Table 1

Stroke and TIA admissions, emergency department stroke alerts, stroke severity and delay to hospital presentation during the COVID-19 pandemic at US medical centres

25 March to 21 April
23 March to 19 April*
Stroke/TIA admissions, n410281
 Stroke only†391274
 TIA only197
ED stroke alerts, n‡561301
Baseline NIHSS, median score (range)7 (7–10)10 (8–11)
Stroke symptom onset to hospital arrival, median hours (range)6.9 (5.4–8.0)7.6 (4.9–12.5)
  • *Univariate analyses comparing 2020 with 2019 measures were statistically significant (p<0.01), except for median time from stroke symptom onset to hospital arrival (p=0.14).

  • †Includes admissions for ischaemic stroke, intracerebral haemorrhage and subarachnoid haemorrhage.

  • ‡Including three medical centres in New York City, Providence and Seattle with available data.

  • ED, emergency department; NIHSS, National Institutes of Health Stroke Scale; TIA, transient ischaemic attack.