Maintenance of Acute Stroke Care Service During the COVID-19 Pandemic Lockdown

Valerian L Altersberger¹, Lotte J Stolze², Mirjam R Heldner³, Hilde Henon⁴, Nicolas Martinez-Majander⁵, Christian Hametner⁶, Annika Nordanstig^{7

8}, Andrea Zini⁹, Stefania Nannoni¹⁰, Bruno Gonçalves^{11

12}, Christian H Nolte¹³, Philipp Baumgartner¹⁴, Andreas Kastrup¹⁵, Panagiotis Papanagiotou¹⁵, Georg Kägi¹⁶, Ronen R Leker¹⁷, Marialuisa Zedde¹⁸, Alessandro Padovani¹⁹, Alessandro Pezzini¹⁹, Visnja Padjen²⁰, Carlo W Cereda^{4

21}, Georges Ntaios²², Leo H Bonati¹, Leon A Rinkel², Urs Fischer³, Jan F Scheitz¹³, Susanne Wegener¹⁴, Guillaume Turc¹¹, Patrik Michel¹⁰, Mauro Gentile⁹, Alexandros Rentzos^{7

8}, Peter A Ringleb^{6

23}, Sami Curtze⁵, Charlotte Cordonnier, Marcel Arnold³, Paul J Nederkoorn^#², Stefan T Engelter^#^{1

24}, Henrik Gensicke^#²⁴; TRISP Collaborators

Affiliations

¹ Stroke Center and Department of Neurology, University Hospital Basel and University of Basel, Switzerland (V.L.A., L.H.B., S.T.E.).
² Department of Neurology, Amsterdam UMC, University of Amsterdam, the Netherlands (L.J.S., L.A.R., P.J.N.).
³ Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Switzerland (M.R.H., U.F, M.A.).
⁴ University Lille, Inserm, CHU Lille, U1172- F-59000, France (H.H., C.C.).
⁵ Neurology, University of Helsinki and Helsinki University Hospital, Finland (N.M.-M., S.C.).
⁶ Department of Neurology, University Hospital Heidelberg, Germany (C.H., P.A.R.).
⁷ Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg (A.N., A.R.).
⁸ Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden (A.N., A.R.).
⁹ IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center, Maggiore Hospital, Bologna, Italy (A.Z., M.G.).
¹⁰ Department of Neurology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Switzerland (S.N., P.M.).
¹¹ Department of Neurology, Sainte-Anne Hospital, Paris, France Université Paris Descartes, France (B.G., G.T.).
¹² Niteroi D'Or Hospital, Niteroi, Brazil (B.G.).
¹³ Klinik Neurologie mit Experimenteller Neurologie, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Germany and Center for Stroke Research Berlin (CSB), Charité-Universitätsmedizin Berlin, Germany (C.H.N., J.F.S.).
¹⁴ Zurich Department of Neurology, University Hospital Zurich and University of Zurich, Switzerland (P.B., S.W.).
¹⁵ Departments of Neurology and Neuroradiology, Klinikum Bremen-Mitte, Germany (A.K., P.P.).
¹⁶ Department of Neurology, Kantonsspital St. Gallen, Switzerland (G.K.).
¹⁷ Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (R.R.L.).
¹⁸ Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy (M.Z.).
¹⁹ Neurology Section, Department of Clinical and Experimental Sciences, University of Brescia; Neurology Unit, ASST Spedali Civili, Italy (A. Padovani, A. Pezzini).
²⁰ Neurology Clinic, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Serbia (V.P.).
²¹ Stroke Center and Department of Neurology, Neurocenter of Southern Switzerland, Lugano (C.W.C.).
²² Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece (G.N.).
²³ Diagnostic and Interventional Neuroradiology, Sahlgrenska University Hospital and Department of Radiology, Institute of clinical sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (A.R.).
²⁴ Neurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Switzerland (S.T.E., H.G.).

^# Contributed equally.

PMID: 33793320
PMCID: PMC8078117
DOI: 10.1161/STROKEAHA.120.032176

Multicenter Study

Maintenance of Acute Stroke Care Service During the COVID-19 Pandemic Lockdown

Valerian L Altersberger et al. Stroke. 2021 May.

. 2021 May;52(5):1693-1701.

doi: 10.1161/STROKEAHA.120.032176. Epub 2021 Apr 1.

