Ko Shin-Woong, Chun Hyoung-Joon, Yi Hyeong-Joong, Choi Kyu-Sun
Department of Neurosurgery, College of Medicine, Hanyang University, 17 Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea.
J Pers Med. 2022 Apr 21;12(5):664. doi: 10.3390/jpm12050664.
We evaluated the trend of admission of patients with acute cerebrovascular accidents (CVAs) during social distancing measures implemented during the coronavirus disease 2019 (COVID-19) era. The data of patients admitted with transient ischemic attack, ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) to the emergency department of the Hanyang University Seoul Hospital were retrospectively analyzed. The data were compared between the pre-COVID-19 and COVID-19 periods. Poisson regression analysis was performed to evaluate changes in admission rates as a function of the year, social distancing level, and the interaction between the year and social distancing level. The number of admissions for CVAs dropped from 674 in the pre-COVID-19 period to 582 in the COVID-19 period. The decline in the number of admissions for ICH during social distancing measures was statistically significant, while the declines in SAH and ischemic stroke admissions were not. When the social distancing level was raised, admissions for CVAs dropped by 19.8%. The correlation between social distancing and decreased admissions for CVAs is a paradoxical relationship that may be of interest to the field of public health.
我们评估了在2019年冠状病毒病（COVID-19）大流行期间实施社交距离措施时急性脑血管意外（CVA）患者的入院趋势。对首尔汉阳大学医院急诊科收治的短暂性脑缺血发作、缺血性卒中、脑出血（ICH）和蛛网膜下腔出血（SAH）患者的数据进行了回顾性分析。将COVID-19之前和COVID-19期间的数据进行了比较。进行泊松回归分析以评估入院率随年份、社交距离水平以及年份与社交距离水平之间相互作用的变化。CVA的入院人数从COVID-19之前的674例降至COVID-19期间的582例。社交距离措施实施期间ICH入院人数的下降具有统计学意义，而SAH和缺血性卒中入院人数的下降则无统计学意义。当社交距离水平提高时，CVA的入院人数下降了19.8%。社交距离与CVA入院人数减少之间的相关性是一种矛盾关系，可能会引起公共卫生领域的关注。
