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Review
. 2021 Apr;16(3):241-247.
doi: 10.1177/17474930211005373.

COVID-19 and stroke-Understanding the relationship and adapting services. A global World Stroke Organisation perspective

Hugh S Markus  1 , Sheila Martins  2
Affiliations
Review

COVID-19 and stroke-Understanding the relationship and adapting services. A global World Stroke Organisation perspective

Hugh S Markus et al. Int J Stroke. 2021 Apr.

Abstract

A year ago the World Stroke Organisation (WSO) highlighted the enormous global impact of the COVID-19 pandemic on stroke care. In this review, we consider a year later where we are now, what the future holds, and what the long-term effects of the pandemic will be on stroke. Stroke occurs in about 1.4% of patients hospitalized with COVID-19 infection, who show an excess of large vessel occlusion and increased mortality. Despite this association, stroke presentations fell dramatically during the pandemic, although emerging data suggest that total stroke mortality may have risen with increased stroke deaths at home and in care homes. Strategies and guidelines have been developed to adapt stroke services worldwide, and protect healthcare workers. Adaptations include increasing use of telemedicine for all aspects of stroke care. The pandemic is exacerbating already marked global inequalities in stroke incidence and mortality. Lastly, the pandemic has had a major impact on stroke research and funding, although it has also emphasized the importance of large scale collaborative research initiatives.

Keywords: COVID-19; Telemedicine; World Stroke Organization; healthcare systems; pandemic; stroke.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Submissions per month to the International Journal of Stroke, showing a marked increase during the initial lockdown.
See this image and copyright information in PMC

References

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