Portal de Periódicos da CAPES

The impact of a two-year long COVID-19 public health restriction program on mechanical thrombectomy outcomes in a stroke network

2023; Elsevier BV; Volume: 32; Issue: 6 Linguagem: Inglês

10.1016/j.jstrokecerebrovasdis.2023.107138

1532-8511

Rodrigo Rivera, Cristián Amudio, Juan Cruz, Enzo Brunetti, Pascual Catalan, Juan Gabriel Sordo, Daniel Echeverría, Lautaro Badilla, Alex Chamorro, Christian R. González, Héctor Manuel Trujillo Ojeda, Cristian Rodríguez, Nicole Rogers, Loreto Bravo, Fabian Bravo, Alejandra Carrasco, Walter Gonzalez, Sofia Lopez, Maria Luisa Orellana, Monica Oportus, Alejandro Salazar, Gerardo Palacios, Prof Thanh Nguyen,

COVID-19 and healthcare impacts

The purpose of this study was to evaluate the impact of COVID-19 pandemic public health restrictions on our drip and ship mechanical thrombectomy program in Santiago Chile.This was a retrospective analysis of a prospectively collected database comparing two cohorts, one during a two-year period before COVID-19 and the second during the two years of the pandemic at our metropolitan stroke program.A total of 100 patients were included in the pre COVID-19 cohort (cohort 1) and 121 in the COVID-19 cohort (cohort 2). There was a significant difference between cohorts, with older patients, different occlusion sites and higher door to arterial puncture time during the COVID-19 period. A non-significant trend for worse 90-day outcomes and higher mortality was present in cohort 2. There were no statistical differences in safety treatment parameters.COVID-19 pandemic has had a measurable impact on our mechanical thrombectomy program. Results showed similarities to other reported Latin American series, where less robust health systems could adapt less efficiently compared to developed countries. After two years of public health restrictions, there were changes in the treatment population characteristics, delay in some internal management metrics and a non-significant trend to worse 90-day outcomes and higher mortality.