Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID- 19 pandemic
作者机构：NeurologyRadiologyBoston Medical CenterBostonMassachusettsUSA NeurologyMarcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA RadiologyRadiation OncologyBoston University School of MedicineBostonMassachusettsUSA NeurologyNational Hospital Organization Osaka National HospitalOsakaJapan NeurosurgeryNational Hospital Organization Osaka National HospitalOsakaJapan NeurologyAlexandria UniversityAlexandriaEgypt RadiologyBoston Medical CenterBostonMassachusettsUSA Department of NeurologyXinqiao HospitalChongqingChina NeurosurgeryUniversity of Cape TownRondeboschWestern CapeSouth Africa NeurosurgeryInterventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina NeuroradiologieNeurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional NeuroradiologyFondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance NeurologyHospital Geral de FortalezaFortalezaBrazil Interventional NeuroradiologyHospital Geral de FortalezaFortalezaBrazil NeuroradiologyNottingham University Hospitals NHS TrustNottinghamUK Department of NeurosurgeryKobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular UnitUniversity Hospital CareggiFirenzeToscanaItaly NeuroradiologyUniversity Hospital Centre ZagrebZagrebCroatia Interventional NeuroradiologyHopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional NeuroradiologyLahore General HospitalLahorePakistan Neurological InstituteCleveland Clinic Abu DhabiAbu DhabiUAE Department of RadiologyBeaumont HospitalDublinIreland NeurologyStroke UnitHospital-Estadual CentralVitoriaBrazil NeuroradiologyInstituto de Neurocirugia Dr AsengoSantiagoChile Interventional NeuroradiologyInstitut National de NeurologieTunisTunisia NeurologyBoston Medical CenterBostonMassachusettsUSA NeurosurgeryBoston Medical CenterBostonMAUSA Stroke CenterHue Central HospitalHueThua Thien HueVietnam RadiologyUniversity of California San FranciscoSan FranciscoCaliforniaUSA Interventional NeuroradiologyUniversity of California San FranciscoSan FranciscoCaliforniaUSA Neuroradiologie Diagnostique et InterventionnelleHôpital Guillaume&RenéLaennecCHU NantesNantesFrance Neurological SurgeryUniversity of Washington School of MedicineSeattleWashingtonUSA NeurologyUniversity of Washington School of MedicineSeattleWashingtonUSA RadiologySwedish Medical CenterEnglewoodColoradoUSA NeurosurgeryThomas Jefferson University HospitalPhiladelphiaPennsylvaniaUSA NeurologyNeurosurgeryWestchester Medical Center Health NetworkValhallaNew YorkUSA Stroke and Neurointervention UnitEskisehir OsmangaziUniversityEskisehirTurkey RadiologyNeurologyNeurosurgeryUniversity of Maryland School of MedicineBaltimoreMarylandUSA Interventional NeurologyMAX Superspecialty HospitalSaketNew DelhiIndia NeurosurgeryYale School of MedicineNew HavenConnecticutUSA NeurosurgeryCentre Hospitalier Universitaire de Québec-UniversitéLavalQuebecQuebecCanada NeurologySt Louis University School of MedicineSt LouisMissouriUSA Neurological SurgeryRush University Medical CenterChicagoILUSA NeurologyResearch Institute of NeurointerventionUniversity Hospital Salzburg/Paracelsus Medical UniversitySalzburgAustria NeurosurgeryMedical ImagingSurgeryUniversity of TorontoTorontoOntarioCanada NeurologyNH Mazumdar Shah Medical CenterBangaloreIndia NeurologyKobe City Medical Center General HospitalKobeHyogoJapan Stroke and Neurovascular SurgeryIMS Tokyo-Katsushika General HospitalTokyoJapan Gachon UniversitySeongnamKorea(the Republic of) Stroke UnitHospital Municipal Sao JoseJoinvilleSanta CatarinaBrazil Interventional NeuroradiologyLau Medical CenterBeirutLebanon NeurologyUniversity of Iowa Hospitals and ClinicsIowa CityIowaUSA NeurosurgeryRoyal Adelaide HospitalAdelaideSouth AustraliaAustralia Stroke and Cerebrovascular MedicineKyorin UniversityMitakaTokyoJapan NeurologyYokohama Brain and Spine CenterYokohamaJapan NeurosurgeryDalhousie UniversityHalifaxNova ScotiaCanada RadiologyQEII Health Sciences CentreDalhousie UniversityDalhousieNova ScotiaCanada Interventional NeuroradiologyRambam Health Care CampusHaifaHaifaIsrael Centro Endovascular Neurologico Medica UruguayaMontevideoUruguay NeuroradiologyHeidelberg University HospitalHeidelbergBaden-WürttembergGermany NeurologyHeidelberg University HospitalHeidelbergBaden-WürttembergGermany NeurosurgeryInterventional