Title :

Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture.

Author(s) :

Aboukaïs, Rabih [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Devalckeneer, Antoine [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Boussemart, Pierre [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Vromant, Amélie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bricout, Nicolas [Auteur]
Services de neuroradiologie [Lille]
Verdin, Marie-François [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bourgeois, Philippe [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Cirenei, Cédric [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Goldstein, Patrick [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Tavernier, Benoit [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Leclerc, Xavier [Auteur]
Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer - U837 [JPArc]
Lejeune, Jean-Paul [Auteur]
Thérapies Assistées par Lasers et Immunothérapies pour l'Oncologie - U 1189 [OncoThAI]
Boussemart, Jean-Philippe [Auteur]
Lille économie management - UMR 9221 [LEM]

Journal title :

Clinical Neurology and Neurosurgery

Pages :

106425

Publisher :

Elsevier

Publication date :

2020-12-26

ISSN :

0303-8467

English keyword(s) :

Ruptured aneurysm
COVID-19 pandemic
Coronavirus
SARS-CoV-2
Subarachnoid hemorrhage

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Background/objectivesThe present study aimed at evaluating the impact on the early outcome of patients with ruptured intracranial aneurysms.MethodsOur study prospectively included 26 consecutive patients with ruptured ...
Show more >Background/objectivesThe present study aimed at evaluating the impact on the early outcome of patients with ruptured intracranial aneurysms.MethodsOur study prospectively included 26 consecutive patients with ruptured intracranial aneurysm managed at our institution in context of COVID-19 pandemic between March 1st, 2020 and April, 26th, 2020 (2020 group). A group control included other 28 consecutive patients managed at the same institution for the same disease in 2019, during the same time frame (2019 group). On admission, poor neurological status was defined as WFNS score >3. Severe radiological status was defined by the presence of intracerebral hematoma, or/and acute hydrocephalus requiring further EVD or/and the presence of vasospasm on presentation. Statistical analysis was performed to compare the 2 distinct groups.ResultsRates of poor neurological presentation and severe radiological presentation on hospital admission were higher in the 2020 group (p = 0.01 and p = 0.02, respectively). The delayed hospital admission was 2.7 days in 2020 group and 0.75 days in 2019 group (p = 0.005). Therefore, vasospasm’s rate on presentation was also higher in the 2020 group (p = 0.04).ConclusionTo our knowledge, this is one of the first studies demonstrating influence of the COVID-19 pandemic on patients with urgent and severe intracranial aneurysmal disease. In case of recurrent COVID-19 pandemic, educating the population concerning specific symptoms such as sudden headache, neurological deficit or even sudden chest pain should be emphasized.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Source :

Harvested from HAL