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Effect of the Covid-19 Pandemic in the Prehospital Management of Patients with Suspected Acute Stroke

A Retrospective Cohort Study

Bibliographic Data

ID15475482
AuthorsNatasza Blek (0000-0002-3213-7330, Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy in Warsaw, 03-411 Warsaw, Poland, corresponding author), Łukasz Szarpak (0000-0002-0973-5455, Medical University of Białystok), Jerzy Robert Ładny (0000-0003-4167-1962, Medical University of Białystok)
Year2022
Volume19
Issue8
Pages4769-4769
Publication date2022-04-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19084769
PMID35457634
OpenAlexW4224126869
LanguageEN
Citations received1
References cited36

Acute Ischemic Stroke (AIS) can be successfully handled if it is noticed early in the prehospital setting and immediately diagnosed in the emergency department (ED). The coronavirus pandemic has altered the way health care is delivered and has had a profound impact on healthcare delivery. The effects could include prioritizing the prevention of COVID-19 spread, which could result in the discontinuation or deferral of non-COVID-19 care. We used the National Emergency Medical Service Command Support System, a register of medical interventions performed by emergency medical services (EMS) in Poland, to assess the impact of the COVID-19 epidemic across the Masovian Voivodeship on suspected stroke patients' baseline characteristics, prehospital vital parameters, clinical and neurological status, emergency procedures performed on the prehospital phase and EMS processing times. Between 1 April 2019 and 30 April 2021, the study population included 18,922 adult suspected stroke patients who were treated by EMS teams, with 18,641 admitted to the emergency departments. The overall number of suspected stroke patients treated by EMS remained unchanged during COVID-19 compared to the pre-COVID-19 period; however, the average time from call to hospital admission increased by 15 min

Cohort study · Coronavirus disease 2019 (COVID-19 · Discontinuation · Disease · Emergency department · Medical emergency · Pandemic · Population · Psychological intervention · Retrospective cohort study · Stroke (engine · Acute Ischemic Stroke Management · COVID-19 and healthcare impacts · Medicine · Trauma and Emergency Care Studies · Emergency Medical Services · Emergency Medicine · Internal Medicine

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  • Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)

    Jan P Vandenbroucke, Erik Von Elm et al.•Epidemiology•2007

  • Global, regional, and national burden of stroke, 1990–2016

    Open Access•Catherine Owens Johnson, Minh Nguyen et al.•The Lancet Neurology•2019

  • Global, regional, and national burden of stroke and its risk factors, 1990–2019

    Open Access•Valery L Feigin, Benjamin A Stark et al.•The Lancet Neurology•2021

Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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