Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles Stroke and Vascular Neurology Year : 2021

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

T. N. Nguyen (1) , D. C. Haussen (2) , M. M. Qureshi (3) , H. Yamagami (4) , T. Fujinaka (4) , O. Y. Mansour (5) , M. Abdalkader (6) , M. Frankel (2) , Z. Qiu (7) , A. Taylor (8) , P. Lylyk (9) , O. F. Eker (10) , L. Mechtouff (11, 10) , M. Piotin (12) , F. O. Lima (13) , F. Mont'Alverne (13) , W. Izzath (14) , N. Sakai (15) , A. R. Al-Bayati (2) , M. Mohammaden (2) , L. Renieri (16) , S. Mangiafico (16) , D. Ozretic (17) , V. Chalumeau (18) , S. Ahmad (19) , U. Rashid (19) , S. I. Hussain (20) , S. John (20) , E. Griffin (21) , J. Thornton (21) , J. A. Fiorot (22) , R. Rivera (23) , N. Hammami (24) , A. M. Cervantes-Arslanian (6) , H. H. Dasenbrock (6) , H. L. Vu (25) , V. Q. Nguyen (25) , S. Hetts (26) , R. Bourcier (27) , R. Guile (27) , M. Walker (28) , M. Sharma (28) , D. Frei (29) , P. Jabbour (30) , N. Herial (30) , F. Al-Mufti (31) , A. O. Ozdemir (32) , O. Aykac (32) , D. Gandhi (33) , C. Chugh (34) , C. Matouk (35) , P. Lavoie (36) , R. Edgell (28) , A. Beer-Furlan (37) , M. Chen (37) , M. Killer-Oberpfalzer (38) , V. M. Pereira (39) , P. Nicholson (39) , V. Huded (40) , N. Ohara (15) , D. Watanabe (41) , D. H. Shin (42) , P. S. Magalhaes (43) , R. Kikano (44) , S. Ortega-Gutierrez (45) , M. Farooqui (45) , A. Abou-Hamden (46) , T. Amano (47) , R. Yamamoto (48) , A. Weeks (49) , E. A. Cora (49) , R. Sivan-Hoffmann (50) , R. Crosa (51) , M. Möhlenbruch (52) , S. Nagel (52) , H. Al-Jehani (53) , S. A. Sheth (54) , V. S. Lopez Rivera (54) , J. E. Siegler (55) , A. F. Sani (56) , A. S. Puri (57) , A. L. Kuhn (57) , G. Bernava (58) , P. Machi (58) , D. G. Abud (59) , O. M. Pontes-Neto (59) , A. K. Wakhloo (60) , B. Voetsch (60) , E. Raz (61) , S. Yaghi (61) , B. P. Mehta (62) , N. Kimura (63) , M. Murakami (64) , J. S. Lee (65) , J. M. Hong (65) , R. Fahed (66) , G. Walker (66) , E. Hagashi (67) , S. M. Cordina (68) , H. G. Roh (69) , K. Wong (70) , J. F. Arenillas (71) , M. Martinez-Galdamez (72) , J. Blasco (73) , A. Rodriguez Vasquez (74) , L. Fonseca (75) , M. L. Silva (75) , T. Y. Wu (76) , A. Brehm (77) , M. Psychogios (77) , W. J. Mack (78) , M. Tenser (78) , T. Todaka (64) , M. Fujimura (79) , R. Novakovic (80) , J. Deguchi (81) , Y. Sugiura (82) , H. Tokimura (83) , R. Khatri (84) , M. Kelly (85) , L. Peeling (85) , Y. Murayama (86) , H. S. Winters (87) , J. Wong (87) , M. Teleb (88) , J. Payne (88) , H. Fukuda (89) , K. Miyake (90) , J. Shimbo (91) , Y. Sugimura (92) , M. Uno (93) , Y. Takenobu (94) , Y. Matsumaru (95) , S. Yamada (96) , R. Kono (97) , T. Kanamaru (98) , M. Morimoto (99) , J. Iida (100) , V. Saini (101) , D. Yavagal (101) , S. Bushnaq (102) , W. Huang (103) , I. Linfante (104) , J. Kirmani (105) , D. S. Liebeskind (106) , V. Szeder (107) , R. Shah (108) , T. G. Devlin (108) , L. Birnbaum (109) , J. Luo (110) , A. Churojana (111) , H. E. Masoud (112) , C. Y. Lopez (112) , B. Steinfort (113) , A. Ma (113) , A. E. Hassan (114) , A. Al Hashmi (115) , M. Mcdermott (116) , M. Mokin (117) , A. Chebl (118) , O. Kargiotis (119) , G. Tsivgoulis (120) , J. G. Morris (121) , C. J. Eskey (122) , J. Thon (55) , L. Rebello (123) , D. Altschul (124) , O. Cornett (125) , V. Singh (125) , J. Pandian (126) , A. Kulkarni (126) , P. M. Lavados (127) , V. V. Olavarria (127) , K. Todo (128) , Y. Yamamoto (129) , G. S. Silva (130) , S. Geyik (131) , J. Johann (132) , S. Multani (133) , A. Kaliaev (6) , K. Sonoda (134) , H. Hashimoto (135) , A. Alhazzani (136) , D. Y. Chung (6) , S. A. Mayer (31) , J. T. Fifi (137) , M. D. Hill (138) , H. Zhang (139) , Z. Yuan (140) , X. Shang (141) , A. C. Castonguay (142) , R. Gupta (143) , T. G. Jovin (55) , J. Raymond (144, 145) , O. O. Zaidat (102) , R. G. Nogueira (146)
