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Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain

2020; SAGE Publishing; Volume: 15; Issue: 7 Linguagem: Inglês

10.1177/1747493020938301

1747-4949

H. Tejada Meza, Á. Lambea Gil, A. Sancho Saldaña, Maite Martínez-Zabaleta, Patricia de la Riva, Elena López-Cancio Martínez, M. Castañón Apilánez, M. Herrera Isasi, Juan Marta-Enguita, Mercedes de Lera Alfonso, Juan F. Arenillas, Jon Segurola Olaizola, Juan José Timiraos Fernández, Joaquín Sánchez, Mar Castellanos, Alexia Roel, Ignacio Casado Menéndez, Mar Freijo, Alain Luna Rodríguez, Enrique Palacio Portilla, Yésica López, Emilio Rodríguez‐Castro, Susana Arias-Rivas, Javier Tejada García, Iria Beltrán Rodríguez, Francisco José Julián-Villaverde, Maria Pilar Moreno García, J.M. Trejo-Gabriel-Galán, Ana Echavarría Íñiguez, C. Tejero Juste, Cristina Pérez Lázaro, J. Marta Moreno, on behalf of the NORDICTUS Investigators,

COVID-19 Clinical Research Studies

Spain has been one of the countries heavily stricken by COVID-19. But this epidemic has not affected all regions equally. We analyzed the impact of the COVID-19 pandemic on hospital stroke admissions and in-hospital mortality in tertiary referral hospitals from North-West Spain.Spanish multicenter retrospective observational study based on data from tertiary hospitals of the NORDICTUS network. We recorded the number of patients admitted for ischemic stroke between 30 December 2019 and 3 May 2020, the number of IVT and EVT procedures, and in-hospital mortality.In the study period, 2737 patients were admitted with ischemic stroke. There was a decrease in the weekly mean admitted patients during the pandemic (124 vs. 173, p<0.001). In-hospital mortality of stroke patients increased significantly (9.9% vs. 6.5%, p = 0.003), but there were no differences in the proportion of IVT (17.3% vs. 16.1%, p = 0.405) or EVT (22% vs. 23%, p = 0.504).We found a decrease in the number of ischemic stroke admissions and an increase in in-hospital mortality during the COVID-19 epidemic in this large study from North-West Spain. There were regional changes within the network, not fully explained by the severity of the pandemic in different regions.