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Journal Articles Neurology Year : 2021

Global Impact of COVID-19 on Stroke Care and IV Thrombolysis

Raul Nogueira (1) , Muhammad Qureshi (2) , Mohamad Abdalkader (2) , Sheila Ouriques Martins , Hiroshi Yamagami , Zhongming Qiu , Ossama Yassin Mansour , Anvitha Sathya , Anna Czlonkowska , Georgios Tsivgoulis , Diana Aguiar de Sousa , Jelle Demeestere , Robert Mikulik , Peter Vanacker , James Siegler , Janika Kõrv , Jose Biller , Conrad Liang , Navdeep Sangha , Alicia Zha , Alexandra Czap , Christine Anne Holmstedt , Tanya Turan (2) , George Ntaios , Konark Malhotra , Ashis Tayal , Aaron Loochtan , Annamarei Ranta , Eva Mistry , Anne Alexandrov , David Huang , Shadi Yaghi , Eytan Raz , Sunil Sheth , Mahmoud Mohammaden (1) , Michael Frankel (1) , Eric Guemekane Bila Lamou , Hany Aref , Ahmed Elbassiouny , Farouk Hassan , Tarek Menecie , Wessam Mustafa , Hossam Shokri , Tamer Roushdy , Fred Sarfo , Tolulope Oyetunde Alabi , Babawale Arabambi , Ernest Nwazor , Taofiki Ajao Sunmonu , Kolawole Wahab , Joseph Yaria , Haytham Hussein Mohammed , Philip Adebayo , Anis Riahi , Samia Ben Sassi , Lenon Gwaunza , Gift Wilson Ngwende , David Sahakyan , Aminur Rahman , Zhibing Ai , Fanghui Bai , Zhenhui Duan , Yonggang Hao , Wenguo Huang , Guangwen Li , Wei Li , Ganzhe Liu , Jun Luo , Xianjin Shang , Yi Sui , Ling Tian , Hongbin Wen , Bo Wu , Yuying Yan , Zhengzhou Yuan , Hao Zhang , Jun Zhang , Wenlong Zhao , Wenjie Zi , Thomas Leung , Chandril Chugh (3, 4) , Vikram Huded , Bindu Menon , Jeyaraj Durai Pandian , Pn Sylaja , Fritz Sumantri Usman , Mehdi Farhoudi , Elyar Sadeghi Hokmabadi , Anat Horev , Anna Reznik , Rotem Sivan Hoffmann , Nobuyuki Ohara , Nobuyuki Sakai , Daisuke Watanabe , Ryoo Yamamoto , Ryosuke Doijiri , Naoki Tokuda , Takehiro Yamada , Tadashi Terasaki , Yukako Yazawa , Takeshi Uwatoko , Tomohisa Dembo , Hisao Shimizu , Yuri Sugiura , Fumio Miyashita , Hiroki Fukuda , Kosuke Miyake , Junsuke Shimbo , Yusuke Sugimura , Yoshiki Yagita , Yohei Takenobu , Yuji Matsumaru , Satoshi Yamada , Ryuhei Kono , Takuya Kanamaru , Hidekazu Yamazaki , Manabu Sakaguchi , Kenichi Todo , Nobuaki Yamamoto , Kazutaka Sonoda , Tomoko Yoshida , Hiroyuki Hashimoto , Ichiro Nakahara , Aida Kondybayeva , Kamila Faizullina , Saltanat Kamenova , Murat Zhanuzakov , Jang-Hyun Baek , Yangha Hwang , Jin Soo Lee , Si Baek Lee , Jusun Moon , Hyungjong Park , Jung Hwa Seo , Kwon-Duk Seo , Sung Il Sohn , Chang Jun Young , Rechdi Ahdab , Wan Asyraf Wan Zaidi , Zariah Abdul Aziz , Hamidon Bin Basri , Law Wan Chung , Aznita Binti Ibrahim , Khairul Azmi Ibrahim , Irene Looi , Wee Yong Tan , Nafisah Wan Yahya , Stanislav Groppa , Pavel Leahu , Amal Al Hashmi , Yahia Zakaria Imam , Naveed Akhtar , Maria Carissa Pineda-Franks , Christian Oliver Co , Dmitriy Kandyba , Adel Alhazzani , Hosam Al-Jehani , Carol Huilian Tham , Marlie Jane Mamauag , Narayanaswamy Venketasubramanian , Chih-Hao Chen , Sung-Chun Tang , Anchalee Churojana , Esref Akil , Özlem Aykaç , Atilla Ozcan Ozdemir , Semih Giray , Syed Irteza Hussain , Seby John , Huynh Le Vu , Anh Duc Tran , Huy Hoang Nguyen , Thong Nhu Pham , Thang Huy Nguyen , Trung Quoc Nguyen , Thomas Gattringer , Christian Enzinger , Monika Killer-Oberpfalzer , Flavio Bellante , Sofie de Blauwe , Geert Vanhooren , Sylvie de Raedt , Anne Dusart , Robin Lemmens , Noemie Ligot , Matthieu Pierre Rutgers , Laetitia Yperzeele , Filip Alexiev , Teodora Sakelarova , Marina Roje Bedeković , Hrvoje Budincevic , Igor Cindric , Zlatko Hucika , David Ozretic , Majda Seferovic Saric , František Pfeifer , Igor Karpowic , David Cernik , Martin Sramek , Miroslav Skoda , Helena Hlavacova , Lukas Klecka , Martin Koutny , Daniel Vaclavik , Ondrej Skoda , Jan Fiksa , Katerina Hanelova , Miroslava Nevsimalova , Robert Rezek , Petr Prochazka , Gabriela Krejstova , Jiri Neumann , Marta Vachova , Henryk Brzezanski , David Hlinovsky , Dusan Tenora , Rene Jura , Lubomír Jurák , Jan Novak , Ales Novak , Zdenek Topinka , Petr Fibrich , Helena Sobolova , Ondrej Volny , Hanne Krarup Christensen , Nicolas Drenck , Helle Klingenberg Iversen , Claus Simonsen , Thomas Clement Truelsen , Troels Wienecke , Riina Vibo , Katrin Gross-Paju , Toomas Toomsoo , Katrin Antsov , Francois Caparros (3) , Charlotte Cordonnier , Maria Dan , Jean-Marc Faucheux , Laura Mechtouff , Omer Eker , Emilie Lesaine , Basile Ondze , Roxane Peres , Fernando Pico , Michel Piotin , Raoul Pop , Francois Rouanet , Tatuli Gubeladze , Mirza Khinikadze , Nino Lobjanidze , Alexander Tsiskaridze , Simon Nagel , Peter Arthur Ringleb , Michael Rosenkranz , Holger Schmidt , Annahita Sedghi , Timo Siepmann , Kristina Szabo , Götz Thomalla , Lina Palaiodimou , Dimitrios Sagris , Odysseas Kargiotis , Peter Klivenyi , Laszlo Szapary , Gabor Tarkanyi , Alessandro Adami , Fabio Bandini , Paolo Calabresi , Giovanni Frisullo , Leonardo Renieri , Davide Sangalli , Anne Pirson , Maarten Uyttenboogaart , Ido van den Wijngaard , Espen Saxhaug Kristoffersen , Waldemar Brola , Małgorzata Fudala , Ewa Horoch-Lyszczarek , Michal Karlinski , Radoslaw Kazmierski , Pawel Kram , Marcin Rogoziewicz , Rafal Kaczorowski , Piotr Luchowski , Halina Sienkiewicz-Jarosz , Piotr Sobolewski , Waldemar Fryze , Anna Wisniewska , Malgorzata Wiszniewska , Patricia Ferreira , Paulo Ferreira , Luisa Fonseca , João Pedro Marto , Teresa Pinho E Melo , Ana Paiva Nunes , Miguel Rodrigues , Vítor Tedim Cruz , Cristian Falup-Pecurariu , Georgi Krastev , Miroslav Mako , María Alonso de Leciñana , Juan Arenillas , Oscar Ayo-Martin , Antonio Cruz Culebras , Exuperio Diez Tejedor , Joan Montaner , Soledad Pérez-Sánchez , Miguel Angel Tola Arribas , Alejandro Rodriguez Vasquez , Michael Mayza , Gianmarco Bernava , Alex Brehm , Paolo Machi , Urs Fischer , Jan Gralla , Patrik Michel , Marios-Nikos Psychogios , Davide Strambo , Soma