Interventional Neuroradiology Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
China National Clinical Research Center for Neurological Diseases, Beijing, China.
Neurol Res. 2021 Oct;43(10):823-830. doi: 10.1080/01616412.2021.1939236. Epub 2021 Aug 10.
: The impact of COVID-19 pandemic on endovascular therapy (EVT) for acute ischemic stroke in China is unknown. This study was aimed to verify the volume change of EVT for acute ischemic stroke affected by COVID-19 and its potential factors. This cross-sectional study was conducted via an online questionnaire survey in China. The questionnaire was mainly composed of descriptive information, volume change of EVT for acute ischemic stroke, and the protection status of medical staff. A total of 103 stroke physicians in 28 provinces across China completed the survey questionnaire. A volume decline in EVT for acute stroke occurred in 93 (90.3%) hospitals after lockdown (23 January 2020). Nearly half of the hospitals (51/103, 49.5%) experienced a volume decline of EVT case more than 50% and 14 (13.6%) hospitals completely ceased offering EVT. Hospitals with decline >50% of EVT case had higher proportion of hospitals with a designated area for COVID-19 screening in the emergency room (44/51, 86.3% vs 34/52, 65.4%, = 0.01) and medical staff in quarantine (19/51, 37.3% vs 7/52, 13.5%, < 0.01), with lower proportion of hospitals with personal protective equipment protocol (41/51, 80.4% vs 49/52, 94.2%, = 0.03) than hospitals with decline ≤50%. The volume of EVT for acute ischemic stroke severely declined after lockdown in China. Designating a specific area for COVID-19 screening, insufficient personal protection and understaffing may exacerbate the volume decline of EVT.
：COVID-19 大流行对中国急性缺血性脑卒中血管内治疗（EVT）的影响尚不清楚。本研究旨在验证 COVID-19 对急性缺血性脑卒中 EVT 数量的影响及其潜在因素。这是一项在中国进行的横断面研究，通过在线问卷调查进行。问卷主要由描述性信息、急性缺血性脑卒中 EVT 数量变化和医务人员保护状况组成。共有来自中国 28 个省的 103 名脑卒中医生完成了问卷调查。封锁后（2020 年 1 月 23 日），93 家（90.3%）医院的急性脑卒中 EVT 数量下降。近一半的医院（51/103，49.5%）EVT 病例数量下降超过 50%，14 家（13.6%）医院完全停止提供 EVT。EVT 病例数量下降超过 50%的医院，其急诊科有专门用于 COVID-19 筛查的区域的医院比例更高（44/51，86.3%比 34/52，65.4%，=0.01），处于隔离状态的医务人员比例也更高（19/51，37.3%比 7/52，13.5%，<0.01），而个人防护设备方案的医院比例更低（41/51，80.4%比 49/52，94.2%，=0.03）。中国封锁后，急性缺血性脑卒中 EVT 的数量严重下降。专门为 COVID-19 筛查划定特定区域、个人防护不足和人员配备不足可能会加剧 EVT 数量的下降。
