Article ; Online: Impact of the COVID-19 pandemic and a national lockdown on hospitalizations for stroke and related 30-day mortality in France: A nationwide observational study.
2021 Volume 28, Issue 10, Page(s) 3279–3288
Abstract: Background and purpose: The aim of this nationwide study was to assess the impact of the COVID-19 ... pandemic on stroke hospitalization rates, patient characteristics and 30-day case fatality rates ... patients were hospitalized for stroke in France. IRRs decreased by up to 30% for all age groups, sex, and ...
| Abstract | Background and purpose: The aim of this nationwide study was to assess the impact of the COVID-19 pandemic on stroke hospitalization rates, patient characteristics and 30-day case fatality rates. Methods: All hospitalizations for stroke from January to June of each year from 2017 to 2020 were selected using International Classification of Diseases, 10th revision, codes I60 to I64 in the national hospital discharge database. Patient characteristics and management were described according to three time periods: pre-lockdown, lockdown, and post-lockdown. Weekly incidence rate ratios (IRRs) were computed to compare time trends in the rates of patients hospitalized for stroke as well as in-hospital and 30-day case fatality rates between the years 2017-2019 and 2020. Results: In 2020, between weeks 1 and 24, 55,308 patients were hospitalized for stroke in France. IRRs decreased by up to 30% for all age groups, sex, and stroke types during the lockdown compared to the period 2017-2019. Patients hospitalized during the second and third weeks of the lockdown had higher in-hospital case fatality rates compared to 2017-2019. In-hospital case fatality rates increased by almost 60% in patients aged under 65 years. Out-of-hospital 30-day case fatality rates increased between weeks 11 and 15 among patients who returned home after their hospitalization. Important changes in care management were found, including fewer stroke patients admitted to resuscitation units, more admitted to stroke care units, and a shorter mean length of hospitalization. Conclusions: During the first weeks of the lockdown, rates of patients hospitalized for stroke fell by 30% and there were substantial increases of both in-hospital and out-of-hospital 30-day case fatality rates. |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| MeSH term(s) | Aged ; COVID-19 ; Communicable Disease Control ; France/epidemiology ; Hospitalization ; Humans ; Pandemics ; SARS-CoV-2 ; Stroke/epidemiology ; Stroke/therapy | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2021-03-29 | ||||||||||
| Publishing country | England | ||||||||||
| Document type | Journal Article ; Observational Study | ||||||||||
| ZDB-ID | 1280785-0 | ||||||||||
| ISSN | 1468-1331 ; 1351-5101 ; 1471-0552 | ||||||||||
| ISSN (online) | 1468-1331 | ||||||||||
| ISSN | 1351-5101 ; 1471-0552 | ||||||||||
| DOI | 10.1111/ene.14831 | ||||||||||
| Shelf mark |
|
||||||||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 4738: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
|||
| Zs.MO 592: Show issues |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.