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10.1186/s42466-021-00118-z

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suck abstract from ncbi


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pmid33789760      Neurol+Res+Pract 2021 ; 3 (1): 21
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  • Consequences of COVID-19 pandemic lockdown on emergency and stroke care in a German tertiary stroke center #MMPMID33789760
  • Jansen R; Lee JI; Turowski B; Kaschner M; Caspers J; Bernhard M; Hartung HP; Jander S; Ruck T; Meuth SG; Gliem M
  • Neurol Res Pract 2021[Mar]; 3 (1): 21 PMID33789760show ga
  • BACKGROUND: COVID-19 pandemic caused a decline in stroke care in several countries. The objective was to describe lockdown stroke care in a tertiary stroke center in Dusseldorf, Germany near Heinsberg, a German hot spot for COVID-19 in spring 2020. METHODS: In a retrospective, observational, single-center study, we compared all patients treated in our emergency department (ED), patients seen by a neurologist in the ED, ED patients suffering from ischemic and hemorrhagic strokes and transient ischemic attacks (TIAs) as well as stroke patients admitted to our stroke unit during lockdown in spring 2020 (16 March 2020-12 April 2020) to those cared for during the same period in 2019 and lockdown light in fall 2020 (2 November - 29 November 2020). RESULTS: In spring 2020 lockdown the mean number of patients admitted to our ED dropped by 37.4%, seen by a neurologist by 35.6%, ED stroke patients by 19.2% and number of patients admitted to our stroke unit by 10% compared to the same period in 2019. In fall lockdown light 2020 effects were comparable but less pronounced. Thrombolysis rate was stable during spring and fall lockdown, however, endovascular treatment (EVT) rate declined by 58% in spring lockdown and by 51% in fall lockdown compared to the period in 2019. CONCLUSIONS: Our study indicates a profound reduction of overall ED patients, neurological ED patients and EVT during COVID-19 pandemic caused lockdowns. Planning for pandemic scenarios should include access to effective emergency therapies.
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