1 Department of Neurology [Boston]
2 Emory University School of Medicine
3 BUSM - Boston University School of Medicine
4 NHO Osaka National Hospital - National Hospital Organization Osaka National Hospital [Japon]
5 Alexandria University [Alexandrie]
6 BMC - Boston Medical Center [Boston, MA, USA]
7 XH - Xinqiao Hospital [Chongqing, China]
8 University of Cape Town
9 LSFC - La Sagrada Familia Clinic/Clínica La Sagrada Familia [Buenos Aires, Argentina]
10 HCL - Hospices Civils de Lyon
11 CarMeN - Cardiovasculaire, métabolisme, diabétologie et nutrition
12 Fondation Ophtalmologique Adolphe de Rothschild [Paris]
13 HGF - Hospital General de Fortaleza [Fortaleza, Brazil]
14 NUH - Nottingham University Hospitals NHS Trust
15 KCMCGH - Kobe City Medical Center General Hospital [Kobe, Hyogo, Japan]
16 AOUC - Azienda Ospedaliero-Universitaria Careggi [Firenze, Toscana, Italy]
17 University Hospital Centre Zagreb
18 AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre)
19 Service de Neuroradiologie [CHU de Bicêtre]
20 Cleveland Clinic Abu Dhabi [Abou Dabi, Émirats arabes unis]
21 HB - Hôpital de Beaumont [Dublin, Ireland]
22 HEC - Hospital-Estadual Central [Vitoria, Brazil]
23 Instituto de NeuroCirugía Asenjo
24 Institut national de neurologie Mongi-Ben Hamida [Tunis]
25 HCH - Hue Central Hospital [Thua Thien Hue, Vietnam]
26 UC San Francisco - University of California [San Francisco]
27 CHU Nantes - Centre hospitalier universitaire de Nantes
28 Washington University School of Medicine in St. Louis
29 Englewood Hospital and Medical Center [Englewood]
30 Jefferson (Philadelphia University + Thomas Jefferson University)
31 WMC - Westchester Medical Center [Valhalla, New York, USA]
32 Eskisehir Osmangazi University
33 University of Maryland School of Medicine
34 MSH - MAX Superspecialty Hospital [Saket, New Delhi, India]
35 YSM - Yale School of Medicine [New Haven, Connecticut]
36 ULaval - Université Laval [Québec]
37 Rush University Medical Center [Chicago]
38 PMU - Paracelsus Medizinische Privatuniversität = Paracelsus Medical University
39 University of Toronto
40 NHMSMC - NH Mazumdar Shah Medical Center [Bangalore, India]
41 IMS Tokyo-Katsushika General Hospital [Tokyo, Japan]
42 GU - Gachon University [Seongnam, Korea]
43 HMSJ - Hospital Municipal Sao Jose [Joinville, Santa Catarina, Brazil]
44 LMC - Lau Medical Center [Beirut, Lebanon]
45 University of Iowa [Iowa City]
46 Royal Adelaide Hospital [Adelaide Australia]
47 Kyorin University [Tokyo, Japan]
48 YBSC - Yokohama Brain and Spine Center [Yokohama, Japan]
49 Dalhousie University [Halifax]
50 Rambam Health Care Campus [Haifa, Israel]
51 CENMU - Centro Endovascular Neurologico Medica Uruguaya [Montevideo, Uruguay]
52 Heidelberg University Hospital [Heidelberg]
53 IAFU - Imam Abdulrahman bin Faisal University [Alkhobar, Saudi Arabia]
54 McGMS - McGovern Medical School [Houston, TX, USA]
