Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic
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説明
<jats:sec><jats:title>Background</jats:title><jats:p>During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study’s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March–31 May 2020. The prior 1-year control period (1 March–31 May 2019) was obtained to account for seasonal variation.</jats:p></jats:sec><jats:sec><jats:title>Findings</jats:title><jats:p>There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI −24.3% to −20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170–1035 procedures, respectively, representing an 11.5% (95%CI −13.5% to −9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI −28.0% to −22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile.</jats:p></jats:sec><jats:sec><jats:title>Interpretation</jats:title><jats:p>There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.</jats:p></jats:sec>
収録刊行物
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- Stroke and Vascular Neurology
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Stroke and Vascular Neurology 6 (4), 542-552, 2021-03-26
BMJ
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キーワード
- [SDV]Life Sciences [q-bio]
- COVID-19*
- Infectious Disease
- Subarachnoid Hemorrhage* / diagnostic imaging
- subarachnoid
- Intracranial Aneurysm* / therapy
- 630
- Intracranial Aneurysm* / epidemiology
- coil
- Humans
- Prospective Studies
- RC346-429
- Pandemics
- Health Services Administration
- Retrospective Studies
- SARS-CoV-2
- COVID-19
- Intracranial Aneurysm
- Subarachnoid Hemorrhage
- infection
- [SDV] Life Sciences [q-bio]
- Cross-Sectional Studies
- Treatment Outcome
- Intracranial Aneurysm* / diagnostic imaging
- Cardiovascular Diseases
- Virus Diseases
- aneurysm
- Health Services Research
- Neurology. Diseases of the nervous system
- haemorrhage
- Nervous System Diseases
- Subarachnoid Hemorrhage* / epidemiology
詳細情報 詳細情報について
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- CRID
- 1360290617396942464
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- ISSN
- 20598696
- 20598688
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- HANDLE
- 20.500.14038/27412
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- PubMed
- 33771936
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- 資料種別
- journal article
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- データソース種別
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- Crossref
- KAKEN
- OpenAIRE