tetano
Editor, Senior Moderator
Stroke
. 2020 Aug 5;STROKEAHA120031121.
doi: 10.1161/STROKEAHA.120.031121. Online ahead of print.
Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic: Observations From the Buckle of the Stroke Belt
Cori Cummings[SUP] #[/SUP][SUP] 1 [/SUP], Eyad Almallouhi[SUP] #[/SUP][SUP] 1 [/SUP], Sami Al Kasab[SUP] 1 2 [/SUP], Alejandro M Spiotta[SUP] 2 [/SUP], Christine A Holmstedt[SUP] 1 [/SUP]
Affiliations
Abstract
Background and purpose: The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic.
Methods: We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020).
Results: A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic, P=0.002. There was no difference in baseline features; however, Black patients were less likely to present with strokes during the pandemic (13.9% versus 29%, P≤0.002).
Conclusions: The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.
. 2020 Aug 5;STROKEAHA120031121.
doi: 10.1161/STROKEAHA.120.031121. Online ahead of print.
Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic: Observations From the Buckle of the Stroke Belt
Cori Cummings[SUP] #[/SUP][SUP] 1 [/SUP], Eyad Almallouhi[SUP] #[/SUP][SUP] 1 [/SUP], Sami Al Kasab[SUP] 1 2 [/SUP], Alejandro M Spiotta[SUP] 2 [/SUP], Christine A Holmstedt[SUP] 1 [/SUP]
Affiliations
- PMID: 32755454
- DOI: 10.1161/STROKEAHA.120.031121
Abstract
Background and purpose: The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic.
Methods: We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020).
Results: A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic, P=0.002. There was no difference in baseline features; however, Black patients were less likely to present with strokes during the pandemic (13.9% versus 29%, P≤0.002).
Conclusions: The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.