2021
DOI: 10.1016/j.jns.2021.117583
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Clinical profile and outcome of non-COVID strokes during pandemic and the pre pandemic period: COVID-Stroke Study Group (CSSG) India

Abstract: Background As the health systems around the world struggled to meet the challenges of COVID-19 pandemic, care of many non-COVID emergencies was affected. Aims The present study examined differences in the diagnosis, evaluation and management of stroke patients during a defined period in the ongoing pandemic in 2020 when compared to a similar epoch in year 2019. Methods The COVID stroke study group (CSSG) India, included 18 stroke centres spre… Show more

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Cited by 8 publications
(6 citation statements)
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References 32 publications
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“…The proportion of hemorrhagic stroke was significantly higher during the pandemic at 26% of stroke admissions compared to 19% pre-pandemic which may also be a reflection of those with worse stroke manifestation of being seen and admitted at hospitals during the pandemic. These findings are different from those reported by Bhatia et al [ 20 ], where the increase in number of hemorrhagic strokes was not significant during pandemic. Taking these factors into consideration, the outcomes of stroke admissions have been greatly impacted by the COVID-19 pandemic with significantly lower proportion of stroke cases discharged with good functional outcome and higher proportion of dependent patients upon discharge during pandemic which was also observed in other countries [ 7 , 16 , 17 , 21 ].…”
Section: Discussioncontrasting
confidence: 99%
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“…The proportion of hemorrhagic stroke was significantly higher during the pandemic at 26% of stroke admissions compared to 19% pre-pandemic which may also be a reflection of those with worse stroke manifestation of being seen and admitted at hospitals during the pandemic. These findings are different from those reported by Bhatia et al [ 20 ], where the increase in number of hemorrhagic strokes was not significant during pandemic. Taking these factors into consideration, the outcomes of stroke admissions have been greatly impacted by the COVID-19 pandemic with significantly lower proportion of stroke cases discharged with good functional outcome and higher proportion of dependent patients upon discharge during pandemic which was also observed in other countries [ 7 , 16 , 17 , 21 ].…”
Section: Discussioncontrasting
confidence: 99%
“…Taking these factors into consideration, the outcomes of stroke admissions have been greatly impacted by the COVID-19 pandemic with significantly lower proportion of stroke cases discharged with good functional outcome and higher proportion of dependent patients upon discharge during pandemic which was also observed in other countries [ 7 , 16 , 17 , 21 ]. The proportion of stroke admissions resulting in mortality almost doubled from 7% before COVID-19 to 13% during COVID-19, and these were also seen in previous studies [ 20 , 21 ]. There are many possible contributory factors resulting to more stroke cases having poor discharge outcome, and most of these factors are possibly secondary to: limited mobility in the Philippines while on the longest lockdown in the world, reluctance to seek consultation, and increasing COVID-19 cases that overwhelm the emergency room of the hospital.…”
Section: Discussionsupporting
confidence: 81%
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“…Although there has been no decrease in stroke admissions during the pandemic period as compared to pre-pandemic period, there has been a decline in the mechanical thrombectomy procedures globally, increased in-hospital complications and mortality. 8 COVID-19 has also challenged the surgical services and training, largely due to deployment of doctors in other areas, adherence to the COVID-19 protocols and reduction in training opportunities due to decrease in number of elective surgeries. 9 Decompression craniectomy in stroke is a life-saving procedure in patients with malignant cerebral infarction.…”
Section: Discussionmentioning
confidence: 99%
“…[ 2 4 ] However, structured data on follow-up outcomes in the form of survival and disability among these patients is scarce, and would be needed for prognostication. While there is emerging data on disease-specific outcomes in COVID-19 positive and negative patients,[ 5 6 ] the overall statistics amongst neurological illnesses is lacking. In addition, the long-term outcome comparison data are also scarce.…”
Section: Introductionmentioning
confidence: 99%