Radiology and Critical Care MedicineKing Fahad Hospital of the UniversityImam Abdulrahman bin Faisal UniversityAlkhobarSaudi Arabia NeurologyUniversity of Texas McGovern Medical SchoolHoustonTexasUSA NeurologyCooper University HospitalCooper Medical School of Rowan UniversityCamdenNew JerseyUSA Airlangga UniversitySurabayaJawa TimurIndonesia Neurointerventional RadiologyUniversity of Massachusetts Medical SchoolWorcesterMassachusettsUSA Interventional NeuroradiologyUniversity Hospitals GenevaGenevaSwitzerland Interventional NeuroradiologyRibeirão Preto Medical SchoolUniversity of São PauloSão PauloBrazil Neuroscience and Behavioral SciencesRibeirão Preto Medical SchoolUniversity of São PauloSão PauloBrazil Interventional NeuroradiologyBeth Israel Lahey HealthBurlingtonMassachusettsUSA NeurologyBeth Israel Lahey HealthBurlingtonMassachusettsUSA RadiologyNYU Langone HealthNYU Grossman School of MedicineNew YorkNew YorkUSA NeurologyNYU Langone HealthNYU Grossman School of MedicineNew YorkNew YorkUSA Memorial Neuroscience InstitutePembroke PinesFloridaUSA NeurosurgeryIwate Prefectural Central HospitalMoriokaIwateJapan NeurosurgeryKyoto Second Red Cross HospitalKyotoJapan Ajou University HospitalSuwonGyeonggi-doSouth Korea NeurologyUniversity of OttawaOttawaOntarioCanada Cerebrovascular MedicineSaga-ken Medical Centre KoseikanSagaJapan NeurologyNeurosurgeryRadiologyUniversity of South AlabamaMobileAlabamaUSA Konkuk UniversityGwangjin-guSeoulSouth Korea Interventional NeuroradiologyRoyal London HospitalBarts Health NHS TrustLondonUK NeurologyHospital Clinico Universitario de ValladolidValladolidCastilla y LeónSpain Interventional NeuroradiologyHospital Clínico UniversitarioUniversidad de ValladolidValladolidSpain INRHospital Clinic de BarcelonaBarcelonaCatalunyaSpain NeurologyHospital Clinic de BarcelonaBarcelonaCatalunyaSpain Stroke UnitDepartment of MedicineCentro Hospitalar Universitário de São JoãoPortoPortugal NeuroradiologyCentro Hospitalar Universitário de São JoãoPortoPortugal NeurologyChristchurch HospitalChristchurchNew Zealand NeurosurgeryChristchurch HospitalChristchurchNew Zealand Interventional and Diagnostic NeuroradiologyUniversity Hospital BaselBaselSwitzerland NeurosurgeryUniversity of Southern CaliforniaLos AngelesCaliforniaUSA NeurosurgeryJapanese Red Cross Kumamoto HospitalKumamotoKumamotoJapan NeurosurgeryKohnan HospitalSendaiMiyagiJapan RadiologyNeurologyUT SouthwesternDallasTexasUSA Endovascular NeurosurgeryNara City HospitalNaraNaraJapan NeurologyToyonaka Municipal HospitalToyonakaOsakaJapan Neurosurgery and Stroke CenterKagoshima City HospitalKagoshimaKagoshimaJapan Texas Tech University SystemLubbockTexasUSA NeurosurgeryUniversity of SaskatchewanSaskatoonSaskatchewanCanada NeurosurgeryJikei University School of MedicineMinato-kuTokyoJapan NeurologyRoyal Prince Alfred HospitalCamperdownNew South WalesAustralia NeurosurgeryRoyal Prince Alfred HospitalCamperdownNew South WalesAustralia NeurosciencesBanner Desert Medical CenterMesaArizonaUSA NeurologyJapanese Red Cross Matsue HospitalShimaneJapan NeurologyShiroyama HospitalHabikinoOsakaJapan Cerebrovascular MedicineNiigata City General HospitalNiigataNiigataJapan NeurologySugimura HospitalKumamotoJapan Department of NeurosurgeryKawasaki Medical SchoolKurashikiJapan NeurologyOsaka Red Cross HospitalOsakaJapan NeurosurgeryUniversity of TsukubaTsukubaIbarakiJapan NeurologyStroke Center and Neuroendovascular TherapySaiseikai Central HospitalMinato-kuTokyoJapan NeurologyKinikyo Chuo HospitalSapporoHokkaidoJapan Cerebrovascular MedicineNTT Medical Center TokyoTokyoJapan NeurosurgeryYokohama Shintoshi Neurosurgical HospitalYokohamaJapan NeurosurgeryOsaka General Medical CenterOsakaJapan NeurologyNeurosurgeryUniversity of Miami School of MedicineMiamiFloridaUSA NeurologyBon Secours Mercy Health SystemToledoOhioUSA NeurologyMaoming City HospitalGuandongChina Interventional NeuroradiologyEndovascular NeurosurgeryMiami Cardiac&Vascular InstituteMiamiFloridaUSA NeurologyHackensack Meridian HealthEdisonNew JerseyUSA NeurologyUniversity of California Los AngelesLos AngelesCaliforniaUSA Interventional NeuroradiologyUniversity of California Los AngelesLos AngelesCaliforniaUSA NeurologyErlanger Medical CenterUniversity of TennesseeChattanoogaTennesseeUSA NeurologyNeurosurgeryRadiologyUniversity of Texas Health San