RT Journal Article
SR Electronic
T1 Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic
JF Stroke and Vascular Neurology
JO Stroke Vasc Neurol
FD BMJ Publishing Group Ltd
SP svn-2020-000695
DO 10.1136/svn-2020-000695
A1 Nguyen, Thanh N
A1 Haussen, Diogo C
A1 Qureshi, Muhammad M
A1 Yamagami, Hiroshi
A1 Fujinaka, Toshiyuki
A1 Mansour, Ossama Y
A1 Abdalkader, Mohamad
A1 Frankel, Michael
A1 Qiu, Zhongming
A1 Taylor, Allan
A1 Lylyk, Pedro
A1 Eker, Omer F
A1 Mechtouff, Laura
A1 Piotin, Michel
A1 Lima, Fabricio Oliveira
A1 Mont'Alverne, Francisco
A1 Izzath, Wazim
A1 Sakai, Nobuyuki
A1 Mohammaden, Mahmoud
A1 Al-Bayati, Alhamza R
A1 Renieri, Leonardo
A1 Mangiafico, Salvatore
A1 Ozretic, David
A1 Chalumeau, Vanessa
A1 Ahmad, Saima
A1 Rashid, Umair
A1 Hussain, Syed Irteza
A1 John, Seby
A1 Griffin, Emma
A1 Thornton, John
A1 Fiorot, Jose Antonio
A1 Rivera, Rodrigo
A1 Hammami, Nadia
A1 Cervantes-Arslanian, Anna M
A1 Dasenbrock, Hormuzdiyar H
A1 Vu, Huynh Le
A1 Nguyen, Viet Quy
A1 Hetts, Steven
A1 Bourcier, Romain
A1 Guile, Romain
A1 Walker, Melanie
A1 Sharma, Malveeka
A1 Frei, Don
A1 Jabbour, Pascal
A1 Herial, Nabeel
A1 Al-Mufti, Fawaz
A1 Ozdemir, Atilla Ozcan
A1 Aykac, Ozlem
A1 Gandhi, Dheeraj
A1 Chugh, Chandril
A1 Matouk, Charles
A1 Lavoie, Pascale
A1 Edgell, Randall
A1 Beer-Furlan, Andre
A1 Chen, Michael
A1 Killer-Oberpfalzer, Monika
A1 Pereira, Vitor Mendes
A1 Nicholson, Patrick
A1 Huded, Vikram
A1 Ohara, Nobuyuki
A1 Watanabe, Daisuke
A1 Shin, Dong Hun
A1 Magalhaes, Pedro SC
A1 Kikano, Raghid
A1 Ortega-Gutierrez, Santiago
A1 Farooqui, Mudassir
A1 Abou-Hamden, Amal
A1 Amano, Tatsuo
A1 Yamamoto, Ryoo
A1 Weeks, Adrienne
A1 Cora, Elena A
A1 Sivan-Hoffmann, Rotem
A1 Crosa, Roberto
A1 Möhlenbruch, Markus
A1 Nagel, Simon
A1 Al-Jehani, Hosam
A1 Sheth, Sunil A
A1 Lopez Rivera, Victor S
A1 Siegler, James E
A1 Sani, Achmad Fidaus
A1 Puri, Ajit S
A1 Kuhn, Anna Luisa
A1 Bernava, Gianmarco
A1 Machi, Paolo
A1 Abud, Daniel G
A1 Pontes-Neto, Octavio M
A1 Wakhloo, Ajay K
A1 Voetsch, Barbara
A1 Raz, Eytan
A1 Yaghi, Shadi
A1 Mehta, Brijesh P
A1 Kimura, Naoto
A1 Murakami, Mamoru
A1 Lee, Jin Soo
A1 Hong, Ji Man
A1 Fahed, Robert
A1 Walker, Gregory
A1 Hagashi, Eiji
A1 Cordina, Steve M
A1 Roh, Hong Gee
A1 Wong, Ken
A1 Arenillas, Juan F
A1 Martinez-Galdamez, Mario
A1 Blasco, Jordi
A1 Rodriguez Vasquez, Alejandro
A1 Fonseca, Luisa
A1 Silva, M Luis
A1 Wu, Teddy Y
A1 John, Simon
A1 Brehm, Alex
A1 Psychogios, Marios
A1 Mack, William J
A1 Tenser, Matthew
A1 Todaka, Tatemi
