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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Stroke+Cerebrovasc+Dis
2020 ; 29
(9
): 105061
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Universal laboratory testing for SARS-CoV-2 in hyperacute stroke during the
COVID-19 pandemic
#MMPMID32807466
Barlinn K
; Siepmann T
; Pallesen LP
; Winzer S
; Sedghi A
; Schroettner P
; Hochauf-Stange K
; Prakapenia A
; Moustafa H
; de With K
; Linn J
; Reichmann H
; Barlinn J
; Puetz V
J Stroke Cerebrovasc Dis
2020[Sep]; 29
(9
): 105061
PMID32807466
show ga
OBJECTIVE: Stroke patients are thought to be at increased risk of Coronavirus
Disease 2019 (COVID-19). To evaluate yield of universal laboratory testing for
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in acute stroke
patients and its impact on hyperacute stroke care. METHODS: Between weeks 14 and
18 in 2020, a protected code stroke protocol including infection control
screening and laboratory testing for SARS-CoV-2 was prospectively implemented for
all code stroke patients upon arrival to the emergency department. If infection
control screen was positive, patients received protective hygienic measures and
laboratory test results were available within four hours from testing. In
patients with negative screen, laboratory results were available no later than
the next working day. Door-to-imaging times of patients treated with thrombolysis
or thrombectomy were compared with those of patients treated during the preceding
weeks 1 to 13 in 2020. RESULTS: During the 4-weeks study period, 116 consecutive
code stroke patients underwent infection control screen and laboratory testing
for SARS-CoV-2. Among 5 (4.3%) patients whose infection control screen was
positive, no patient was tested positive for SARS-CoV-2. All patients with
negative infection control screens had negative test results. Door-to-imaging
times of patients treated with thrombolysis and/or thrombectomy were not
different to those treated during the preceding weeks (12 [9-15] min versus 13
[11-17] min, p?=?0.24). CONCLUSIONS: Universal laboratory testing for SARS-CoV-2
provided useful information on patients' infection status and its implementation
into a protected code stroke protocol did not adversely affect hyperacute stroke
care.