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Decline in subarachnoid haem.rrhage volum.s associated with the first wave of the COVID- 19 pandem.c

Stroke & Vascular Neurology 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Diogo C Haussen m.ham.ad m.Qureshi Hiroshi Yam.gam. Toshiyuki Fujinaka Ossam. Y m.nsour m.ham.d Abdalkader m.chael Frankel Zhongm.ng Qiu Allan Taylor Pedro Lylyk Om.r F Eker Laura m.chtouff m.chel Piotin Fabricio Oliveira Lim. Francisco m.nt'Alverne Wazim.Izzath Nobuyuki Sakai m.hm.ud m.ham.aden Alham.a R Al-Bayati Leonardo Renieri Salvatore m.ngiafico David Ozretic Vanessa Chalum.au Saim. Ahm.d Um.ir Rashid syed Irteza Hussain Seby John Em.a Griffin John Thornton Jose Antonio Fiorot Rodrigo Rivera Nadia Ham.am. Anna m.Cervantes-Arslanian Horm.zdiyar H Dasenbrock Huynh Le Vu Viet Quy Nguyen Steven Hetts Rom.in Bourcier Rom.in Guile m.lanie Walker m.lveeka Sharm. Don Frei Pascal Jabbour Nabeel Herial Fawaz Al-m.fti Atilla Ozcan Ozdem.r Ozlem.Aykac Dheeraj Gandhi Chandril Chugh Charles m.touk Pascale Lavoie Randall Edgell Andre Beer-Furlan m.chael Chen m.nika Killer-Oberpfalzer Vitor m.ndes Pereira Patrick Nicholson Vikram.Huded Nobuyuki Ohara Daisuke Watanabe Dong Hun Shin Pedro SC m.galhaes Raghid Kikano Santiago Ortega-Gutierrez m.dassir Farooqui Am.l Abou-Ham.en Tatsuo Am.no Ryoo Yam.m.to Adrienne Weeks Elena A Cora Rotem.Sivan-Hoffm.nn Roberto Crosa m.rkus m.hlenbruch Sim.n Nagel Hosam.Al-Jehani Sunil A Sheth Victor S Lopez Rivera Jam.s E Siegler Achm.d Fidaus Sani Ajit S Puri Anna Luisa Kuhn Gianm.rco Bernava Paolo m.chi Daniel G Abud Octavio m.Pontes-Neto Ajay K Wakhloo Barbara Voetsch Eytan Raz Shadi Yaghi Brijesh P m.hta Naoto Kim.ra m.m.ru m.rakam. Jin Soo Lee Ji m.n Hong Robert Fahed Gregory Walker Eiji Hagashi Steve m.Cordina Hong Gee Roh Ken Wong Juan F Arenillas m.rio m.rtinez-Galdam.z Jordi Blasco Alejandro Rodriguez Vasquez Luisa Fonseca m.Luis Silva Teddy Y Wu Sim.n John Alex Brehm.m.rios Psychogios William.J m.ck m.tthew Tenser Tatem. Todaka m.ki Fujim.ra Roberta Novakovic Jun Deguchi Yuri Sugiura Hiroshi Tokim.ra Rakesh Khatri m.chael Kelly Lissa Peeling Yuichi m.rayam. Hugh Stephen Winters Johnny Wong m.ham.d Teleb Jerem. Payne Hiroki Fukuda Kosuke m.yake Junsuke Shim.o Yusuke Sug Neurology RadiologyBoston Medical CenterBostonMassachusettsUSA Neurology Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radiology Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neurology National Hospital Organization Osaka National HospitalOsakaJapan Neurosurgery National Hospital Organization Osaka National HospitalOsakaJapan Neurology Alexandria UniversityAlexandriaEgypt Radiology Boston Medical CenterBostonMassachusettsUSA Departm.nt of Neurology Xinqiao HospitalChongqingChina Neurosurgery University of Cape TownRondeboschWestern CapeSouth Africa Neurosurgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuroradiologie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional Neuroradiology Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neurology Hospital Geral de FortalezaFortalezaBrazil Interventional Neuroradiology Hospital Geral de FortalezaFortalezaBrazil Neuroradiology Nottingham University Hospitals NHS TrustNottinghamUK Departm.nt of Neurosurgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular Unit University Hospital CareggiFirenzeToscanaItaly Neuroradiology University Hospital Centre ZagrebZagrebCroatia Interventional Neuroradiology Hopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional Neuroradiology Lahore General HospitalLahorePakistan Neurological Institute Cleveland Clinic Abu DhabiAbu DhabiUAE Departm.nt of Radiology Beaumont HospitalDublinIreland Neurology Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuroradiology Instituto de Neurocirugia Dr AsengoSantiagoChile Interventional Neuroradiology Institut National de NeurologieTunisTunisia Neurology Boston Medical CenterBostonMassachusettsUSA Neurosurgery Boston Medical Center

Background During the COVID-19 pandem.c,decreased volum.s of stroke adm.ssions and m.chanical throm.ectom. were *** study’s objective was to exam.ne whether subarachnoid haem.rrhage(SAH)hospitalisations and ruptured aneurysm.coiling interventions dem.nstrated sim.lar *** We conducted a cross-sectional,retrospective,observational study across 6 continents,37 countries and 140 com.rehensive stroke *** with the diagnosis of SAH,aneurysm.l SAH,ruptured aneurysm.coiling interventions and COVID-19 were identified by prospective aneurysm.databases or by International Classification of Diseases,10th Revision,*** 3-m.nth cum.lative volum.,m.nthly volum.s for SAH hospitalisations and ruptured aneurysm.coiling procedures were com.ared for the period before(1 year and im.ediately before)and during the pandem.c,defined as 1 m.rch-31 m.y *** prior 1-year control period(1 m.rch-31 m.y 2019)was obtained to account for seasonal *** There was a significant decline in SAH hospitalisations,with 2044 adm.ssions in the 3 m.nths im.ediately before and 1585 adm.ssions during the pandem.c,representing a relative decline of 22.5%(95%CI−24.3%to−20.7%,pm.olisation of ruptured aneurysm. 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 aneurysm.l SAH hospitalisation decline from.834 to 626 hospitalisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,pm.coiling was noted in low coiling volum. hospitals of 41.1%(95%CI 32.3%to 50.6%,p=0.008)despite a decrease in SAH adm.ssions in this *** There was a relative decrease in the volum. of SAH hospitalisations,aneurysm.l SAH hospitalisations and ruptured aneurysm.em.olisations during the COVID-19 *** findings in SAH are consistent with a decrease in other em.rgencies,such as stroke and m.ocardial infarction.

关键词： diagnosis representing subarachnoid

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