Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19
Introduction: The COVID-19 pandemic has had an impact on ischaemic stroke management, with a reported decrease in hospital admissions, and even disruptions in healthcare and increased in-hospital mortality. However, there is a lack of evidence on the impact of the pandemic on functional prognosis. T...
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| Format: | Article |
| Language: | English |
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Elsevier España
2021-09-01
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| Series: | Neurología (English Edition) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S217358082100078X |
| _version_ | 1818362401829945344 |
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| author | H. Tejada Meza Á. Lambea Gil C. Villar Yus C. Pérez Lázaro M.P. Navarro Pérez I. Campello Morer Á. Giménez Muñoz J. Artal Roy O. Alberti González N. Hernando Quintana P. Ruiz Palomino J.A. Crespo Burillo C. García Arguedas L. Ballester Marco M. Palacin Larroy M. Seral Moral J. Marta Moreno |
| author_facet | H. Tejada Meza Á. Lambea Gil C. Villar Yus C. Pérez Lázaro M.P. Navarro Pérez I. Campello Morer Á. Giménez Muñoz J. Artal Roy O. Alberti González N. Hernando Quintana P. Ruiz Palomino J.A. Crespo Burillo C. García Arguedas L. Ballester Marco M. Palacin Larroy M. Seral Moral J. Marta Moreno |
| author_sort | H. Tejada Meza |
| collection | DOAJ |
| description | Introduction: The COVID-19 pandemic has had an impact on ischaemic stroke management, with a reported decrease in hospital admissions, and even disruptions in healthcare and increased in-hospital mortality. However, there is a lack of evidence on the impact of the pandemic on functional prognosis. The aim of this study is to analyse the effect of the COVID-19 pandemic on the 3-month functional outcomes of patients hospitalised due to acute ischaemic stroke in Aragon (Spain). Methods: We reviewed the data of all patients admitted due to ischaemic stroke to any hospital in our regional healthcare system between 30 December 2019 and 3 May 2020. We compared modified Rankin Scale scores and mortality at 3 months in patients hospitalised before and after the declaration of a state of emergency due to the COVID-19 pandemic. Results: In total, 318 patients with acute ischaemic stroke met our inclusion criteria. No differences were observed between periods in global or specific characteristics, with the exception of a higher proportion of patients older than 80 years during the first period (42.2% vs 29.0%, P = .028). In the comparative analysis, we found no significant differences in mortality (12.3 vs 7.9, P = .465) or in the proportion of patients with modified Rankin Scale scores ≤ 2 (57.7% vs 57.1%, P = .425) at 3 months. Conclusion: To our knowledge, this is the first study to analyse the impact of COVID-19 pandemic on the 3-month functional outcomes of patients with ischaemic stroke. In our region, there has been no increase in rates of mortality or disability at 3 months in patients admitted due to ischaemic stroke during the pandemic. Resumen: Introducción: La pandemia COVID-19 ha tenido un impacto en el manejo del ictus isquémico, se ha descrito una disminución de los ingresos hospitalarios e incluso una interrupción en la cadena de atención y aumento de la mortalidad intrahospitalaria. Sin embargo, falta evidencia sobre su impacto en el pronóstico funcional. El objetivo de este estudio es analizar el efecto de la pandemia COVID-19 en el pronóstico funcional a tres meses de los pacientes con ictus isquémico agudo hospitalizados en Aragón. Material y métodos: Revisamos los datos de todos los pacientes ingresados por ictus isquémico en todos los hospitales de nuestro sistema sanitario entre el 30 de diciembre de 2019 y el 3 de mayo de 2020. Comparamos su mRS y mortalidad a tres meses de los hospitalizados antes y después de haberse establecido el estado de emergencia secundario a la pandemia COVID-19. Resultados: En total, 318 pacientes con ictus isquémico agudo cumplieron nuestros criterios de inclusión. No hubo diferencias en las características globales y específicas de cada período, excepto por una mayor proporción de pacientes mayores de 80 años de edad durante el período pre-CoV (42,2% vs 29,0%, p = 0,028). En el análisis comparativo, no encontramos una diferencia significativa en la mortalidad (12,3 vs.7,9, p = 0,465) o la proporción de pacientes con mRS ≤2 (57,7% vs 57,1%, p = 0,425) a los tres meses. Conclusión: Hasta donde sabemos, este es el primer estudio que analiza el impacto de la pandemia de COVID-19 en el pronóstico funcional a tres meses de pacientes con ictus isquémico. En nuestra Comunidad Autónoma, no ha habido un incremento en la mortalidad o discapacidad a tres meses de pacientes hospitalizados por ictus isquémico durante el período COVID-19. |
| first_indexed | 2024-12-13T21:32:00Z |
| format | Article |
| id | doaj.art-326e5aa354b84f5b885d2e4737917e9a |
| institution | Directory Open Access Journal |
| issn | 2173-5808 |
| language | English |
| last_indexed | 2024-12-13T21:32:00Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Neurología (English Edition) |
