Stroke Research Group, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Department of Neurology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul and Hospital Moinhos de Vento, Porto Alegre, Brazil.
Int J Stroke. 2021 Apr;16(3):241-247. doi: 10.1177/17474930211005373.
A year ago the World Stroke Organisation (WSO) highlighted the enormous global impact of the COVID-19 pandemic on stroke care. In this review, we consider a year later where we are now, what the future holds, and what the long-term effects of the pandemic will be on stroke. Stroke occurs in about 1.4% of patients hospitalized with COVID-19 infection, who show an excess of large vessel occlusion and increased mortality. Despite this association, stroke presentations fell dramatically during the pandemic, although emerging data suggest that total stroke mortality may have risen with increased stroke deaths at home and in care homes. Strategies and guidelines have been developed to adapt stroke services worldwide, and protect healthcare workers. Adaptations include increasing use of telemedicine for all aspects of stroke care. The pandemic is exacerbating already marked global inequalities in stroke incidence and mortality. Lastly, the pandemic has had a major impact on stroke research and funding, although it has also emphasized the importance of large scale collaborative research initiatives.
一年前，世界卒中组织（WSO）强调了 COVID-19 大流行对卒中护理的巨大全球影响。在这篇综述中，我们考虑一年后的现在，未来会怎样，以及大流行对卒中的长期影响。COVID-19 感染住院患者中约有 1.4%发生卒中，这些患者表现出大血管闭塞增加和死亡率增加。尽管存在这种关联，但大流行期间卒中发作的数量急剧下降，尽管新出现的数据表明，由于在家中和护理院的卒中死亡增加，卒中总死亡率可能上升。已经制定了策略和指南以适应全球的卒中服务，并保护医护人员。适应措施包括增加使用远程医疗来进行卒中治疗的各个方面。大流行使卒中发病率和死亡率的全球不平等现象更加明显。最后，大流行对卒中研究和资金产生了重大影响，但也强调了大规模合作研究计划的重要性。