Banerjee , Kailash Krishnan , Joseph Kwan , Asif Butt , Luciana Catanese , Andrew Demchuk , Thalia Field , Jennifer Haynes , Michael Hill , Houman Khosravani , Ariane Mackey , Aleksandra Pikula , Gustavo Saposnik , Courtney Anne Scott , Ashkan Shoamanesh , Ashfaq Shuaib , Samuel Yip , Miguel Barboza , Jose Domingo Barrientos , Ligia Ibeth Portillo Rivera , Fernando Gongora-Rivera , Nelson Novarro-Escudero , Anmylene Blanco , Michael Abraham , Diana Alsbrook , Dorothea Altschul , Anthony Alvarado-Ortiz , Ivo Bach , Aamir Badruddin , Nobl Barazangi , Charmaine Brereton , Alicia Castonguay , Seemant Chaturvedi , Saqib Chaudry , Hana Choe , Jae Choi , Sushrut Dharmadhikari , Kinjal Desai , Thomas Devlin , Vinodh Doss , Randall Edgell , Mark Etherton , Mudassir Farooqui , Don Frei , Dheeraj Gandhi , Mikayel Grigoryan , Rishi Gupta , Ameer Hassan , Johanna Helenius , Artem Kaliaev , Ritesh Kaushal , Priyank Khandelwal , Ayaz Khawaja (2) , Naim Khoury , Benny Kim , Dawn Kleindorfer , Feliks Koyfman , Vivien Lee , Lester Leung , Guillermo Linares , Italo Linfante , Helmi Lutsep , Lisa Macdougall , Shailesh Male , Amer Malik , Hesham Masoud , Molly Mcdermott , Brijesh Mehta , Jiangyong Min , Manoj Mittal , Jane Morris , Sumeet Multani , Fadi Nahab , Krishna Nalleballe , Claude Nguyen , Roberta Novakovic-White , Santiago Ortega-Gutierrez , Rahul Rahangdale , Pankajavalli Ramakrishnan , Jose Rafael Romero , Natalia Rost , Aaron Rothstein , Sean Ruland , Ruchir Shah , Malveeka Sharma , Brian Silver , Marc Simmons , Abhishek Singh , Amy Starosciak , Sheryl Strasser , Viktor Szeder , Mohamed Teleb , Jenny Tsai , Barbara Voetsch , Oscar Balaguera , Virginia Pujol Lereis , Adriana Luraschi , Marcele Schettini Almeida , Fabricio Buchdid Cardoso , Adriana Conforto , Leonardo de Deus Silva , Luidia Varrone Giacomini , Fabricio Oliveira Lima , Alexandre Longo , Pedro Magalhães , Rodrigo Targa Martins , Francisco Mont'Alverne , Daissy Liliana Mora Cuervo , Leticia Costa Rebello , Lenise Valler , Viviane Flumignan Zetola , Pablo Lavados , Victor Navia , Verónica Olavarría , Juan Manuel Almeida Toro , Pablo Felipe Ricardo Amaya , Hernan Bayona , Angel Corredor , Carlos Eduardo Rivera Ordonez , Diana Katherine Mantilla Barbosa , Osvaldo Lara , Mauricio Patiño , Luis Fernando Diaz Escobar , Donoband Edson Dejesus Melgarejo Fariña , Analia Cardozo Villamayor , Adolfo Javier Zelaya Zarza , Danny Moises Barrientos Iman , Liliana Rodriguez Kadota , Bruce Campbell , Graeme Hankey , Casey Hair , Timothy Kleinig , Alice Ma , Rodrigo Tomazini Martins , Ramesh Sahathevan , Vincent Thijs , Daniel Salazar , Teddy Yuan-Hao Wu , Diogo Haussen , David Liebeskind , Dileep Yavagal , Tudor Jovin , Osama Zaidat , Thanh Nguyen , Pedro S.C. Magalhães
Sheila Ouriques Martins
  • Function : Author
Hiroshi Yamagami
  • Function : Author
Zhongming Qiu
  • Function : Author
Ossama Yassin Mansour
  • Function : Author
Anvitha Sathya
