenous thrombolysis duri(epmc).pdf DeepDyve Pubget Overpricing