Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic Observations From the Buckle of the Stroke Belt

被引：22

作者：

Cummings, Cori ^{[1
]}

Almallouhi, Eyad ^{[1
]}

Al Kasab, Sami ^{[1
,2
]}

Spiotta, Alejandro M. ^{[2
]}

Holmstedt, Christine A. ^{[1
]}

机构：

[1] Med Univ South Carolina, Dept Neurol, Charleston, SC 29425 USA

[2] Med Univ South Carolina, Dept Neurosurg, Charleston, SC 29425 USA

来源：

STROKE | 2020年 / 51卷 / 10期

关键词：

COVID-19; pandemic; South Carolina; stroke; thrombolysis;

D O I：

10.1161/STROKEAHA.120.031121

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose: The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic. Methods: We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020). Results: A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic,P=0.002. There was no difference in baseline features; however, Black patients were less likely to present with strokes during the pandemic (13.9% versus 29%,P <= 0.002). Conclusions: The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.

引用

页码：3107 / 3111

页数：5

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