Stroke Health Care Use and COVID-19

Derraz, Imad

doi:10.3174/ajnr.a6563

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…In the period of our study, 1.4% of the patients with COVID-19 presented a stroke. There have been reported an incidence of stroke in COVD-19 patients from 0.19% to 5.4% and by Klok et al of 1.6% and 2.5% by Lodigiani et al, (13,14,15). Our study reported most of the cases were ischemic strokes.…”

Section: Discussionsupporting

confidence: 59%

Cerebrovascular disease and mortality in hospitalized patients with COVID-19 in a Latin American country, Peru.

Gallo-Guerrero¹,

Vences²,

Zafra-Tanaka³

et al. 2022

Rev Neuropsiquiatr

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Objective: This study aimed at: 1) Assessment of the frequency of stroke and related mortality rate in patients hospitalized for COVID-19 in two major hospital referral centers in Peru; 2) Exploration of factors associated to mortality and dependency in these patients; 3) Comparisons of frequency of admissions of stroke patients and reperfusion treatments in similar periods of time prior to (2019) and during the pandemia occurrence. Material and Methods: A retrospective cohort study was conducted in two of the largest referral hospital centers for COVID-19 in Peru. The study included patient victims of stroke and COVID-19, hospitalized between April and August 2020. Demographic, clinical and laboratory data, radiological findings, and severity levels measured by the NIHSS scale were collected. Poisson regression models to evaluate associated factors to mortality and dependency were applied. Results: A 31% reduction of admissions for stroke, and of 81% of intravenous reperfusion treatment, respectively, were found in 2020 when compared with 2019. 1.37% of the patients with COVID-19 experienced a stroke, with an overall mortality rate of 40.6%, and a dependency rate of 68.3% at discharge time (Rankin > 2). An age increase of 10 years was found in mortality, associated with a 29% increase in mortality risk. As well, having hypertension, chronic kidney disease, inflammatory markers (D dimer and ferritin) and the severity of the stroke were associated with mortality. Finally, the severity of stroke, lymphopenia, and inflammatory markers (D dimer and fibrinogen) were associated with greater risk of dependency. Conclusions: The care system of stroke patients was affected by the COVID-19 pandemic in two of Perú’s major public hospitals. There was a decrease in admissions and reperfusion treatments of stroke cases, and 1.37% of patients with COVID-19 presented a stroke. Age, hypertension, chronic kidney disease, inflammatory markers and severity of stroke were associated with mortality in these patients.

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Section: Discussionsupporting

confidence: 59%

Cerebrovascular disease and mortality in hospitalized patients with COVID-19 in a Latin American country, Peru.

Gallo-Guerrero¹,

Vences²,

Zafra-Tanaka³

et al. 2022

Rev Neuropsiquiatr

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“…Emergency infection protocols should be instituted by hospital to contain COVID-19. Clinical inpatient and outpatient services should be adjusted and all non-essential visits should be suspended ( 54 ).…”

Section: Discussionmentioning

confidence: 99%

The Mediating Role of Perceived Social Support Between Resilience and Anxiety 1 Year After the COVID-19 Pandemic: Disparity Between High-Risk and Low-Risk Nurses in China

Hou

Yin

et al. 2021

Front. Psychiatry

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Introduction: One year after the Coronavirus disease 2019 (COVID-19) outbreak, China has made substantial progress in the prevention and control of the pandemic, while the epidemic situation remains grim in China since virus may easily survive with the falling temperature in winter. The present study aimed to compare the prevalence and associated factors of anxiety between high-risk and low-risk nurses 1 year after the COVID-19 outbreak, and examine the association between resilience and anxiety and its underlying mechanisms.Method: Connor-Davidson Resilience scale, Perceived Social Support Scale and Generalized Anxiety Disorder Scale were administrated to 701 nurses from Jiangsu Province, China, 1 year after the COVID-19 outbreak. The mediating effect was examined by Mackinnon's four-step procedure, while the moderated mediation model was tested by Hayes PROCESS macro.Results: The findings presented the prevalence of anxiety among nurses was 21.4% 1 year after the COVID-19 pandemic. High-risk nurses presented a higher prevalence of anxiety (24.5 vs. 19.3%) than low-risk nurses. Age and professional title were significantly associated with anxiety only in high-risk nurses (all P < 0.05). Perceived social support mediated the association between resilience and anxiety and the indirect effect was stronger for high-risk nurses than low-risk nurses.Conclusion: Anxiety remains prevalent among nurses 1 year after the COVID-19 outbreak, and resilience plays a protective role against anxiety. Programs that enhance resilience and social support should be designed and special attention should be paid to nurses from high-risk units.

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“…Published data have demonstrated that the SARS-CoV-2 (COVID-19) pandemic has affected the US healthcare system in unique respects. Infection control measures, such as social distancing, lockdowns, the use of telemedicine, and modifications in clinical inpatient as well as outpatient services, were implemented across the country [ 1 ]. Moreover, patients have been encouraged to avoid hospitals except for true emergencies [ 2 , 3 ] and to use telephone hotlines for symptom screening instead of presenting for in-person evaluation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%