12 research outputs found
Structural characterization of the internal domain of Paraguai Belt, in the Cangas region, south central portion of Mato Grosso, Brazil
Avaliação da intensidade de tráfego de tratores em alguns atributos físicos de um argissolo amarelo
Experimental and numerical analysis of a LLDPE/HDPE liner for a composite pressure vessel
Biofouling in the Southern Caspian Sea: recruitment and successional patterns in a low diversity region
Transmission of visceral leishmaniasis in dogs in a risk area of the metropolitan region of Belo Horizonte, Minas Gerais, Brazil
Effects of scale on interpreting life-history characteristics of ungulates and carnivores
METODOLOGIA PARA MAPEAMENTO DE VULNERABILIDADE COSTEIRA À ELEVAÇÃO DO NÍVEL MÉDIO DO MAR (NMM) EM ESCALA LOCAL
Sex differences in diving at multiple temporal scales in a size-dimorphic capital breeder
Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
OBJECTIVE: To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. METHODS: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. RESULTS: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. CONCLUSIONS: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months. © 2021 American Academy of Neurology