55 CMSRU - Cooper Medical School of Rowan University [Camden]
56 AU - Airlangga University [Jawa Timur, Indonesia]
57 UMASS - University of Massachusetts Medical School [Worcester]
58 Geneva University Hospitals and Geneva University
59 USP - Universidade de São Paulo = University of São Paulo
60 BILH - Beth Israel Lahey Health [Burlington, MA, USA]
61 NYU Grossman School of Medicine - New York University School of Medicine
62 MNI - Memorial Neuroscience Institute [Pembroke Pines, FL, USA]
63 IPCH - Iwate Prefectural Central Hospital [Morioka, Iwate, Japan]
64 Japanese Red Cross Musashino Hospital [Tokyo]
65 Ajou University
66 University of Ottawa [Ottawa]
67 SMCK - Saga-ken Medical Centre Koseikan [Saga, Japan]
68 University of South Alabama
69 Konkuk University [Seoul]
70 Royal Free Hospital [London, UK]
71 HCUV - Hospital Clinico Universitario de Valladolid [Castilla y León, Spain]
72 UVa - Universidad de Valladolid [Valladolid]
73 ICMA-CSIC - Instituto de Ciencia de Materiales de Aragón [Saragoza, España]
74 Hospital Clínic de Barcelona [Catalonia, Spain]
75 Centro Hospitalar Universitário de São João [Porto]
76 CH - Christchurch Hospital [Christchurch, New Zealand]
77 University Hospital Basel [Basel]
78 USC - University of Southern California
79 Kohnan Hospital - Sendai [Miyagi, Japan]
80 University of Texas Southwestern Medical Center [Dallas]
81 NCH - Nara City Hospital [Nara, Japan]
82 TMH - Toyonaka Municipal Hospital [Osaka, Japan]
83 KCH - Kagoshima City Hospita [Kagoshima, Japan]
84 TTUS - Texas Tech University System [Lubbock, TX, USA]
85 U of S - University of Saskatchewan [Saskatoon]
86 NICT - National Institute of Information and Communications Technology [Tokyo]
87 RPAH - Royal Prince Alfred Hospital [Camperdown, Australia]
88 BDMC - Banner Desert Medical Center [Mesa, AZ, USA]
89 JRCMH - Japanese Red Cross Matsue Hospital [Shimane, Japan]
90 SH - Shiroyama Hospital [Osaka, Japan]
91 NCGH - Niigata City General Hospital [Niigata, Japan]
92 SH - Sugimura Hospital [Kumamoto, Japan]
93 KMS - Kawasaki Medical School [Kurashiki, Japan]
94 ORCH - Osaka Red Cross Hospital [Osaka, Japan]
95 Université de Tsukuba = University of Tsukuba
96 SCH - Saiseikai Central Hospital [Tokyo, Japan]
97 KCHS - Kinikyo Chuo Hospital - Sapporo [Hokkaido, Japan]
98 NTTMCT - NTT Medical Center Tokyo [Tokyo, Japan]
99 YSNH - Yokohama Shintoshi Neurosurgical Hospital [Yokohama, Japan].
100 OGMC - Osaka General Medical Center [Osaka, Japan]
101 UMMSM - University of Miami Leonard M. Miller School of Medicine
102 BSMHS - Bon Secours Mercy Health System [Toledo, OH, USA]
103 MCH - Maoming City Hospital [Guandong, China]
104 MC&VI - Miami Cardiac & Vascular Institute [Miami, FL, USA]
105 Hackensack University Medical Center [Hackensack]
106 David Geffen School of Medicine [Los Angeles]
107 UCLA - University of California [Los Angeles]
