Miękisiak Grzegorz, Pettersson Samuel D, Szarek Dariusz, Morasiewicz Piotr, Fercho Justyna, Adamski Stanisław, Kipiński Lech, Szmuda Tomasz
Institute of Medicine, University of Opole, 45-040 Opole, Poland.
Department of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland.
Infect Dis Rep. 2022 Mar 16;14(2):198-204. doi: 10.3390/idr14020024.
(1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the "N-1" Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised.
（1）背景：2019冠状病毒病大流行及随后的封锁策略对日常生活的许多方面产生了深远影响。在此期间，世界面临着医疗保健中断及时护理服务这一前所未有的危机。本研究旨在评估该大流行对波兰中风急性治疗的影响。（2）方法：从波兰国家卫生基金获取以中风为主要诊断的住院治疗的全国数据。采用泊松回归确定住院人数变化的显著性。使用“N - 1”卡方检验分析比例差异。（3）结果：在2019冠状病毒病期间，住院人数下降了8.28%，4月份降至每月最低点22.02例。在2020年的月度尺度上，最大降幅为22.02%。溶栓率也受到影响，11月份月度降幅最高，达15.51%。住院死亡总数没有变化。（4）结论：该大流行严重扰乱了中风的急性护理。没有证据表明护理质量受到严重损害。
