Τίτλος:
Greater decline of acute stroke admissions compared with acute coronary syndromes during COVID-19 outbreak in Greece: Cerebro/cardiovascular implications amidst a second wave surge
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background and purpose: A remarkable decline in admissions for acute stroke and acute coronary syndrome (ACS) has been reported in countries severely hit by the COVID-19 pandemic. However, limited data are available from countries with less COVID-19 burden focusing on concurrent stroke and ACS hospitalisation rates from the same population. Methods: The study was conducted in three geographically and demographically representative COVID-19 referral university hospitals in Greece. We recorded the rate of stroke and ACS hospital admissions during a 6-week period of the COVID-19 outbreak in 2020 and compared them with the rates of the corresponding period in 2019. Results: We found a greater relative reduction of stroke admissions (51% [35 vs. 71]; incidence rate ratio [IRR]: 0.49, p = 0.001) compared with ACS admissions (27% [123 vs. 168]; IRR: 0.73, p = 0.009) during the COVID-19 outbreak (p = 0.097). Fewer older (>65 years) patients (stroke: 34.3% vs. 45.1%, odds ratio [OR]: 0.64, p = 0.291; ACS: 39.8% vs. 54.2%, OR: 0.56, p = 0.016) were admitted during the COVID-19 compared with the control period. Conclusions: Hospitalisation rates both for stroke and ACS were reduced during the COVID-19 outbreak in a country with strict social distancing measures, low COVID-19 incidence and low population mortality. Lack of triggers for stroke and ACS during social distancing/quarantining may explain these observations. However, medical care avoidance attitudes among cerebro/cardiovascular patients should be dissipated amidst the rising second COVID-19 wave. © 2020 European Academy of Neurology
Συγγραφείς:
Katsouras, C.
Karapanayiotides, T.
Papafaklis, M.
Giannopoulos, S.
Ziakas, A.
Sianos, G.
Papagiannopoulou, G.
Koutroulou, I.
Varytimiadi, E.
Kosmidou, M.
Naka, K.
Michalis, L.K.
Tsivgoulis, G.
Περιοδικό:
European Journal of Paediatric Neurology
Εκδότης:
John Wiley and Sons Inc
Λέξεις-κλειδιά:
acute coronary syndrome; adult; aged; Article; atherosclerosis; avoidance behavior; brain hemorrhage; cerebrovascular accident; controlled study; coronavirus disease 2019; female; Greece; health care utilization; hospital admission; human; incidence; ischemic stroke; major clinical study; male; medical care; pandemic; quarantine; social distancing; stroke patient; university hospital; acute coronary syndrome; cerebrovascular accident; Greece; hospitalization, Acute Coronary Syndrome; COVID-19; Greece; Hospitalization; Humans; Pandemics; SARS-CoV-2; Stroke
