Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

被引：32

作者：

Nguyen, Thanh N. ^{[1
]}

Haussen, Diogo C. ^{[2
]}

Qureshi, Muhammad M. ^{[3
]}

Yamagami, Hiroshi ^{[4
]}

Fujinaka, Toshiyuki ^{[5
]}

Mansour, Ossama Y. ^{[6
]}

Abdalkader, Mohamad ^{[7
]}

Frankel, Michael ^{[2
]}

Qiu, Zhongming ^{[8
]}

Taylor, Allan ^{[9
]}

Lylyk, Pedro ^{[10
]}

Eker, Omer F. ^{[11
]}

Mechtouff, Laura ^{[12
]}

Piotin, Michel ^{[13
]}

Lima, Fabricio Oliveira ^{[14
]}

Mont'Alverne, Francisco ^{[15
]}

Izzath, Wazim ^{[16
]}

Sakai, Nobuyuki ^{[17
]}

Mohammaden, Mahmoud ^{[2
]}

Al-Bayati, Alhamza R. ^{[2
]}

Renieri, Leonardo ^{[18
]}

Mangiafico, Salvatore ^{[18
]}

Ozretic, David ^{[19
]}

Chalumeau, Vanessa ^{[20
]}

Ahmad, Saima ^{[21
]}

Rashid, Umair ^{[21
]}

Hussain, Syed Irteza ^{[22
]}

John, Seby ^{[22
]}

Griffin, Emma ^{[23
]}

Thornton, John ^{[23
]}

Fiorot, Jose Antonio ^{[24
]}

Rivera, Rodrigo ^{[25
]}

Hammami, Nadia ^{[26
]}

Cervantes-Arslanian, Anna M. ^{[27
]}

Dasenbrock, Hormuzdiyar H. ^{[28
]}

Huynh Le Vu ^{[29
]}

Viet Quy Nguyen ^{[29
]}

Hetts, Steven ^{[30
,31
]}

Bourcier, Romain ^{[32
]}

Guile, Romain ^{[32
]}

Walker, Melanie ^{[33
]}

Sharma, Malveeka ^{[34
]}

Frei, Don ^{[35
]}

Jabbour, Pascal ^{[36
]}

Herial, Nabeel ^{[36
]}

Al-Mufti, Fawaz ^{[37
]}

Ozdemir, Atilla Ozcan ^{[38
]}

Aykac, Ozlem ^{[38
]}

Gandhi, Dheeraj ^{[39
]}

Chugh, Chandril ^{[40
]}

机构：

[1] Boston Med Ctr, Neurol, Radiol, Boston, MA USA

[2] Emory Univ, Sch Med, Grady Mem Hosp, Marcus Stroke & Neurosci Ctr,Neurol, Atlanta, GA 30322 USA

[3] Boston Univ, Sch Med, Radiol, Radiat Oncol, Boston, MA 02118 USA

[4] Natl Hosp Org Osaka Natl Hosp, Neurol, Osaka, Japan

[5] Natl Hosp Org Osaka Natl Hosp, Neurosurg, Osaka, Japan

[6] Alexandria Univ, Neurol, Alexandria, Egypt

[7] Boston Med Ctr, Radiol, Boston, MA USA

[8] Xinqiao Hosp, Dept Neurol, Chongqing, Peoples R China

[9] Univ Cape Town, Neurosurg, Rondebosch, Western Cape, South Africa

[10] Clin La Sagrada Familia, Intervent Neuroradiol, Neurosurg, Buenos Aires, DF, Argentina

[11] Hosp Civils Lyon, Neurol Vasc, Neuroradiol, Lyon, Auvergne Rhone, France

[12] Hosp Civils Lyon, Neurol Vasc, Lyon, Auvergne Rhone, France

[13] Fdn Ophtalmol Adolphe de Rothschild, Intervent Neuroradiol, Paris, Ile De France, France

