Authors

Thanh N. Nguyen
Diogo C. Haussen
Muhammad M. Qureshi
Hiroshi Yamagami
Toshiyuki Fujinaka
Ossama Y. Mansour
Mohamad Abdalkader
Michael Frankel
Zhongming Qiu
Allan Taylor
Pedro Lylyk
Omer F. Eker
Laura Mechtouff
Michel Piotin
Fabricio Oliveira Lima
Francisco Mont'Alverne
Wazim Izzath
Nobuyuki Sakai
Mahmoud Mohammaden
Alhamza R. Al-Bayati
Leonardo Renieri
Salvatore Mangiafico
David Ozretic
Vanessa Chalumeau
Saima Ahmad
Umair Rashid
Syed Irteza Hussain
Seby John
Emma Griffin
John Thornton
Jose Antonio Fiorot
Rodrigo Rivera
Nadia Hammami
Anna M. Cervantes-Arslanian
Hormuzdiyar H. Dasenbrock
Huynh Le Vu
Viet Quy Nguyen
Steven Hetts
Romain Bourcier
Romain Guile
Melanie Walker
Malveeka Sharma
Don Frei
Pascal Jabbour
Nabeel Herial
Fawaz Al-Mufti
Atilla Ozcan Ozdemir
Ozlem Aykac
Dheeraj Gandhi
Chandril Chugh
Charles Matouk
Pascale Lavoie
Randall Edgell
Andre Beer-Furlan
Michael Chen
Monika Killer-Oberpfalzer
Vitor Mendes Pereira
Patrick Nicholson
Vikram Huded
Nobuyuki Ohara
Daisuke Watanabe
Dong Hun Shin
Pedro Sc Magalhaes
Raghid Kikano
Santiago Ortega-Gutierrez
Mudassir Farooqui
Amal Abou-Hamden
Tatsuo Amano
Ryoo Yamamoto
Adrienne Weeks
Elena A. Cora
Rotem Sivan-Hoffmann
Roberto Crosa
Markus Möhlenbruch
Simon Nagel
Hosam Al-Jehani
Sunil A. Sheth
Victor S. Lopez Rivera
James E. Siegler
Achmad Fidaus Sani
Ajit S. Puri
Anna Luisa Kuhn
Gianmarco Bernava
Paolo Machi
Daniel G. Abud
Octavio M. Pontes-Neto
Ajay K. Wakhloo
Barbara Voetsch
Eytan Raz
Shadi Yaghi
Brijesh P. Mehta
Naoto Kimura
Mamoru Murakami
Jin Soo Lee
Ji Man Hong
Robert Fahed
Gregory Walker
Eiji Hagashi
Steve M. Cordina
Hong Gee Roh
Ken Wong
Juan F. Arenillas
Mario Martinez-Galdamez
Jordi Blasco
Alejandro Rodriguez Vasquez
Luisa Fonseca
M. Luis Silva
Teddy Y. Wu
Simon John
Alex Brehm
Marios Psychogios
William J. Mack
Matthew Tenser
Tatemi Todaka
Miki Fujimura
Roberta Novakovic
Jun Deguchi
Yuri Sugiura
Hiroshi Tokimura
Rakesh Khatri
Michael Kelly
Lissa Peeling
Yuichi Murayama
Hugh Stephen Winters
Johnny Wong
Mohamed Teleb
Jeremy Payne
Hiroki Fukuda
Kosuke Miyake
Junsuke Shimbo
Yusuke Sugimura
Masaaki Uno
Yohei Takenobu
Yuji Matsumaru
Satoshi Yamada
Ryuhei Kono
Takuya Kanamaru
Masafumi Morimoto
Junichi Iida
Vasu Saini
Dileep Yavagal
Saif Bushnaq
Wenguo Huang
Italo Linfante
Jawad Kirmani
David S. Liebeskind
Viktor Szeder
Ruchir Shah
Thomas G. Devlin
Lee Birnbaum
Jun Luo
Anchalee Churojana
Hesham E. Masoud
Carlos Ynigo Lopez
Brendan Steinfort
Alice Ma
Ameer E. Hassan
Amal Al Hashmi
Mollie McDermott
Maxim Mokin
Alex B. Chebl, Henry Ford Health SystemFollow
Odysseas Kargiotis
Georgios Tsivgoulis
Jane G. Morris
Clifford J. Eskey
Jesse Thon
Leticia Rebello
Dorothea Altschul
Oriana Cornett
Varsha Singh
Jeyaraj Pandian
Anirudh Kulkarni
Pablo M. Lavados
Veronica V. Olavarria
Kenichi Todo
Yuki Yamamoto
Gisele Sampaio Silva
Serdar Geyik
Jasmine Johann
Sumeet Multani
Artem Kaliaev
Kazutaka Sonoda
Hiroyuki Hashimoto
Adel Alhazzani
David Y. Chung
Stephan A. Mayer
Johanna T. Fifi
Michael D. Hill
Hao Zhang
Zhengzhou Yuan
Xianjin Shang
Alicia C. Castonguay
Rishi Gupta
Tudor G. Jovin
Jean Raymond
Osama O. Zaidat
Raul G. Nogueira

Document Type

Article

Publication Date

3-26-2021

Publication Title

Stroke Vasc Neurol

Abstract

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines.

METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients 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, codes. The 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 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation.

FINDINGS: 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%, p<0.0001). 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 drop. Subgroup 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%, p<0.0001). 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 tertile.

INTERPRETATION: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.

PubMed ID

33771936

ePublication

ePub ahead of print

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