A1 Fujimura, Miki
A1 Novakovic, Roberta
A1 Deguchi, Jun
A1 Sugiura, Yuri
A1 Tokimura, Hiroshi
A1 Khatri, Rakesh
A1 Kelly, Michael
A1 Peeling, Lissa
A1 Murayama, Yuichi
A1 Winters, Hugh Stephen
A1 Wong, Johnny
A1 Teleb, Mohamed
A1 Payne, Jeremy
A1 Fukuda, Hiroki
A1 Miyake, Kosuke
A1 Shimbo, Junsuke
A1 Sugimura, Yusuke
A1 Uno, Masaaki
A1 Takenobu, Yohei
A1 Matsumaru, Yuji
A1 Yamada, Satoshi
A1 Kono, Ryuhei
A1 Kanamaru, Takuya
A1 Morimoto, Masafumi
A1 Iida, Junichi
A1 Saini, Vasu
A1 Yavagal, Dileep
A1 Bushnaq, Saif
A1 Huang, Wenguo
A1 Linfante, Italo
A1 Kirmani, Jawad
A1 Liebeskind, David S
A1 Szeder, Viktor
A1 Shah, Ruchir
A1 Devlin, Thomas G
A1 Birnbaum, Lee
A1 Luo, Jun
A1 Churojana, Anchalee
A1 Masoud, Hesham E
A1 Lopez, Carlos Ynigo
A1 Steinfort, Brendan
A1 Ma, Alice
A1 Hassan, Ameer E
A1 Al Hashmi, Amal
A1 McDermott, Mollie
A1 Mokin, Maxim
A1 Chebl, Alex
A1 Kargiotis, Odysseas
A1 Tsivgoulis, Georgios
A1 Morris, Jane G
A1 Eskey, Clifford J
A1 Thon, Jesse
A1 Rebello, Leticia
A1 Altschul, Dorothea
A1 Cornett, Oriana
A1 Singh, Varsha
A1 Pandian, Jeyaraj
A1 Kulkarni, Anirudh
A1 Lavados, Pablo M
A1 Olavarria, Veronica V
A1 Todo, Kenichi
A1 Yamamoto, Yuki
A1 Silva, Gisele Sampaio
A1 Geyik, Serdar
A1 Johann, Jasmine
A1 Multani, Sumeet
A1 Kaliaev, Artem
A1 Sonoda, Kazutaka
A1 Hashimoto, Hiroyuki
A1 Alhazzani, Adel
A1 Chung, David Y
A1 Mayer, Stephan A
A1 Fifi, Johanna T
A1 Hill, Michael D
A1 Zhang, Hao
A1 Yuan, Zhengzhou
A1 Shang, Xianjin
A1 Castonguay, Alicia C
A1 Gupta, Rishi
A1 Jovin, Tudor G
A1 Raymond, Jean
A1 Zaidat, Osama O
A1 Nogueira, Raul G
A1 SVIN COVID-19 Registry, the Middle East North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO)
YR 2021
UL http://svn.bmj.com/content/early/2021/03/25/svn-2020-000695.abstract
AB Background During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study’s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines.Methods We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March–31 May 2020. The prior 1-year control period (1 March–31 May 2019) was obtained to account for seasonal variation.Findings There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI −24.3% to −20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170–1035 procedures, respectively, representing an 11.5% (95%CI −13.5% to −9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI −28.0% to −22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile.Interpretation There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.