Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19

The aim was to evaluate hospitalization rates for aneurysmal subarachnoid hemorrhage (SAH) within an interdisciplinary multicenter neurovascular network (NVN) during the shutdown for the COVID-19 pandemic along with its modifiable risk factors. In this multicenter study, admission rates for SAH were...

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Main Authors: Erdem Güresir, Ingo Gräff, Matthias Seidel, Hartmut Bauer, Christoph Coch, Christian Diepenseifen, Christian Dohmen, Susanne Engels, Alexis Hadjiathanasiou, Ulrich Heister, Inge Heyer, Tim Lampmann, Sebastian Paus, Gabor Petzold, Dieter Pöhlau, Christian Putensen, Matthias Schneider, Patrick Schuss, Jochen Textor, Markus Velten, Johannes Wach, Thomas Welchowski, Hartmut Vatter
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/9/2555
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author Erdem Güresir
Ingo Gräff
Matthias Seidel
Hartmut Bauer
Christoph Coch
Christian Diepenseifen
Christian Dohmen
Susanne Engels
Alexis Hadjiathanasiou
Ulrich Heister
Inge Heyer
Tim Lampmann
Sebastian Paus
Gabor Petzold
Dieter Pöhlau
Christian Putensen
Matthias Schneider
Patrick Schuss
Jochen Textor
Markus Velten
Johannes Wach
Thomas Welchowski
Hartmut Vatter
author_facet Erdem Güresir
Ingo Gräff
Matthias Seidel
Hartmut Bauer
Christoph Coch
Christian Diepenseifen
Christian Dohmen
Susanne Engels
Alexis Hadjiathanasiou
Ulrich Heister
Inge Heyer
Tim Lampmann
Sebastian Paus
Gabor Petzold
Dieter Pöhlau
Christian Putensen
Matthias Schneider
Patrick Schuss
Jochen Textor
Markus Velten
Johannes Wach
Thomas Welchowski
Hartmut Vatter
author_sort Erdem Güresir
collection DOAJ
description The aim was to evaluate hospitalization rates for aneurysmal subarachnoid hemorrhage (SAH) within an interdisciplinary multicenter neurovascular network (NVN) during the shutdown for the COVID-19 pandemic along with its modifiable risk factors. In this multicenter study, admission rates for SAH were compared for the period of the shutdown for the COVID-19 pandemic in Germany (calendar weeks (cw) 12 to 16, 2020), the periods before (cw 6–11) and after the shutdown (cw 17–21 and 22–26, 2020), as well as with the corresponding cw in the years 2015–2019. Data on all-cause and pre-hospital mortality within the area of the NVN were retrieved from the Department of Health, and the responsible emergency medical services. Data on known triggers for systemic inflammation, e.g., respiratory viruses and air pollution, were analyzed. Hospitalizations for SAH decreased during the shutdown period to one-tenth within the multicenter NVN. There was a substantial decrease in acute respiratory illness rates, and of air pollution during the shutdown period. The implementation of public health measures, e.g., contact restrictions and increased personal hygiene during the shutdown, might positively influence modifiable risk factors, e.g., systemic inflammation, leading to a decrease in the incidence of SAH.
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spelling doaj.art-4a6a346430254914b97d466b4756e50c2023-11-23T08:34:01ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-01119255510.3390/jcm11092555Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19Erdem Güresir0Ingo Gräff1Matthias Seidel2Hartmut Bauer3Christoph Coch4Christian Diepenseifen5Christian Dohmen6Susanne Engels7Alexis Hadjiathanasiou8Ulrich Heister9Inge Heyer10Tim Lampmann11Sebastian Paus12Gabor Petzold13Dieter Pöhlau14Christian Putensen15Matthias Schneider16Patrick Schuss17Jochen Textor18Markus Velten19Johannes Wach20Thomas Welchowski21Hartmut Vatter22Department of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyEmergency Department, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyEmergency Department, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurology, Marien-Hospital Euskirchen, Gottfried-Disse Strasse 40, 53879 Euskirchen, GermanyClinical Study Core Unit, Study Center Bonn (SZB), University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyEmergency Medical Service Rhein-Sieg-Kreis, Kaiser-Wilhelm-Platz 1, 53721 Siegburg, GermanyDepartment of Neurology, LVR-Clinic Bonn, Kaiser-Karl-Ring 20, 53111 Bonn, GermanyDepartment of Health City of Bonn, Berliner Platz 2, 53103 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyEmergency Medical Service City of Bonn, Berliner Platz 2, 53103 Bonn, GermanyDepartment of Health City of Bonn, Berliner Platz 2, 53103 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurology, St. Johannes-Hospital Troisdorf, Wilhelm-Busch-Strasse 9, 53844 Troisdorf, GermanyDepartment of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurology, DRK-Kamillus-Clinic Asbach, Hospitalstraße 6, 53567 Asbach, GermanyDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Radiology, Gemeinschaftskrankenhaus Bonn, Prinz-Albert-Straße 40, 53113 Bonn, GermanyDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyInstitute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyThe aim was to evaluate hospitalization rates for aneurysmal subarachnoid hemorrhage (SAH) within an interdisciplinary multicenter neurovascular network (NVN) during the shutdown for the COVID-19 pandemic along with its modifiable risk factors. In this multicenter study, admission rates for SAH were compared for the period of the shutdown for the COVID-19 pandemic in Germany (calendar weeks (cw) 12 to 16, 2020), the periods before (cw 6–11) and after the shutdown (cw 17–21 and 22–26, 2020), as well as with the corresponding cw in the years 2015–2019. Data on all-cause and pre-hospital mortality within the area of the NVN were retrieved from the Department of Health, and the responsible emergency medical services. Data on known triggers for systemic inflammation, e.g., respiratory viruses and air pollution, were analyzed. Hospitalizations for SAH decreased during the shutdown period to one-tenth within the multicenter NVN. There was a substantial decrease in acute respiratory illness rates, and of air pollution during the shutdown period. The implementation of public health measures, e.g., contact restrictions and increased personal hygiene during the shutdown, might positively influence modifiable risk factors, e.g., systemic inflammation, leading to a decrease in the incidence of SAH.https://www.mdpi.com/2077-0383/11/9/2555aneurysmal subarachnoid hemorrhageaneurysminflammationneurosurgerystrokeCOVID-19
spellingShingle Erdem Güresir
Ingo Gräff
Matthias Seidel
Hartmut Bauer
Christoph Coch
Christian Diepenseifen
Christian Dohmen
Susanne Engels
Alexis Hadjiathanasiou
Ulrich Heister
Inge Heyer
Tim Lampmann
Sebastian Paus
Gabor Petzold
Dieter Pöhlau
Christian Putensen
Matthias Schneider
Patrick Schuss
Jochen Textor
Markus Velten
Johannes Wach
Thomas Welchowski
Hartmut Vatter
Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
Journal of Clinical Medicine
aneurysmal subarachnoid hemorrhage
aneurysm
inflammation
neurosurgery
stroke
COVID-19
title Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
title_full Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
title_fullStr Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
title_full_unstemmed Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
title_short Aneurysmal Subarachnoid Hemorrhage during the Shutdown for COVID-19
title_sort aneurysmal subarachnoid hemorrhage during the shutdown for covid 19
topic aneurysmal subarachnoid hemorrhage
aneurysm
inflammation
neurosurgery
stroke
COVID-19
url https://www.mdpi.com/2077-0383/11/9/2555
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