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Impact of the Coronavirus Disease Pandemic on the Number of Strokes and Mechanical Thrombectomies: A Systematic Review and Meta-Analysis
dc.contributor.author | July, Julius | |
dc.contributor.author | Pranata, Raymond | |
dc.date.accessioned | 2020-09-23T18:37:33Z | |
dc.date.available | 2020-09-23T18:37:33Z | |
dc.date.issued | 2020-07-22 | |
dc.identifier.uri | https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105185 | en_US |
dc.identifier.uri | https://hdl.handle.net/20.500.12663/2260 | |
dc.description.abstract | Background: This systematic review and meta-analysis aimed to evaluate the impact of the coronavirus disease (COVID-19) pandemic on stroke care, including the number of stroke alerts/codes, number of reperfusions, and number of thrombectomies during the pandemic compared to those during the pre-pandemic period. Methods: A systematic literature search was performed using the PubMed, EuropePMC, and Cochrane Central databases. The data of interest were the number of strokes, reperfusions, and mechanical thrombectomies during the COVID-19 pandemic versus that during the pre-pandemic period (in a historical comparator group over a specified period of same period length). Results: The study included 59,233 subjects from 9 studies. Meta-analysis showed that the number of stroke alerts during the pandemic was 64% (56–71%) of that during the pre-pandemic period. The number of reperfusion therapies during the pandemic was 69% (61–77%) of that during the pre-pandemic period. Pooled analysis showed that the number of mechanical thrombectomies performed during the pandemic was 78% (75–80%) of that during the pre-pandemic period. The number of mechanical thrombectomies per stroke patient was higher during the pandemic (OR 1.23 [1.12–1.36], p < 0.001; I2: 0%, p = 0.845). Conclusion: This meta-analysis showed that the number of stroke alerts, reperfusions, and mechanical thrombectomies was reduced by 36%, 31%, and 22%, respectively, during the pandemic. However, the number of patients receiving mechanical thrombectomy per stroke increased. | en_US |
dc.language | English | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | Cerebrovascular Disorders | en_US |
dc.subject | SARS-CoV-2 | en_US |
dc.subject | Stroke | en_US |
dc.subject | Thrombectomy | en_US |
dc.subject | Systematic Review | en_US |
dc.subject | Meta-Analysis | en_US |
dc.subject | Coronavirus Infections | en_US |
dc.title | Impact of the Coronavirus Disease Pandemic on the Number of Strokes and Mechanical Thrombectomies: A Systematic Review and Meta-Analysis | en_US |
eihealth.country | Others | en_US |
eihealth.category | Health systems and services | en_US |
eihealth.type | Published Article | en_US |
eihealth.maincategory | Save Lives / Salvar Vidas | en_US |
dc.relation.ispartofjournal | J Stroke Cerebrovasc Dis | en_US |
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