Authors

Affiliations

¹ Stroke Center and Department of Neurology, University Hospital Basel and University of Basel, Switzerland (V.L.A., L.H.B., S.T.E.).
² Department of Neurology, Amsterdam UMC, University of Amsterdam, the Netherlands (L.J.S., L.A.R., P.J.N.).
³ Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Switzerland (M.R.H., U.F, M.A.).
⁴ University Lille, Inserm, CHU Lille, U1172- F-59000, France (H.H., C.C.).
⁵ Neurology, University of Helsinki and Helsinki University Hospital, Finland (N.M.-M., S.C.).
⁶ Department of Neurology, University Hospital Heidelberg, Germany (C.H., P.A.R.).
⁷ Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg (A.N., A.R.).
⁸ Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden (A.N., A.R.).
⁹ IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center, Maggiore Hospital, Bologna, Italy (A.Z., M.G.).
¹⁰ Department of Neurology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Switzerland (S.N., P.M.).
¹¹ Department of Neurology, Sainte-Anne Hospital, Paris, France Université Paris Descartes, France (B.G., G.T.).
¹² Niteroi D'Or Hospital, Niteroi, Brazil (B.G.).
¹³ Klinik Neurologie mit Experimenteller Neurologie, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Germany and Center for Stroke Research Berlin (CSB), Charité-Universitätsmedizin Berlin, Germany (C.H.N., J.F.S.).
¹⁴ Zurich Department of Neurology, University Hospital Zurich and University of Zurich, Switzerland (P.B., S.W.).
¹⁵ Departments of Neurology and Neuroradiology, Klinikum Bremen-Mitte, Germany (A.K., P.P.).
¹⁶ Department of Neurology, Kantonsspital St. Gallen, Switzerland (G.K.).
¹⁷ Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (R.R.L.).
¹⁸ Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy (M.Z.).
¹⁹ Neurology Section, Department of Clinical and Experimental Sciences, University of Brescia; Neurology Unit, ASST Spedali Civili, Italy (A. Padovani, A. Pezzini).
²⁰ Neurology Clinic, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Serbia (V.P.).
²¹ Stroke Center and Department of Neurology, Neurocenter of Southern Switzerland, Lugano (C.W.C.).
²² Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece (G.N.).
²³ Diagnostic and Interventional Neuroradiology, Sahlgrenska University Hospital and Department of Radiology, Institute of clinical sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (A.R.).
²⁴ Neurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Switzerland (S.T.E., H.G.).

^# Contributed equally.

PMID: 33793320
PMCID: PMC8078117
DOI: 10.1161/STROKEAHA.120.032176

Abstract

[Figure: see text].

Keywords: COVID-19; intracranial hemorrhage; ischemic stroke; quality of care; reperfusion.

PubMed Disclaimer

Figures

**Figure 1.**
**Number of admitted intravenous thrombolysis/endovascular therapy–treated patients each day after lockdown (2020) and during the reference period (2019).**

**Figure 2.**
**Median time intervals in minutes from stroke onset to reperfusion therapy after announcement of lockdown (2020) and during the reference period (2019).**

**Figure 3.**
**Median time intervals in minutes for different performance measures per wk after announcement of lockdown (2020) and during the reference period (2019).**

See this image and copyright information in PMC

References

1. Markus HS, Brainin M. COVID-19 and stroke-a global World Stroke Organization perspective. Int J Stroke. 2020;15:361–364. doi: 10.1177/1747493020923472 - PMC - PubMed
1. Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020;4:e10–e11. doi: 10.1016/S2352-4642(20)30108-5 - PMC - PubMed
1. Baracchini C, Pieroni A, Viaro F, Cianci V, Cattelan AM, Tiberio I, Munari M, Causin F. Acute stroke management pathway during Coronavirus-19 pandemic. Neurol Sci. 2020;41:1003–1005. doi: 10.1007/s10072-020-04375-9 - PMC - PubMed
1. Hajdu SD, Pittet V, Puccinelli F, Ben Hassen W, Ben Maacha M, Blanc R, Bracco S, Broocks G, Bartolini B, Casseri T, et al. Acute stroke management during the COVID-19 pandemic: does confinement impact eligibility for endovascular therapy? Stroke. 2020;51:2593–2596. doi: 10.1161/STROKEAHA.120.030794 - PMC - PubMed
1. Zhao J, Li H, Kung D, Fisher M, Shen Y, Liu R. Impact of the COVID-19 epidemic on stroke care and potential solutions. Stroke. 2020;51:1996–2001. doi: 10.1161/STROKEAHA.120.030225 - PMC - PubMed

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Maintenance of Acute Stroke Care Service During the COVID-19 Pandemic Lockdown

Affiliations

Maintenance of Acute Stroke Care Service During the COVID-19 Pandemic Lockdown

Authors

Affiliations

Abstract

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LinkOut - more resources

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