COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals

Author:

Bres Bullrich Maria,Fridman SebastianORCID,Mandzia Jennifer L.,Mai Lauren M.,Khaw Alexander,Vargas Gonzalez Juan CamiloORCID,Bagur Rodrigo,Sposato Luciano A.

Abstract

Abstract:We assessed the impact of the coronavirus disease 19 (COVID-19) pandemic on code stroke activations in the emergency department, stroke unit admissions, and referrals to the stroke prevention clinic at London’s regional stroke center, serving a population of 1.8 million in Ontario, Canada. We found a 20% drop in the number of code strokes in 2020 compared to 2019, immediately after the first cases of COVID-19 were officially confirmed. There were no changes in the number of stroke admissions and there was a 22% decrease in the number of clinic referrals, only after the provincial lockdown. Our findings suggest that the decrease in code strokes was mainly driven by patient-related factors such as fear to be exposed to the SARS-CoV-2, while the reduction in clinic referrals was largely explained by hospital policies and the Government lockdown.

Publisher

Cambridge University Press (CUP)

Subject

Neurology (clinical),Neurology,General Medicine

Reference5 articles.

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5. 1. Sheth, K. Hospital admissions for strokes appear to have plummeted, a doctor says, a possible sign people are afraid to seek critical help. Washington Podt; 2020. https://www.washingtonpost.com/national/health-science/hospital-admissions-for-strokes-appear-to-have-plummeted-a-doctors-says-a-possible-sign-people-are-afraid-to-seek-critical-help/2020/04/08/2048b886-79ac-11ea-b6ff-597f170df8f8_story.html; Accessed April 22, 2020.

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