Changes in Stroke Hospital Care During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Aristeidis H Katsanos; Lina Palaiodimou; Ramin Zand; Shadi Yaghi; Hooman Kamel; Babak B Navi; Guillaume Turc; Vassiliki Benetou; Vijay K Sharma; Dimitris Mavridis; Shima Shahjouei; Luciana Catanese; Ashkan Shoamanesh; Konstantinos Vadikolias; Konstantinos Tsioufis; Pagona Lagiou; Petros P Sfikakis; Andrei V Alexandrov; Sotirios Tsiodras; Georgios Tsivgoulis

doi:10.1161/STROKEAHA.121.034601

Changes in Stroke Hospital Care During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Stroke. 2021 Nov;52(11):3651-3660. doi: 10.1161/STROKEAHA.121.034601. Epub 2021 Aug 4.

Authors

Aristeidis H Katsanos^{1

2}, Lina Palaiodimou², Ramin Zand³, Shadi Yaghi⁴, Hooman Kamel⁵, Babak B Navi⁵, Guillaume Turc^{6

7

8

9}, Vassiliki Benetou¹⁰, Vijay K Sharma¹¹, Dimitris Mavridis^{12

13}, Shima Shahjouei³, Luciana Catanese¹, Ashkan Shoamanesh¹, Konstantinos Vadikolias¹⁴, Konstantinos Tsioufis¹⁵, Pagona Lagiou^{10

16}, Petros P Sfikakis¹⁷, Andrei V Alexandrov¹⁸, Sotirios Tsiodras^{19

20}, Georgios Tsivgoulis^{2

18}

Affiliations

¹ Division of Neurology, McMaster University/Population Health Research Institute, Hamilton, Canada (A.H.K., L.C., A.S.).
² Second Department of Neurology, "Attikon" Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece (A.H.K., L.P., G. Tsivgoulis.).
³ Neurosience Institute, Geisinger Health System, Danville, Pennsylvania (R.Z., S.S.).
⁴ Department of Neurology, NYU Langone Health, NY (S.Y.).
⁵ Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute and Department of Neurology, Weill Cornell Medicine, NY (H.K., B.B.N.).
⁶ Department of Neurology, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, France (G. Turc).
⁷ Université de Paris, France (G. Turc).
⁸ INSERM U1266, Paris, France (G. Turc).
⁹ FHU Neurovasc, Paris, France (G. Turc).
¹⁰ Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Greece (V.B., P.L.).
¹¹ Division of Neurology, Department of Medicine, National University Hospital, Singapore and School of Medicine, National University of Singapore (V.K.S.).
¹² Department of Primary Education, University of Ioannina, Greece (D.M.).
¹³ Université Paris Descartes, Faculté de Médecine, France (D.M.).
¹⁴ Department of Neurology, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece (K.V.).
¹⁵ First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Greece (K.T.).
¹⁶ Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA (P.L.).
¹⁷ Joint Rheumatology Program, First Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens, Greece (P.P.S.).
¹⁸ Department of Neurology, University of Tennessee Health Science Center, Memphis (A.V.A., G. Tsivgoulis).
¹⁹ Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Greece (S.T.).
²⁰ National Public Health Organization of Greece, Athens (S.T.).

Abstract

[Figure: see text].

Keywords: coronavirus; hospitalization; ischemic stroke; mortality; thrombectomy; thrombolysis.

Publication types

Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systematic Review

MeSH terms

COVID-19*
Delivery of Health Care / trends
Endovascular Procedures / trends
Hospital Mortality / trends
Hospitalization / trends
Humans
Ischemic Stroke / therapy
Odds Ratio
SARS-CoV-2
Severity of Illness Index
Stroke / therapy*
Thrombectomy / trends*
Thrombolytic Therapy / trends*
Treatment Outcome

Grants and funding

U01 NS095869/NS/NINDS NIH HHS/United States