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Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy?

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Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy? / Hajdu, Steven D; Pittet, Valerie; Puccinelli, Francesco; Ben Hassen, Wagih; Ben Maacha, Malek; Blanc, Raphaël; Bracco, Sandra; Broocks, Gabriel; Bartolini, Bruno; Casseri, Tommaso; Clarençon, Frederic; Naggara, Olivier; Eugène, François; Ferré, Jean-Christophe; Guédon, Alexis; Houdart, Emmanuel; Krings, Timo; Lehmann, Pierre; Limbucci, Nicola; Machi, Paolo; Macho, Juan; Mandruzzato, Nicolo; Nappini, Sergio; Nawka, Marie Teresa; Nicholson, Patrick; Marto, João Pedro; Pereira, Vitor; Correia, Manuel A; Pinho-E-Melo, Teresa; Nuno Ramos, João; Raz, Eytan; Ferreira, Patrícia; Reis, João; Shapiro, Maksim; Shotar, Eimad; van Horn, Noel; Piotin, Michel; Saliou, Guillaume.

In: STROKE, Vol. 51, No. 8, 08.2020, p. 2593-2596.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hajdu, SD, Pittet, V, Puccinelli, F, Ben Hassen, W, Ben Maacha, M, Blanc, R, Bracco, S, Broocks, G, Bartolini, B, Casseri, T, Clarençon, F, Naggara, O, Eugène, F, Ferré, J-C, Guédon, A, Houdart, E, Krings, T, Lehmann, P, Limbucci, N, Machi, P, Macho, J, Mandruzzato, N, Nappini, S, Nawka, MT, Nicholson, P, Marto, JP, Pereira, V, Correia, MA, Pinho-E-Melo, T, Nuno Ramos, J, Raz, E, Ferreira, P, Reis, J, Shapiro, M, Shotar, E, van Horn, N, Piotin, M & Saliou, G 2020, 'Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy?', STROKE, vol. 51, no. 8, pp. 2593-2596. https://doi.org/10.1161/STROKEAHA.120.030794

APA

Hajdu, S. D., Pittet, V., Puccinelli, F., Ben Hassen, W., Ben Maacha, M., Blanc, R., Bracco, S., Broocks, G., Bartolini, B., Casseri, T., Clarençon, F., Naggara, O., Eugène, F., Ferré, J-C., Guédon, A., Houdart, E., Krings, T., Lehmann, P., Limbucci, N., ... Saliou, G. (2020). Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy? STROKE, 51(8), 2593-2596. https://doi.org/10.1161/STROKEAHA.120.030794

Vancouver

Hajdu SD, Pittet V, Puccinelli F, Ben Hassen W, Ben Maacha M, Blanc R et al. Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy? STROKE. 2020 Aug;51(8):2593-2596. https://doi.org/10.1161/STROKEAHA.120.030794

