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瑞典在第一波 COVID-19 大流行期间维持急性脑卒中患者入院,一项基于登记的研究。

Maintained acute stroke admission during the first wave COVID-19 pandemic in Sweden, a register-based study.

机构信息

Department of Clinical Sciences, Danderyd Hospital, Department of Neurology, Karolinska Institutet, Stockholm, Sweden.

Department of Clinical Sciences, Danderyd Hospital, Department of Neurology, Karolinska Institutet, Stockholm, Sweden, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

出版信息

J Stroke Cerebrovasc Dis. 2022 Oct;31(10):106686. doi: 10.1016/j.jstrokecerebrovasdis.2022.106686. Epub 2022 Jul 27.

DOI:10.1016/j.jstrokecerebrovasdis.2022.106686
PMID:35933763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9325685/
Abstract

OBJECTIVES

Clinicians and researchers have addressed concerns about the negative impact of COVID-19 outbreaks on the ability of health care systems to provide timely assessment and acute therapies to patients with stroke. The aim of this study is to describe stroke care during the first wave of the COVID-19 pandemic compared to the same period the year before at an acute care hospital in Sweden.

MATERIALS AND METHODS

In this cohort study data were collected from March 1 to August 31 in 2019 and 2020 on all patients diagnosed with stroke and TIA and registered at Danderyd Hospital in the national quality registry (Riksstroke). Data were completed with information from the hospital record. Sweden had no lockdown during 2020.

RESULTS

During the study period in year 2019 there were 426 registered stroke patients at Danderyd hospital, compared to 403 registered stroke patients the same period during 2020 (p = 0.483). The number of minor stroke and TIA during the period in 2019 compared to 2020 were 468 versus 453 respectively (minor stroke p = 0.475 versus TIA p = 0.50).

CONCLUSIONS

There were no difference in the number of patients diagnosed with stroke and TIA during the first wave of the COVID-19 pandemic.

摘要

目的

临床医生和研究人员已经关注到 COVID-19 爆发对医疗系统及时评估和急性治疗中风患者能力的负面影响。本研究旨在描述 COVID-19 大流行第一波期间瑞典一家急症医院的中风护理情况,并与前一年同期进行比较。

材料和方法

在这项队列研究中,2019 年 3 月 1 日至 2020 年 8 月 31 日期间,在全国质量登记处(Riksstroke)收集了所有在丹德吕德医院诊断为中风和 TIA 并登记的患者的数据。数据通过医院记录中的信息补充完成。2020 年瑞典没有封锁。

结果

在 2019 年的研究期间,丹德吕德医院有 426 名注册中风患者,而 2020 年同期有 403 名注册中风患者(p=0.483)。2019 年同期的轻度中风和 TIA 数量分别为 468 例和 453 例(轻度中风 p=0.475 与 TIA p=0.50)。

结论

在 COVID-19 大流行的第一波期间,诊断为中风和 TIA 的患者数量没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afad/9325685/d0ab3f8458cb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afad/9325685/d0ab3f8458cb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afad/9325685/d0ab3f8458cb/gr1_lrg.jpg

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