AntonioSan AntonioTexasUSA NeurologyMianyang 404 HospitalMianyangSichuanChina RadiologySiriraj HositalMahidol UniversityBangkokThailand NeurologyNeurosurgeryRadiologySUNY Upstate Medical UniversitySyracuseNew YorkUSA NeurosurgeryRoyal North Shore HospitalSydneyNew South WalesAustralia NeurosciencesThe University of Texas Rio Grande ValleyHarlingenTexasUSA Central Stroke UnitDirectorate of NeuroscienceKhoula HospitalMinistry of HealthMuscatOman NeurologyUniversity of MichiganAnn ArborMichiganUSA NeurosurgeryUniversity of South FloridaTampaFloridaUSA NeurologyHenry Ford Health SystemDetroitMichiganUSA Stroke UnitMetropolitan HospitalPiraeusGreece Faculty of MedicineNational and Kapodistrian University of AthensAthensGreece NeurologyMaine Medical CenterPortlandMaineUSA NeuroradiologyDartmouth Hitchcock Medical CenterLebanonNew HampshireUSA NeurologyHospital Universitario de BrasiliaBrasiliaDistrito FederalBrazil Neurointerventional NeurosurgeryThe Valley HospitalRidgewoodNew JerseyUSA NeurosciencesStroke ProgramSt Joseph’s University Medical CenterPatersonNew JerseyUSA NeurologyChristian Medical College and Hospital LudhianaLudhianaPunjabIndia Vascular Neurology UnitClínica AlemanaUniversidad del DesarrolloSantiagoChile NeurologyOsaka University Graduate School of MedicineOsakaJapan NeurologyTokushima University HospitalTokushimaJapan NeurologyUniversidade Federal de Sao PauloSao PauloSao PauloBrazil Istanbul Aydin UniversityIstanbulİstanbulTurkey NeurologyBayhealth Medical CenterDoverDelawareUSA NeurologySaiseikai Fukuoka General HospitalFukuokaJapan Division of StrokeDepartment of Internal MedicineOsaka Rosai HospitalSakaiOsakaJapan Neurology DivisionDepartment of MedicineKing Saud UniversityRiyadhRiyadh ProvinceSaudi Arabia NeurologyMount Sinai Health SystemNew YorkNew YorkUSA NeurologyClinical Neurosciences and Hotchkiss Brain InstituteUniversity of CalgaryCalgaryAlbertaCanada NeurologyAffiliated Hangzhou First People's HospitalZhejiang University School of MedicineHangzhouZhejiangChina NeurologyThe Affiliated Hospital of Southwest Medical UniversityLuzhouSichuanChina NeurologyYijishan Hospital of Wannan Medical CollegeWuhuAnhuiChina The University of ToledoToledoOhioUSA NeuroscienceWellStar Health SystemMariettaGeorgiaUSA Neuroradiologie InterventionelleCentre Hospitalier de l'Universitéde MontréalMontrealQuebecCanada 不详
出 版 物：《Stroke & Vascular Neurology》 (卒中与血管神经病学（英文）)
年 卷 期：2021年第6卷第4期
页 面：542-552,I0026-I0032页
核心收录：
学科分类：1002[医学-临床医学] 1011[医学-护理学（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：National Institute of Neurological Disorders and Stroke, NINDS, (K08NS112601) National Institute of Neurological Disorders and Stroke, NINDS
主 题：diagnosis representing subarachnoid
摘 要：Background During the COVID-19 pandemic,decreased volumes of stroke admissions and mechanical thrombectomy were *** study’s objective was to examine whether subarachnoid haemorrhage(SAH)hospitalisations and ruptured aneurysm coiling interventions demonstrated similar *** We conducted a cross-sectional,retrospective,observational study across 6 continents,37 countries and 140 comprehensive stroke *** with the diagnosis of SAH,aneurysmal SAH,ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases,10th Revision,*** 3-month cumulative volume,monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before(1 year and immediately before)and during the pandemic,defined as 1 March-31 May *** prior 1-year control period(1 March-31 May 2019)was obtained to account for seasonal *** There was a significant decline in SAH hospitalisations,with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic,representing a relative decline of 22.5%(95%CI−24.3%to−20.7%,p0.0001).Embolisation of ruptured aneurysms declined with 1170-1035 procedures,respectively,representing an 11.5%(95%CI−13.5%to−9.8%,p=0.002)relative *** analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,p0.0001).A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1%(95%CI 32.3%to 50.6%,p=0.008)despite a decrease in SAH admissions in this *** There was a relative decrease in the volume of SAH hospitalisations,aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 *** findings in SAH are consistent with a decrease in other emergencies,such as stroke and myocardial infarction.
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