Bibtex

@article{f398db24b3fe42bab52c5bdc7de1490c,
title = "Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy?",
abstract = "During the coronavirus disease 2019 (COVID-19) pandemic, the World Health Organization recommended measures to mitigate the outbreak such as social distancing and confinement. Since these measures have been put in place, anecdotal reports describe a decrease in the number of endovascular therapy (EVT) treatments for acute ischemic stroke due to large vessel occlusion. The purpose of our study was to determine the effect on EVT for patients with acute ischemic stroke during the COVID-19 confinement. In this retrospective, observational study, data were collected from November 1, 2019, to April 15, 2020, at 17 stroke centers in countries where confinement measures have been in place since March 2020 for the COVID-19 pandemic (Switzerland, Italy, France, Spain, Portugal, Germany, Canada, and United States). This study included 1600 patients treated by EVT for acute ischemic stroke. Date of EVT and symptom onset-to-groin puncture time were collected. Mean number of EVTs performed per hospital per 2-week interval and mean stroke onset-to-groin puncture time were calculated before confinement measures and after confinement measures. Distributions (non-normal) between the 2 groups (before COVID-19 confinement versus after COVID-19 confinement) were compared using 2-sample Wilcoxon rank-sum test. The results show a significant decrease in mean number of EVTs performed per hospital per 2-week interval between before COVID-19 confinement (9.0 [95% CI, 7.8-10.1]) and after COVID-19 confinement (6.1 [95% CI, 4.5-7.7]), (P<0.001). In addition, there is a significant increase in mean stroke onset-to-groin puncture time (P<0.001), between before COVID-19 confinement (300.3 minutes [95% CI, 285.3-315.4]) and after COVID-19 confinement (354.5 minutes [95% CI, 316.2-392.7]). Our preliminary analysis indicates a 32% reduction in EVT procedures and an estimated 54-minute increase in symptom onset-to-groin puncture time after confinement measures for COVID-19 pandemic were put into place.",
keywords = "Brain Ischemia/therapy, COVID-19, Coronavirus Infections, Disease Management, Eligibility Determination, Endovascular Procedures/statistics & numerical data, Female, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Quarantine, Retrospective Studies, Spain, Stroke/therapy, Time-to-Treatment, Treatment Outcome",
author = "Hajdu, {Steven D} and Valerie Pittet and Francesco Puccinelli and {Ben Hassen}, Wagih and {Ben Maacha}, Malek and Rapha{\"e}l Blanc and Sandra Bracco and Gabriel Broocks and Bruno Bartolini and Tommaso Casseri and Frederic Claren{\c c}on and Olivier Naggara and Fran{\c c}ois Eug{\`e}ne and Jean-Christophe Ferr{\'e} and Alexis Gu{\'e}don and Emmanuel Houdart and Timo Krings and Pierre Lehmann and Nicola Limbucci and Paolo Machi and Juan Macho and Nicolo Mandruzzato and Sergio Nappini and Nawka, {Marie Teresa} and Patrick Nicholson and Marto, {Jo{\~a}o Pedro} and Vitor Pereira and Correia, {Manuel A} and Teresa Pinho-E-Melo and {Nuno Ramos}, Jo{\~a}o and Eytan Raz and Patr{\'i}cia Ferreira and Jo{\~a}o Reis and Maksim Shapiro and Eimad Shotar and {van Horn}, Noel and Michel Piotin and Guillaume Saliou",
year = "2020",
month = aug,
doi = "10.1161/STROKEAHA.120.030794",
language = "English",
volume = "51",
pages = "2593--2596",
journal = "STROKE",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

RIS

TY - JOUR

T1 - Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy?

