Impact of the COVID-19-pandemic on thrombectomy services in Germany

被引：16

作者：

Tiedt, Steffen ^{[1
,2
]}

Bode, Felix ^{[3
,4
]}

Uphaus, Timo ^{[5
]}

Alegiani, Anna ^{[6
]}

Groeschel, Klaus ^{[5
]}

Petzold, Gabor ^{[3
,4
]}

机构：

[1] Ludwig Maximilians Univ Munchen, Univ Hosp, Inst Stroke & Dementia Res, Munich, Germany

[2] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Neurol, Munich, Germany

[3] Univ Hosp Bonn, Dept Neurol, Div Vasc Neurol, Bonn, Germany

[4] German Ctr Neurodegenerat Dis DZNE, Bonn, Germany

[5] Johannes Gutenberg Univ Mainz, Dept Neurol, Univ Med Ctr, Mainz, Germany

[6] Univ Med Ctr Hamburg Eppendorf, Dept Neurol, Hamburg, Germany

来源：

NEUROLOGICAL RESEARCH AND PRACTICE | 2020年 / 2卷 / 01期

关键词：

Stroke; COVID-19; Thrombectomy; Large vessel occlusion; Outcome;

D O I：

10.1186/s42466-020-00090-0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BackgroundThe Coronavirus Disease 2019 (COVID-19) pandemic may have altered emergency workflows established to optimize the outcome of patients with large-vessel occlusion (LVO) stroke.AimsWe here analyzed workflow time intervals and functional outcomes of LVO patients treated with endovascular thrombectomy (ET) during the COVID-19 pandemic in Germany.MethodsWe compared the frequency, pre- and intrahospital workflow time intervals, rates of reperfusion, and functional outcome of patients admitted from March 1st to May 31st 2020 with patients admitted during the same time interval in 2019 to 12 university and municipal hospitals across Germany (N = 795).ResultsThe number of LVO patients treated with ET between March to May 2020 was similar when compared to the same interval in 2019. Direct-to-center patients and patients admitted through interhospital transfer in 2020 showed similar pre- and intrahospital workflow time intervals compared to patients admitted in 2019, except for a longer door-to-groin time in patients admitted through interhospital transfer in 2020 (47 min vs 38 min, p = 0.005). Rates of reperfusion were not significantly different between 2020 and 2019. Functional outcome at discharge of LVO patients treated in 2020 was not significantly different compared to patients treated in 2019.ConclusionPre- and intrahospital workflows, ET efficacy, and functional outcome of LVO patients treated with ET were not affected during the COVID-19 pandemic in our large cohort from centers across Germany.

引用

页数：6

共 8 条

[1] Prehospital Triage of Acute Stroke Patients During the COVID-19 Pandemic [J].

Goyal, Mayank ;

Ospel, Johanna M. ;

Southerland, Andrew M. ;

Wira, Charles ;

Amin-Hanjani, Sepideh ;

Fraser, Justin F. ;

Panagos, Peter .

STROKE, 2020, 51 (07) :2263-2267

[2] Collateral Effect of Covid-19 on Stroke Evaluation in the United States [J].

Kansagra, Akash P. ;

Goyal, Manu S. ;

Hamilton, Scott ;

Albers, Gregory W. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (04) :400-401

[3] Mechanical Thrombectomy for Acute Ischemic Stroke Amid the COVID-19 Outbreak Decreased Activity, and Increased Care Delays [J].

Kerleroux, Basile ;

Fabacher, Thibaut ;

Bricout, Nicolas ;

Moise, Martin ;

Testud, Benoit ;

Vingadassalom, Sivadji ;

Ifergan, Heloise ;

Janot, Kevin ;

Consoli, Arturo ;

Ben Hassen, Wagih ;

Shotar, Eimad ;

Ognard, Julien ;

Charbonnier, Guillaume ;

L'Allinec, Vincent ;

Guedon, Alexis ;

Bolognini, Federico ;

Marnat, Gaultier ;

Forestier, Geraud ;

Rouchaud, Aymeric ;

Pop, Raoul ;

Raynaud, Nicolas ;

Zhu, Francois ;

Cortese, Jonathan ;

Chalumeau, Vanessa ;

Berge, Jerome ;

Escalard, Simon ;

Boulouis, Gregoire .