| spelling | doaj.art-326e5aa354b84f5b885d2e4737917e9a2022-12-21T23:30:46ZengElsevier EspañaNeurología (English Edition)2173-58082021-09-01367531536Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19H. Tejada Meza0Á. Lambea Gil1C. Villar Yus2C. Pérez Lázaro3M.P. Navarro Pérez4I. Campello Morer5Á. Giménez Muñoz6J. Artal Roy7O. Alberti González8N. Hernando Quintana9P. Ruiz Palomino10J.A. Crespo Burillo11C. García Arguedas12L. Ballester Marco13M. Palacin Larroy14M. Seral Moral15J. Marta Moreno16Sección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Unidad de Neurointervencionismo, Servicio de Radiología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Corresponding author.Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, SpainSección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, SpainInstituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, SpainInstituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, SpainServicio de Neurología, Hospital Royo Villanova, Zaragoza, SpainServicio de Neurología, Hospital Royo Villanova, Zaragoza, SpainServicio de Neurología, Hospital San Jorge, Huesca, SpainServicio de Neurología, Hospital San Jorge, Huesca, SpainServicio de Neurología, Hospital Obispo Polanco, Teruel, SpainServicio de Neurología, Hospital Obispo Polanco, Teruel, SpainServicio de Neurología, Hospital de Barbastro, Huesca, SpainServicio de Neurología, Hospital de Barbastro, Huesca, SpainServicio de Neurología, Hospital de Alcañiz, Teruel, SpainServicio de Neurología, Hospital Ernest Lluch, Zaragoza, SpainServicio de Neurología, Hospital Ernest Lluch, Zaragoza, SpainSección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, SpainIntroduction: The COVID-19 pandemic has had an impact on ischaemic stroke management, with a reported decrease in hospital admissions, and even disruptions in healthcare and increased in-hospital mortality. However, there is a lack of evidence on the impact of the pandemic on functional prognosis. The aim of this study is to analyse the effect of the COVID-19 pandemic on the 3-month functional outcomes of patients hospitalised due to acute ischaemic stroke in Aragon (Spain). Methods: We reviewed the data of all patients admitted due to ischaemic stroke to any hospital in our regional healthcare system between 30 December 2019 and 3 May 2020. We compared modified Rankin Scale scores and mortality at 3 months in patients hospitalised before and after the declaration of a state of emergency due to the COVID-19 pandemic. Results: In total, 318 patients with acute ischaemic stroke met our inclusion criteria. No differences were observed between periods in global or specific characteristics, with the exception of a higher proportion of patients older than 80 years during the first period (42.2% vs 29.0%, P = .028). In the comparative analysis, we found no significant differences in mortality (12.3 vs 7.9, P = .465) or in the proportion of patients with modified Rankin Scale scores ≤ 2 (57.7% vs 57.1%, P = .425) at 3 months. Conclusion: To our knowledge, this is the first study to analyse the impact of COVID-19 pandemic on the 3-month functional outcomes of patients with ischaemic stroke. In our region, there has been no increase in rates of mortality or disability at 3 months in patients admitted due to ischaemic stroke during the pandemic. Resumen: Introducción: La pandemia COVID-19 ha tenido un impacto en el manejo del ictus isquémico, se ha descrito una disminución de los ingresos hospitalarios e incluso una interrupción en la cadena de atención y aumento de la mortalidad intrahospitalaria. Sin embargo, falta evidencia sobre su impacto en el pronóstico funcional. El objetivo de este estudio es analizar el efecto de la pandemia COVID-19 en el pronóstico funcional a tres meses de los pacientes con ictus isquémico agudo hospitalizados en Aragón. Material y métodos: Revisamos los datos de todos los pacientes ingresados por ictus isquémico en todos los hospitales de nuestro sistema sanitario entre el 30 de diciembre de 2019 y el 3 de mayo de 2020. Comparamos su mRS y mortalidad a tres meses de los hospitalizados antes y después de haberse establecido el estado de emergencia secundario a la pandemia COVID-19. Resultados: En total, 318 pacientes con ictus isquémico agudo cumplieron nuestros criterios de inclusión. No hubo diferencias en las características globales y específicas de cada período, excepto por una mayor proporción de pacientes mayores de 80 años de edad durante el período pre-CoV (42,2% vs 29,0%, p = 0,028). En el análisis comparativo, no encontramos una diferencia significativa en la mortalidad (12,3 vs.7,9, p = 0,465) o la proporción de pacientes con mRS ≤2 (57,7% vs 57,1%, p = 0,425) a los tres meses. Conclusión: Hasta donde sabemos, este es el primer estudio que analiza el impacto de la pandemia de COVID-19 en el pronóstico funcional a tres meses de pacientes con ictus isquémico. En nuestra Comunidad Autónoma, no ha habido un incremento en la mortalidad o discapacidad a tres meses de pacientes hospitalizados por ictus isquémico durante el período COVID-19.http://www.sciencedirect.com/science/article/pii/S217358082100078XInfarto cerebralIctus isquémicoEspañaCOVID-19Pronóstico |
| spellingShingle | H. Tejada Meza Á. Lambea Gil C. Villar Yus C. Pérez Lázaro M.P. Navarro Pérez I. Campello Morer Á. Giménez Muñoz J. Artal Roy O. Alberti González N. Hernando Quintana P. Ruiz Palomino J.A. Crespo Burillo C. García Arguedas L. Ballester Marco M. Palacin Larroy M. Seral Moral J. Marta Moreno Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 Neurología (English Edition) Infarto cerebral Ictus isquémico España COVID-19 Pronóstico |
| title | Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 |
| title_full | Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 |
| title_fullStr | Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 |
| title_full_unstemmed | Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 |
| title_short | Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19 |
| title_sort | three month functional prognosis of patients hospitalised due to acute ischaemic stroke in aragon regional analysis of the impact of covid 19 |
| topic | Infarto cerebral Ictus isquémico España COVID-19 Pronóstico |
| url | http://www.sciencedirect.com/science/article/pii/S217358082100078X |
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