Acute Stroke Care during COVID-19: National Data

(1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic...

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Main Authors: Grzegorz Miękisiak, Samuel D. Pettersson, Dariusz Szarek, Piotr Morasiewicz, Justyna Fercho, Stanisław Adamski, Lech Kipiński, Tomasz Szmuda
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Infectious Disease Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7449/14/2/24
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author Grzegorz Miękisiak
Samuel D. Pettersson
Dariusz Szarek
Piotr Morasiewicz
Justyna Fercho
Stanisław Adamski
Lech Kipiński
Tomasz Szmuda
author_facet Grzegorz Miękisiak
Samuel D. Pettersson
Dariusz Szarek
Piotr Morasiewicz
Justyna Fercho
Stanisław Adamski
Lech Kipiński
Tomasz Szmuda
author_sort Grzegorz Miękisiak
collection DOAJ
description (1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the “N-1” Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised.
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spelling doaj.art-f78b58a81e36489b84bc988906f95b552023-11-30T21:13:19ZengMDPI AGInfectious Disease Reports2036-74492022-03-0114219820410.3390/idr14020024Acute Stroke Care during COVID-19: National DataGrzegorz Miękisiak0Samuel D. Pettersson1Dariusz Szarek2Piotr Morasiewicz3Justyna Fercho4Stanisław Adamski5Lech Kipiński6Tomasz Szmuda7Institute of Medicine, University of Opole, 45-040 Opole, PolandDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, PolandDepartment of Neurosurgery, Marciniak’s Hospital, 54-049 Wrocław, PolandInstitute of Medicine, University of Opole, 45-040 Opole, PolandDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, PolandNeurosurgery Department, Copernicus Hospital, 80-152 Gdansk, PolandDepartment of Pathophysiology, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland(1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the “N-1” Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised.https://www.mdpi.com/2036-7449/14/2/24acute strokeCOVID-19pandemic
spellingShingle Grzegorz Miękisiak
Samuel D. Pettersson
Dariusz Szarek
Piotr Morasiewicz
Justyna Fercho
Stanisław Adamski
Lech Kipiński
Tomasz Szmuda
Acute Stroke Care during COVID-19: National Data
Infectious Disease Reports
acute stroke
COVID-19
pandemic
title Acute Stroke Care during COVID-19: National Data
title_full Acute Stroke Care during COVID-19: National Data
title_fullStr Acute Stroke Care during COVID-19: National Data
title_full_unstemmed Acute Stroke Care during COVID-19: National Data
title_short Acute Stroke Care during COVID-19: National Data
title_sort acute stroke care during covid 19 national data
topic acute stroke
COVID-19
pandemic
url https://www.mdpi.com/2036-7449/14/2/24
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AT dariuszszarek acutestrokecareduringcovid19nationaldata
AT piotrmorasiewicz acutestrokecareduringcovid19nationaldata
AT justynafercho acutestrokecareduringcovid19nationaldata
AT stanisławadamski acutestrokecareduringcovid19nationaldata
AT lechkipinski acutestrokecareduringcovid19nationaldata
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