RESUMO
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Assuntos
COVID-19/complicações , Hemorragias Intracranianas/complicações , AVC Isquêmico/complicações , Trombose dos Seios Intracranianos/complicações , Trombose Venosa/complicações , Adulto , Idoso , COVID-19/epidemiologia , Feminino , Geografia , Gastos em Saúde , Humanos , Cooperação Internacional , Hemorragias Intracranianas/epidemiologia , AVC Isquêmico/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Risco , Trombose dos Seios Intracranianos/epidemiologia , Resultado do Tratamento , Trombose Venosa/epidemiologia , Adulto JovemRESUMO
BACKGROUND AND PURPOSE: Spain has been one of the countries heavily stricken by COVID-19. But this epidemic has not affected all regions equally. We analyzed the impact of the COVID-19 pandemic on hospital stroke admissions and in-hospital mortality in tertiary referral hospitals from North-West Spain. METHODS: Spanish multicenter retrospective observational study based on data from tertiary hospitals of the NORDICTUS network. We recorded the number of patients admitted for ischemic stroke between 30 December 2019 and 3 May 2020, the number of IVT and EVT procedures, and in-hospital mortality. RESULTS: In the study period, 2737 patients were admitted with ischemic stroke. There was a decrease in the weekly mean admitted patients during the pandemic (124 vs. 173, p<0.001). In-hospital mortality of stroke patients increased significantly (9.9% vs. 6.5%, p = 0.003), but there were no differences in the proportion of IVT (17.3% vs. 16.1%, p = 0.405) or EVT (22% vs. 23%, p = 0.504). CONCLUSION: We found a decrease in the number of ischemic stroke admissions and an increase in in-hospital mortality during the COVID-19 epidemic in this large study from North-West Spain. There were regional changes within the network, not fully explained by the severity of the pandemic in different regions.