108 UTC - University of Tennessee [Chattanooga]
109 UTSA - The University of Texas at San Antonio
110 M404H - Mianyang 404 Hospital [Sichuan, China]
111 SHMU - Siriraj Hosital - Mahidol University [Bangkok, Thailand]
112 SUNY Upstate Medical University
113 RNSH - Royal North Shore Hospital
114 UTRGV - The University of Texas Rio Grande Valley [Harlingen, TX, USA]
115 Ministry of Health - KH - Khoula Hospital [Muscat, Oman]
116 University of Michigan [Ann Arbor]
117 USF - University of South Florida [Tampa]
118 HFHS - Henry Ford Health System [Detroit, MI, USA]
119 MH - Metropolitan Hospital [Piraeus, Greece]
120 NKUA - National and Kapodistrian University of Athens
121 Maine Medical Center
122 DHMC - Dartmouth Hitchcock Medical Center
123 Centro Universitário Feevale (BRAZIL)
124 TVH - The Valley Hospital [Ridgewood, NJ, USA]
125 StJUMC - St Joseph's University Medical Center [Paterson, NJ, USA]
126 CMCHL - Christian Medical College and Hospital Ludhiana [Punjab, India]
127 Universidad del Desarrollo
128 University Graduate School of Medicine [Osaka, Japan]
129 Tokushima University
130 Universidade Federal de São Paulo
131 IAU - Istanbul Aydin University [İstanbul, Turkey]
132 SMC - Swedish Medical Center [Englewood, CO, USA]
133 BMC - Bayhealth Medical Center [Dover, DE, USA]
134 SFGH - Saiseikai Fukuoka General Hospital [Fukuoka, Japan]
135 ORHS - Osaka Rosai Hospital - Sakai [Osaka, Japan]
136 KSU - King Saud University [Riyadh]
137 Mount Sinai Health System
138 University of Calgary
139 Huzhou University [Zhejiang]
140 TAHSMUL - The Affiliated Hospital of Southwest Medical University - Luzhou [Sichuan, China]
141 YHWMC - Yijishan Hospital of Wannan Medical College [Wuhu, Anhui, China]
142 University of Toledo
143 WHS - WellStar Health System [Marietta, GA, USA]
144 INRS - Institut National de la Recherche Scientifique [Québec]
145 CR CHUM - Centre de Recherche du Centre Hospitalier de l’Université de Montréal
146 Emory University [Atlanta, GA]
T. N. Nguyen
  • Function : Author
  • PersonId : 5093
  • IdHAL : nghi-nguyen
A. Taylor
M. Chen
J. S. Lee
  • Function : Author
J. M. Hong
  • Function : Author
A. Ma
  • Function : Author
Y. Yamamoto
M. D. Hill
  • Function : Author

Abstract

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\textless0.0001). 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\textless0.0001). 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.
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Dates and versions

inserm-03337432 , version 1 (08-09-2021)

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T. N. Nguyen, D. C. Haussen, M. M. Qureshi, H. Yamagami, T. Fujinaka, et al.. Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic. Stroke and Vascular Neurology, 2021, pp.svn-2020-000695. ⟨10.1136/svn-2020-000695⟩. ⟨inserm-03337432⟩
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