Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID- 19 pandemic  

作　　者：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 Jord 

机构地区：[1]Neurology,Radiology,Boston Medical Center,Boston,Massachusetts,USA [2]Neurology,Marcus Stroke&Neuroscience Center,Grady Memorial Hospital,Emory University School of Medicine,Atlanta,GA,USA [3]Radiology,Radiation Oncology,Boston University School of Medicine,Boston,Massachusetts,USA [4]Neurology,National Hospital Organization Osaka National Hospital,Osaka,Japan [5]Neurosurgery,National Hospital Organization Osaka National Hospital,Osaka,Japan [6]Neurology,Alexandria University,Alexandria,Egypt [7]Radiology,Boston Medical Center,Boston,Massachusetts,USA [8]Department of Neurology,Xinqiao Hospital,Chongqing,China [9]Neurosurgery,University of Cape Town,Rondebosch,Western Cape,South Africa [10]Neurosurgery,Interventional Neuroradiology,Clinica La Sagrada Familia,Buenos Aires,Argentina [11]Neuroradiologie,Neurologie Vasculaire,Hospices Civils de Lyon,Lyon,Auvergne-Rhône Alpes,France [12]Neurologie Vasculaire,Hospices Civils de Lyon,Lyon,Auvergne-Rhône Alpes,France [13]Interventional Neuroradiology,Fondation Ophtalmologique Adolphe de Rothschild,Paris,Île-de France,France [14]Neurology,Hospital Geral de Fortaleza,Fortaleza,Brazil [15]Interventional Neuroradiology,Hospital Geral de Fortaleza,Fortaleza,Brazil [16]Neuroradiology,Nottingham University Hospitals NHS Trust,Nottingham,UK [17]Department of Neurosurgery,Kobe City Medical Center General Hospital,Kobe,Hyogo,Japan [18]Interventional Neurovascular Unit,University Hospital Careggi,Firenze,Toscana,Italy [19]Neuroradiology,University Hospital Centre Zagreb,Zagreb,Croatia [20]Interventional Neuroradiology,Hopital Bicetre,Le Kremlin-Bicetre,France [21]Stroke and Interventional Neuroradiology,Lahore General Hospital,Lahore,Pakistan [22]Neurological Institute,Cleveland Clinic Abu Dhabi,Abu Dhabi,UAE [23]Department of Radiology,Beaumont Hospital,Dublin,Ireland [24]Neurology,Stroke Unit,Hospital-Estadual Central,Vitoria,Brazil [25]Neuroradiology,Instituto de Neurocirugia Dr Asengo,Santiago,Chile [26]Interventional Neuroradiology,Institut National de Neurologie,Tunis,T

出　　处：《Stroke & Vascular Neurology》2021年第4期542-552,I0026-I0032,共18页卒中与血管神经病学（英文）

摘　　要：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.

关 键 词：DIAGNOSIS representing SUBARACHNOID 

分 类 号：R473.35[医药卫生—护理学] R563.1[医药卫生—临床医学]