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. 2020 Aug;29(8):104980.
doi: 10.1016/j.jstrokecerebrovasdis.2020.104980. Epub 2020 May 23.

Optimization of resources and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic

Thomas Ford  1 , Gioacchino Curiale  2 , Thanh N Nguyen  3 , Hugo Aparicio  4 , Emily K Hamlyn  5 , Suhas Gangadhara  6 , Anna M Cervantes-Arslanian  7 , David Greer  8 , Jose Rafael Romero  9 , Julie G Shulman  10
Affiliations

Optimization of resources and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic

Thomas Ford et al. J Stroke Cerebrovasc Dis. 2020 Aug.

Abstract

Background: The COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare worker safety in the face of limited resources. Boston Medical Center has been particularly affected due to the underserved patient population we care for and the increased risk of ischemic stroke in patients with COVID-19 infection.

Methods: We present protocol modifications developed to manage patients with acute ischemic stroke in a safe and effective manner while prioritizing judicious use of personal protective equipment and intensive care unit resources.

Conclusion: We feel this information will benefit other organizations facing similar obstacles in caring for the most vulnerable patient populations during this ongoing public health crisis.

Keywords: Acute ischemic stroke; COVID-19; Interventional neuroradiology; Thrombolysis.

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Conflict of interest statement

Declaration of Competing Interest Thanh N Nguyen receives research grant support by Medtronic and serves on DSMB on the TESLA, ENDOLOW, and SELECT 2 trials.

Figures

Fig. 1
Fig. 1
Neurologic monitoring frequency in patients not receiving IV rtPA or emergent mechanical thrombectomy.
Fig. 2
Fig. 2
Disposition determination algorithm following administration of IV rtPA.
Fig. 3
Fig. 3
Disposition determination algorithm following emergent mechanical thrombectomy.
See this image and copyright information in PMC

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