当院の急性期脳梗塞診療における Covid-19 の影響

Abstract

The coronavirus disease 2019 (COVID-19) epidemic has had a major impact on stroke treatment. The acute ischemic stroke (AIS) treatment protocol at our hospital now requires a rapid antigen test on arrival to prevent the spread of COVID-19 infection, so the initiation of treatment may be delayed. We compared AIS treatment before (October 2018 to March 2020) and after the epidemic started (April 2020 to September 2021) to investigate the effect of COVID-19. The number of AIS emergency transports was 73 before and 102 after the epidemic. The time from door to image time was significantly extended ( p < 0.05). However, door-to-puncture time and puncture-to-recanalization time showed no significant changes. Possibly our revision of the protocol, such as omitting some imaging examinations, including magnetic resonance imaging, enabled more rapid interventions.