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10.1016/j.jstrokecerebrovasdis.2021.105985 http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2021.105985 34284323!9186152!34284323     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       J+Stroke+Cerebrovasc+Dis 2021 ; 30 (9): 105985 Nephropedia Template TP {{tp|p=34284323|t=2021. COVID-19 Lockdown Effects on Acute Stroke Care in Latin America |pdf=|usr=}}{{34284323}} gab.com Text COVID-19 Lockdown Effects on Acute Stroke Care in Latin America JO: J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=34284323 #FOAvip OBJECTIVES: COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. MATERIALS AND METHODS: A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed. RESULTS: Most countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0-5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1-5 days vs. 0-9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period. CONCLUSIONS: In this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes. Twit Text FOAVip COVID-19 Lockdown Effects on Acute Stroke Care in Latin America ????J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=34284323 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34284323 #FOAvip English Wikipedia <ref>{{Cite pmid|34284323}}</ref> COVID-19 Lockdown Effects on Acute Stroke Care in Latin America #MMPMID34284323 Pujol-Lereis VA; Flores A; Barboza MA; Abanto-Argomedo C; Amaya P; Bayona H; Bonardo P; Diaz-Escobar L; Gomez-Schneider M; Gongora-Rivera F; Lavados PM; Leon C; Luraschi A; Marquez-Romero JM; Ouriques-Martins SC; Navia VH; Ruiz-Franco A; Vences MA; Zurru MC; Arauz A; Ameriso SF J Stroke Cerebrovasc Dis 2021[Sep]; 30 (9): 105985 PMID34284323show ga OBJECTIVES: COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. MATERIALS AND METHODS: A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed. RESULTS: Most countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0-5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1-5 days vs. 0-9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period. CONCLUSIONS: In this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes. |COVID-19/*prevention & control/transmission[MESH] |Cause of Death/trends[MESH] |Endovascular Procedures/adverse effects/mortality/*trends[MESH] |Female[MESH] |Health Care Surveys[MESH] |Hospital Mortality/trends[MESH] |Hospitalization/*trends[MESH] |Humans[MESH] |Latin America[MESH] |Length of Stay/trends[MESH] |Male[MESH] |Patient Admission/trends[MESH] |Patient Discharge/trends[MESH] |Practice Patterns, Physicians'/*trends[MESH] |Stroke/diagnosis/mortality/*therapy[MESH] |Time Factors[MESH] |Time-to-Treatment/*trends[MESH]COVID-19 Lockdown Effects on Acute Stroke Care in Latin America (epmc).pdf DeepDyve Pubget Overpricing