STROKE, 2020, 51 (07) :2012-2017

[4] Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage [J].

Metzler, Bernhard ;

Siostrzonek, Peter ;

Binder, Ronald K. ;

Bauer, Axel ;

Reinstadler, Sebastian Johannes .

EUROPEAN HEART JOURNAL, 2020, 41 (19) :1852-1853

[5] Acute Stroke Care Is at Risk in the Era of COVID-19 Experience at a Comprehensive Stroke Center in Barcelona [J].

Rudilosso, Salvatore ;

Laredo, Carlos ;

Vera, Victor ;

Vargas, Martha ;

Renu, Arturo ;

Llull, Laura ;

Obach, Victor ;

Amaro, Sergio ;

Urra, Xabier ;

Torres, Ferran ;

Jimenez-Fabrega, Francesc Xavier ;

Chamorro, Angel .

STROKE, 2020, 51 (07) :1991-1995

[6] Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis [J].

Saver, Jeffrey L. ;

Goyal, Mayank ;

van der Lugt, Aad ;

Menon, Bijoy K. ;

Majoie, Charles B. L. M. ;

Dippel, Diederik W. ;

Campbell, Bruce C. ;

Nogueira, Raul G. ;

Demchuk, Andrew M. ;

Tomasello, Alejandro ;

Cardona, Pere ;

Devlin, Thomas G. ;

Frei, Donald F. ;

de Rochemont, Richard du Mesnil ;

Berkhemer, Olvert A. ;

Jovin, Tudor G. ;

Siddiqui, Adnan H. ;

van Zwam, Wim H. ;

Davis, Stephen M. ;

Castao, Carlos ;

Sapkota, Biggya L. ;

Fransen, Puck S. ;

Molina, Carlos ;

van Oostenbrugge, Robert J. ;

Chamorro, Angel ;

Lingsma, Hester ;

Silver, Frank L. ;

Donnan, Geoffrey A. ;

Shuaib, Ashfaq ;

Brown, Scott ;

Stouch, Bruce ;

Mitchell, Peter J. ;

Davalos, Antoni ;

Roos, B. W. E. M. ;

Hill, Michael D. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 316 (12) :1279-1288

[7] Functional Outcome Following Stroke Thrombectomy in Clinical Practice [J].

Wollenweber, Frank A. ;

Tiedt, Steffen ;

Alegiani, Anna ;

Alber, Burkhard ;

Bangard, Christopher ;

Berrouschot, Joerg ;

Bode, Felix J. ;

Boeckh-Behrens, Tobias ;

Bohner, Georg ;

Bormann, Albrecht ;

Braun, Michael ;

Dorn, Franziska ;

Eckert, Bernd ;

Flottmann, Fabian ;

Hamann, Gerhard F. ;

Henn, Karl-Heinz ;

Herzberg, Moriz ;

Kastrup, Andreas ;

Kellert, Lars ;

Kraemer, Christoffer ;

Krause, Lars ;

Lehm, Manuel ;

Liman, Jan ;

Lowens, Stephan ;

Mpotsaris, Anastasios ;

Papanagiotou, Panagiotis ;

Petersen, Martina ;

Petzold, Gabor C. ;

Pfeilschifter, Waltraud ;

Psychogios, Marios-Nikos ;

Reich, Arno ;

von Rennenberg, Regina ;

Roether, Joachim ;

Schaefer, Jan-Hendrik ;

Siebert, Eberhard ;

Siedow, Andreas ;

Solymosi, Laszlo ;

Thonke, Sven ;

Wagner, Marlies ;

Wunderlich, Silke ;

Zweynert, Sarah ;

Nolte, Christian H. ;

Gerloff, Christian ;

Thomalla, Goetz ;

Dichgans, Martin ;

Fiehler, Jens .

STROKE, 2019, 50 (09) :2500-2506

[8] Impact of the COVID-19 Epidemic on Stroke Care and Potential Solutions [J].

Zhao, Jing ;

Li, Hang ;

Kung, David ;

Fisher, Marc ;

Shen, Ying ;

Liu, Renyu .

STROKE, 2020, 51 (07) :1996-2001

← 1 →