Mechanical thrombectomy for acute ischemic ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Mechanical thrombectomy for acute ischemic stroke amid the covid-19 outbreak: decreased activity, and increased care delays
Auteur(s) :
Kerleroux, Basile [Auteur]
Fabacher, Thibaut [Auteur]
Bricout, Nicolas [Auteur]
Moise, Martin [Auteur]
Testud, Benoit [Auteur]
Vingadassalom, Sivadji [Auteur]
Ifergan, Heloise [Auteur]
Janot, Kevin [Auteur]
Consoli, Arturo [Auteur]
Ben Hassen, Wagih [Auteur]
Shotar, Eimad [Auteur]
Ognard, Julien [Auteur]
Charbonnier, Guillaume [Auteur]
L''''allinec, Vincent [Auteur]
Guedon, Alexis [Auteur]
Bolognini, Federico [Auteur]
Marnat, Gaultier [Auteur]
Forestier, Geraud [Auteur]
Rouchaud, Aymeric [Auteur]
Pop, Raoul [Auteur]
Raynaud, Nicolas [Auteur]
Zhu, Francois [Auteur]
Cortese, Jonathan [Auteur]
Chalumeau, Vanessa [Auteur]
Berge, Jerome [Auteur]
Escalard, Simon [Auteur]
Boulouis, Gregoire [Auteur]
Fabacher, Thibaut [Auteur]
Bricout, Nicolas [Auteur]
Moise, Martin [Auteur]
Testud, Benoit [Auteur]
Vingadassalom, Sivadji [Auteur]
Ifergan, Heloise [Auteur]
Janot, Kevin [Auteur]
Consoli, Arturo [Auteur]
Ben Hassen, Wagih [Auteur]
Shotar, Eimad [Auteur]
Ognard, Julien [Auteur]
Charbonnier, Guillaume [Auteur]
L''''allinec, Vincent [Auteur]
Guedon, Alexis [Auteur]
Bolognini, Federico [Auteur]
Marnat, Gaultier [Auteur]
Forestier, Geraud [Auteur]
Rouchaud, Aymeric [Auteur]
Pop, Raoul [Auteur]
Raynaud, Nicolas [Auteur]
Zhu, Francois [Auteur]
Cortese, Jonathan [Auteur]
Chalumeau, Vanessa [Auteur]
Berge, Jerome [Auteur]
Escalard, Simon [Auteur]
Boulouis, Gregoire [Auteur]
Titre de la revue :
Stroke
Nom court de la revue :
Stroke
Date de publication :
2020-05-20
ISSN :
1524-4628
Mot(s)-clé(s) :
thrombectomy
coronavirus
hospitalization
groin
COVID-19
coronavirus
hospitalization
groin
COVID-19
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
The efficiency of prehospital care chain response and the adequacy of hospital resources are challenged amid the coronavirus disease 2019 (COVID-19) outbreak, with suspected consequences for patients with ischemic stroke ...
Lire la suite >The efficiency of prehospital care chain response and the adequacy of hospital resources are challenged amid the coronavirus disease 2019 (COVID-19) outbreak, with suspected consequences for patients with ischemic stroke eligible for mechanical thrombectomy (MT). We conducted a prospective national-level data collection of patients treated with MT, ranging 45 days across epidemic containment measures instatement, and of patients treated during the same calendar period in 2019. The primary end point was the variation of patients receiving MT during the epidemic period. Secondary end points included care delays between onset, imaging, and groin puncture. To analyze the primary end point, we used a Poisson regression model. We then analyzed the correlation between the number of MTs and the number of COVID-19 cases hospitalizations, using the Pearson correlation coefficient (compared with the null value). A total of 1513 patients were included at 32 centers, in all French administrative regions. There was a 21% significant decrease (0.79; [95%CI, 0.76-0.82]; PPPR2PP Our study showed a significant decrease in patients treated with MTs during the first stages of the COVID epidemic in France and alarming indicators of lengthened care delays. These findings prompt immediate consideration of local and regional stroke networks preparedness in the varying contexts of COVID-19 pandemic evolution.Lire moins >
Lire la suite >The efficiency of prehospital care chain response and the adequacy of hospital resources are challenged amid the coronavirus disease 2019 (COVID-19) outbreak, with suspected consequences for patients with ischemic stroke eligible for mechanical thrombectomy (MT). We conducted a prospective national-level data collection of patients treated with MT, ranging 45 days across epidemic containment measures instatement, and of patients treated during the same calendar period in 2019. The primary end point was the variation of patients receiving MT during the epidemic period. Secondary end points included care delays between onset, imaging, and groin puncture. To analyze the primary end point, we used a Poisson regression model. We then analyzed the correlation between the number of MTs and the number of COVID-19 cases hospitalizations, using the Pearson correlation coefficient (compared with the null value). A total of 1513 patients were included at 32 centers, in all French administrative regions. There was a 21% significant decrease (0.79; [95%CI, 0.76-0.82]; PPPR2PP Our study showed a significant decrease in patients treated with MTs during the first stages of the COVID epidemic in France and alarming indicators of lengthened care delays. These findings prompt immediate consideration of local and regional stroke networks preparedness in the varying contexts of COVID-19 pandemic evolution.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
CHU Lille
Inserm
Université de Lille
Inserm
Université de Lille
Collections :
Équipe(s) de recherche :
Troubles cognitifs dégénératifs et vasculaires
Date de dépôt :
2021-06-23T13:46:55Z