AU - Hajdu, Steven D

AU - Pittet, Valerie

AU - Puccinelli, Francesco

AU - Ben Hassen, Wagih

AU - Ben Maacha, Malek

AU - Blanc, Raphaël

AU - Bracco, Sandra

AU - Broocks, Gabriel

AU - Bartolini, Bruno

AU - Casseri, Tommaso

AU - Clarençon, Frederic

AU - Naggara, Olivier

AU - Eugène, François

AU - Ferré, Jean-Christophe

AU - Guédon, Alexis

AU - Houdart, Emmanuel

AU - Krings, Timo

AU - Lehmann, Pierre

AU - Limbucci, Nicola

AU - Machi, Paolo

AU - Macho, Juan

AU - Mandruzzato, Nicolo

AU - Nappini, Sergio

AU - Nawka, Marie Teresa

AU - Nicholson, Patrick

AU - Marto, João Pedro

AU - Pereira, Vitor

AU - Correia, Manuel A

AU - Pinho-E-Melo, Teresa

AU - Nuno Ramos, João

AU - Raz, Eytan

AU - Ferreira, Patrícia

AU - Reis, João

AU - Shapiro, Maksim

AU - Shotar, Eimad

AU - van Horn, Noel

AU - Piotin, Michel

AU - Saliou, Guillaume

PY - 2020/8

Y1 - 2020/8

N2 - During the coronavirus disease 2019 (COVID-19) pandemic, the World Health Organization recommended measures to mitigate the outbreak such as social distancing and confinement. Since these measures have been put in place, anecdotal reports describe a decrease in the number of endovascular therapy (EVT) treatments for acute ischemic stroke due to large vessel occlusion. The purpose of our study was to determine the effect on EVT for patients with acute ischemic stroke during the COVID-19 confinement. In this retrospective, observational study, data were collected from November 1, 2019, to April 15, 2020, at 17 stroke centers in countries where confinement measures have been in place since March 2020 for the COVID-19 pandemic (Switzerland, Italy, France, Spain, Portugal, Germany, Canada, and United States). This study included 1600 patients treated by EVT for acute ischemic stroke. Date of EVT and symptom onset-to-groin puncture time were collected. Mean number of EVTs performed per hospital per 2-week interval and mean stroke onset-to-groin puncture time were calculated before confinement measures and after confinement measures. Distributions (non-normal) between the 2 groups (before COVID-19 confinement versus after COVID-19 confinement) were compared using 2-sample Wilcoxon rank-sum test. The results show a significant decrease in mean number of EVTs performed per hospital per 2-week interval between before COVID-19 confinement (9.0 [95% CI, 7.8-10.1]) and after COVID-19 confinement (6.1 [95% CI, 4.5-7.7]), (P<0.001). In addition, there is a significant increase in mean stroke onset-to-groin puncture time (P<0.001), between before COVID-19 confinement (300.3 minutes [95% CI, 285.3-315.4]) and after COVID-19 confinement (354.5 minutes [95% CI, 316.2-392.7]). Our preliminary analysis indicates a 32% reduction in EVT procedures and an estimated 54-minute increase in symptom onset-to-groin puncture time after confinement measures for COVID-19 pandemic were put into place.

AB - During the coronavirus disease 2019 (COVID-19) pandemic, the World Health Organization recommended measures to mitigate the outbreak such as social distancing and confinement. Since these measures have been put in place, anecdotal reports describe a decrease in the number of endovascular therapy (EVT) treatments for acute ischemic stroke due to large vessel occlusion. The purpose of our study was to determine the effect on EVT for patients with acute ischemic stroke during the COVID-19 confinement. In this retrospective, observational study, data were collected from November 1, 2019, to April 15, 2020, at 17 stroke centers in countries where confinement measures have been in place since March 2020 for the COVID-19 pandemic (Switzerland, Italy, France, Spain, Portugal, Germany, Canada, and United States). This study included 1600 patients treated by EVT for acute ischemic stroke. Date of EVT and symptom onset-to-groin puncture time were collected. Mean number of EVTs performed per hospital per 2-week interval and mean stroke onset-to-groin puncture time were calculated before confinement measures and after confinement measures. Distributions (non-normal) between the 2 groups (before COVID-19 confinement versus after COVID-19 confinement) were compared using 2-sample Wilcoxon rank-sum test. The results show a significant decrease in mean number of EVTs performed per hospital per 2-week interval between before COVID-19 confinement (9.0 [95% CI, 7.8-10.1]) and after COVID-19 confinement (6.1 [95% CI, 4.5-7.7]), (P<0.001). In addition, there is a significant increase in mean stroke onset-to-groin puncture time (P<0.001), between before COVID-19 confinement (300.3 minutes [95% CI, 285.3-315.4]) and after COVID-19 confinement (354.5 minutes [95% CI, 316.2-392.7]). Our preliminary analysis indicates a 32% reduction in EVT procedures and an estimated 54-minute increase in symptom onset-to-groin puncture time after confinement measures for COVID-19 pandemic were put into place.

KW - Brain Ischemia/therapy

KW - COVID-19

KW - Coronavirus Infections

KW - Disease Management

KW - Eligibility Determination

KW - Endovascular Procedures/statistics & numerical data

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Pandemics

KW - Pneumonia, Viral

KW - Quarantine

KW - Retrospective Studies

KW - Spain

KW - Stroke/therapy

KW - Time-to-Treatment

KW - Treatment Outcome

U2 - 10.1161/STROKEAHA.120.030794

DO - 10.1161/STROKEAHA.120.030794

M3 - SCORING: Journal article

C2 - 32716828

VL - 51

SP - 2593

EP - 2596

JO - STROKE

JF - STROKE

SN - 0039-2499

IS - 8

ER -