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2020 ; 29
(10
): 105077
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COVID-19 Impact on Stroke Presentations
#MMPMID32912524
Strasser S
; Miskolczi L
; Cunha J
; Justynski L
J Stroke Cerebrovasc Dis
2020[Oct]; 29
(10
): 105077
PMID32912524
show ga
BACKGROUND: As Covid-19 evolved into a world-wide pandemic, hospitals reported
marked declines in strokes, only to be followed by reports of increased numbers
of young people presenting with large-vessel occlusions. We reviewed our patient
data-base to determine if similar or other novel trends were present. RESULTS:
Our Thrombectomy Stroke Center experienced marked declines in ED visits from
2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14
during the same period. Average monthly stroke admissions dropped from 34 in 2019
to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which
is twice the typical caseload and was unexpected given the low overall stroke
presentations. Although the neurointervention caseload was low, the patients were
significantly younger. Of the acute intervention patients in March, 5 of the 12
patients were ? 60 years old, and two were in their 30's. These trends are
similar to those reported elsewhere but were highly unusual for our center as our
catchment area is predominantly Caucasian with 34 % of the population > 65 years
of age. CONCLUSIONS: Even in low risk centers Covid-19 will likely impart unique
stroke presentations. It will be imperative to determine the mechanisms
responsible for these changes so we can institute effective strategies for
optimal stroke prevention as well as maintain timely acute interventions.
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