Vollmuth, Christoph and Miljukov, Olga and Abu-Mugheisib, Mazen and Angermaier, Anselm and Barlinn, Jessica and Busetto, Loraine and Grau, Armin J. and Guenther, Albrecht and Gumbinger, Christoph and Hubert, Nikolai and Huettemann, Katrin and Klingner, Carsten and Naumann, Markus and Palm, Frederick and Remi, Jan and Ruecker, Viktoria and Schessl, Joachim and Schlachetzki, Felix and Schuppner, Ramona and Schwab, Stefan and Schwartz, Andreas and Trommer, Adrian and Urbanek, Christian and Volbers, Bastian and Weber, Joachim and Wojciechowski, Claudia and Worthmann, Hans and Zickler, Philipp and Heuschmann, Peter U. and Haeusler, Karl Georg and Hubert, Gordian Jan (2021) Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020. EUROPEAN JOURNAL OF NEUROLOGY, 28 (10). pp. 3267-3278. ISSN 1351-5101, 1468-1331
Full text not available from this repository. (Request a copy)Abstract
Background and purpose The effects of the coronavirus disease 2019 (COVID-19) pandemic on telemedical care have not been described on a national level. Thus, we investigated the medical stroke treatment situation before, during, and after the first lockdown in Germany. Methods In this nationwide, multicenter study, data from 14 telemedical networks including 31 network centers and 155 spoke hospitals covering large parts of Germany were analyzed regarding patients' characteristics, stroke type/severity, and acute stroke treatment. A survey focusing on potential shortcomings of in-hospital and (telemedical) stroke care during the pandemic was conducted. Results Between January 2018 and June 2020, 67,033 telemedical consultations and 38,895 telemedical stroke consultations were conducted. A significant decline of telemedical (p < 0.001) and telemedical stroke consultations (p < 0.001) during the lockdown in March/April 2020 and a reciprocal increase after relaxation of COVID-19 measures in May/June 2020 were observed. Compared to 2018-2019, neither stroke patients' age (p = 0.38), gender (p = 0.44), nor severity of ischemic stroke (p = 0.32) differed in March/April 2020. Whereas the proportion of ischemic stroke patients for whom endovascular treatment (14.3% vs. 14.6%; p = 0.85) was recommended remained stable, there was a nonsignificant trend toward a lower proportion of recommendation of intravenous thrombolysis during the lockdown (19.0% vs. 22.1%; p = 0.052). Despite the majority of participating network centers treating patients with COVID-19, there were no relevant shortcomings reported regarding in-hospital stroke treatment or telemedical stroke care. Conclusions Telemedical stroke care in Germany was able to provide full service despite the COVID-19 pandemic, but telemedical consultations declined abruptly during the lockdown period and normalized after relaxation of COVID-19 measures in Germany.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COVID-19; COVID-19; SARS-CoV-2; stroke; survey; telemedicine |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Sep 2022 06:36 |
| Last Modified: | 23 Sep 2022 06:36 |
| URI: | https://pred.uni-regensburg.de/id/eprint/47920 |
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