[14] Hosp Geral Fortaleza, Neurol, Fortaleza, Ceara, Brazil

[15] Hosp Geral Fortaleza, Intervent Neuroradiol, Fortaleza, Ceara, Brazil

[16] Nottingham Univ Hosp NHS Trust, Neuroradiol, Nottingham, England

[17] Kobe City Med Ctr Gen Hosp, Dept Neurosurg, Kobe, Hyogo, Japan

[18] Univ Hosp Careggi, Intervent Neurovasc Unit, Florence, Toscana, Italy

[19] Univ Hosp Ctr Zagreb, Neuroradiol, Zagreb, Croatia

[20] Hop Bicetre, Intervent Neuroradiol, Le Kremlin Bicetre, France

[21] Lahore Gen Hosp, Stroke & Intervent Neuroradiol, Lahore, Pakistan

[22] Cleveland Clin Abu Dhabi, Neurol Inst, Abu Dhabi, U Arab Emirates

[23] Beaumont Hosp, Dept Radiol, Dublin, Ireland

[24] Hosp Estadual Cent, Stroke Unit, Neurol, Vitoria, ES, Brazil

[25] Inst Neurocirugia Dr Asengo, Neuroradiol, Santiago, Chile

[26] Inst Natl Neurol, Intervent Neuroradiol, Tunis, Tunisia

[27] Boston Med Ctr, Neurol, Boston, MA USA

[28] Boston Med Ctr, Neurosurg, Boston, MA USA

[29] Hue Cent Hosp, Stroke Ctr, Hue, Thua Thien Hue, Vietnam

[30] Univ Calif San Francisco, Radiol, San Francisco, CA 94143 USA

[31] Univ Calif San Francisco, Intervent Neuroradiol, San Francisco, CA 94143 USA

[32] CHU Nantes, Hop Guillaume & Rene Laennec, Neuroradiol Diagnost & Intervent, Nantes, France

[33] Univ Washington, Sch Med, Neurol Surg, Seattle, WA USA

[34] Univ Washington, Sch Med, Neurol, Seattle, WA USA

[35] Swedish Med Ctr, Radiol, Englewood, CO 80110 USA

[36] Thomas Jefferson Univ Hosp, Neurosurg, Philadelphia, PA 19107 USA

[37] Westchester Med Ctr Hlth Network, Neurosurg, Neurol, Valhalla, NY USA

[38] Eskisehir OsmangaziUniv, Stroke & Neurointervent Unit, Eskisehir, Turkey

[39] Univ Maryland, Sch Med, Radiol, Neurol,Neurosurg, Baltimore, MD 21201 USA

[40] MAX Superspecialty Hosp, Intervent Neurol, New Delhi, India

[41] Yale Sch Med, Neurosurg, New Haven, CT USA

[42] Ctr Hosp Univ Quebec Univ Laval, Neurosurg, Quebec City, PQ, Canada

[43] St Louis Univ, Sch Med, Neurosurg, St Louis, MO USA

[44] Rush Univ Med Ctr, Neurol Surg, Chicago, IL USA

[45] Paracelsus Med Univ, Res Inst Neurointervent, Neurol, Univ Hosp Salzburg, Salzburg, Austria

[46] Univ Toronto, Neurosurg, Surg, Med Imaging, Toronto, ON, Canada

[47] NH Mazumdar Shah Med Ctr, Neurol, Bangalore, Karnataka, India

[48] Kobe City Med Ctr Gen Hosp, Neurol, Kobe, Hyogo, Japan

[49] IMS Tokyo Katsushika Gen Hosp, Stroke & Neurovasc Surg, Tokyo, Japan

[50] Gachon Univ, Seongnam, South Korea

来源：

STROKE AND VASCULAR NEUROLOGY | 2021年 / 6卷 / 04期

关键词：

aneurysm; coil; haemorrhage; infection; subarachnoid; IMPACT;

D O I：

10.1136/svn-2020-000695

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background 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. Methods 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. Findings 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. Interpretation 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.

引用

页码：542 / 552

页数：11

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