Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic

Author:

Cummings Cori1,Almallouhi Eyad1,Al Kasab Sami12,Spiotta Alejandro M.2,Holmstedt Christine A.1

Affiliation:

1. Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.)

2. Department of Neurosurgery, Medical University of South Carolina, Charleston. (S.A.K., A.M.S.)

Abstract

Background and Purpose: The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic. Methods: We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020). Results: A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic, P =0.002. There was no difference in baseline features; however, Black patients were less likely to present with strokes during the pandemic (13.9% versus 29%, P ≤0.002). Conclusions: The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

Reference15 articles.

1. Johns Hopkins University. COVID-19 dashboard by the center for systems science and engineering. https://coronavirus.jhu.edu/map.html. Accessed May 09 2020.

2. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China

3. Babu Welch MD. Are stroke sufferers silent victims of COVID-19? https://utswmed.Org/medblog/covid19-stroke-volume-decrease/. Accessed May 09 2020.

4. Falling stroke rates during COVID-19 pandemic at a comprehensive stroke center

5. Collateral effect of covid-19 on stroke evaluation in the united states.;Kansagra AP;N Engl J Med,2020

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