Lessons learned in stroke care during COVID-19 pandemic and preparing for future pandemics in the MENA+ region: A consensus statement from the MENA+-SINO

Hashmi, Amal M. Al; Bandemer, Stephan von; Shuaib, Ashfaq; Mansour, Ossama Yassin; Wassy, Mohammed; Ozdemir, Atilla Ozacn; Farhoudi, Mehdi; Jehani, Hosam Al; Khan, Adnan; John, Seby; Saqqur, Maher

doi:10.1016/j.jns.2021.120060

Cited by 4 publications

(4 citation statements)

References 48 publications

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“…These results are similar to other diseases showing worse outcomes with COVID-19 infection, e.g., STEMI [ 51 ]. Successful stroke care requires complex, timely collaboration between multiple clinical teams, and factors like delay in access during the early COVID-19 pandemic may have played a role in worse outcomes [ 55 ]. A better understanding of these factors can guide the development of tools and policies to better prepare for future pandemics [ 55 ].…”

Section: Future Directionsmentioning

confidence: 99%

COVID-19 and Acute Ischemic Stroke Mortality and Clinical Outcomes among Hospitalized Patients in the United States: Insight from National Inpatient Sample

Davis

Gangu

Suriya

et al. 2023

JCM

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Coronavirus-19, primarily a respiratory virus, also affects the nervous system. Acute ischemic stroke (AIS) is a well-known complication among COVID-19 infections, but large-scale studies evaluating AIS outcomes related to COVID-19 infection remain limited. We used the National Inpatient Sample database to compare acute ischemic stroke patients with and without COVID-19. A total of 329,240 patients were included in the study: acute ischemic stroke with COVID-19 (n = 6665, 2.0%) and acute ischemic stroke without COVID-19 (n = 322,575, 98.0%). The primary outcome was in-hospital mortality. Secondary outcomes included mechanical ventilation, vasopressor use, mechanical thrombectomy, thrombolysis, seizure, acute venous thromboembolism, acute myocardial infarction, cardiac arrest, septic shock, acute kidney injury requiring hemodialysis, length of stay, mean total hospitalization charge, and disposition. Acute ischemic stroke patients who were COVID-19-positive had significantly increased in-hospital mortality compared to acute ischemic stroke patients without COVID-19 (16.9% vs. 4.1%, aOR: 2.5 [95% CI 1.7–3.6], p < 0.001). This cohort also had significantly increased mechanical ventilation use, acute venous thromboembolism, acute myocardial infarction, cardiac arrest, septic shock, acute kidney injury, length of stay, and mean total hospitalization charge. Further research regarding vaccination and therapies will be vital in reducing worse outcomes in patients with acute ischemic stroke and COVID-19.

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Section: Future Directionsmentioning

confidence: 99%

COVID-19 and Acute Ischemic Stroke Mortality and Clinical Outcomes among Hospitalized Patients in the United States: Insight from National Inpatient Sample

Davis

Gangu

Suriya

et al. 2023

JCM

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“…In response to this research gap, we initiated an exploratory, qualitative research project to explore employees' experiences during the pandemic. The pandemic was an unexpected global event without previous experience on how best to prepare [ 11 ]. Basically, in times of crisis, officials often refer to their previous experiences and problem-solving techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Unprepared medical systems, inadequate resources, and perhaps most importantly, public denial of the infection's seriousness likely contributed to the severity and outbreak of the pandemic [ 11 ]. Covid-19 has changed how we communicate, care for others, study, work, and all aspects of life.…”

Section: Introductionmentioning

confidence: 99%

Lessons learned from behaviors of the employees in Iranian banks during the Covid-19 pandemic crisis: A phenomenological study

Damghanian,

Hedayati,

Farhadinejad

et al. 2023

Heliyon

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“…The MENA-SINO organization has regular regional conferences, educational seminars, and exchanges of local and international stroke expert faculty to regional hospitals. In addition, it conducted locally relevant research and guidelines (8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

Hashmi

Shuaib²,

Imam³

et al. 2022

Front. Neurol.

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BackgroundAcute stroke care is complex and requires multidisciplinary networking. There are insufficient data on stroke care in the Middle East and adjacent regions in Asia and Africa.ObjectiveEvaluate the state of readiness of stroke programs in the Middle East North Africa and surrounding regions (MENA+) to treat acute stroke.MethodOnline questionnaire survey on the evaluation of stroke care across hospitals of MENA+ region between April 2021 and January 2022.ResultsThe survey was completed by 34/50 (68%) hospitals. The median population serviced by participating hospitals was 2 million. The median admission of patients with stroke/year was 600 (250–1,100). The median length of stay at the stroke units was 5 days. 34/34 (100%) of these hospitals have 24/7 CT head available. 17/34 (50%) have emergency guidelines for prehospital acute stroke care. Mechanical thrombectomy with/without IVT was available in 24/34 (70.6%). 51% was the median (IQR; 15–75%) of patients treated with IVT within 60 min from arrival. Thirty-five minutes were the median time to reverse warfarin-associated ICH.ConclusionThis is the first large study on the availability of resources for the management of acute stroke in the MENA+ region. We noted the disparity in stroke care between high-income and low-income countries. Concerted efforts are required to improve stroke care in low-income countries. Accreditation of stroke programs in the region will be helpful.

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Lessons learned in stroke care during COVID-19 pandemic and preparing for future pandemics in the MENA+ region: A consensus statement from the MENA+-SINO

Cited by 4 publications

References 48 publications

COVID-19 and Acute Ischemic Stroke Mortality and Clinical Outcomes among Hospitalized Patients in the United States: Insight from National Inpatient Sample

COVID-19 and Acute Ischemic Stroke Mortality and Clinical Outcomes among Hospitalized Patients in the United States: Insight from National Inpatient Sample

Lessons learned from behaviors of the employees in Iranian banks during the Covid-19 pandemic crisis: A phenomenological study

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

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