  • Function : Author
Anna Czlonkowska
  • Function : Author
Georgios Tsivgoulis
Diana Aguiar de Sousa
  • Function : Author
Jelle Demeestere
  • Function : Author
Robert Mikulik
  • Function : Author
Peter Vanacker
  • Function : Author
James Siegler
  • Function : Author
Janika Kõrv
  • Function : Author
Jose Biller
  • Function : Author
Conrad Liang
  • Function : Author
Navdeep Sangha
  • Function : Author
Alicia Zha
  • Function : Author
Alexandra Czap
  • Function : Author
Christine Anne Holmstedt
  • Function : Author
George Ntaios
Konark Malhotra
  • Function : Author
Ashis Tayal
  • Function : Author
Aaron Loochtan
  • Function : Author
Annamarei Ranta
  • Function : Author
Eva Mistry
  • Function : Author
Anne Alexandrov
  • Function : Author
David Huang
  • Function : Author
Shadi Yaghi
  • Function : Author
Eytan Raz
  • Function : Author
Sunil Sheth
  • Function : Author
Eric Guemekane Bila Lamou
  • Function : Author
Hany Aref
  • Function : Author
Ahmed Elbassiouny
  • Function : Author
Farouk Hassan
  • Function : Author
Tarek Menecie
  • Function : Author
Wessam Mustafa
  • Function : Author
Hossam Shokri
  • Function : Author
Tamer Roushdy
  • Function : Author
Fred Sarfo
  • Function : Author
Tolulope Oyetunde Alabi
  • Function : Author
Babawale Arabambi
  • Function : Author
Ernest Nwazor
  • Function : Author
Taofiki Ajao Sunmonu
  • Function : Author
Kolawole Wahab
  • Function : Author
Joseph Yaria
  • Function : Author
Haytham Hussein Mohammed
  • Function : Author
Philip Adebayo
  • Function : Author
Anis Riahi
  • Function : Author
Samia Ben Sassi
  • Function : Author
Lenon Gwaunza
  • Function : Author
Gift Wilson Ngwende
  • Function : Author
David Sahakyan
  • Function : Author
Aminur Rahman
  • Function : Author
Zhibing Ai
  • Function : Author
Fanghui Bai
  • Function : Author
Zhenhui Duan
  • Function : Author
Yonggang Hao
  • Function : Author
Wenguo Huang
  • Function : Author
Guangwen Li
  • Function : Author
Wei Li
  • Function : Author
Ganzhe Liu
  • Function : Author
Jun Luo
Xianjin Shang
  • Function : Author
Yi Sui
  • Function : Author
Ling Tian
  • Function : Author
Hongbin Wen
  • Function : Author
Bo Wu
  • Function : Author
Yuying Yan
  • Function : Author
Zhengzhou Yuan
  • Function : Author
Hao Zhang
  • Function : Author
Jun Zhang
  • Function : Author
Wenlong Zhao
  • Function : Author
Wenjie Zi
  • Function : Author
Thomas Leung
  • Function : Author
Vikram Huded
  • Function : Author
Bindu Menon
  • Function : Author
Jeyaraj Durai Pandian
  • Function : Author
Pn Sylaja
  • Function : Author
Fritz Sumantri Usman
  • Function : Author
Mehdi Farhoudi
  • Function : Author
Elyar Sadeghi Hokmabadi
  • Function : Author
Anat Horev
  • Function : Author
Anna Reznik
  • Function : Author
Rotem Sivan Hoffmann
  • Function : Author
Nobuyuki Ohara
  • Function : Author
Nobuyuki Sakai
  • Function : Author
Daisuke Watanabe
  • Function : Author
Ryoo Yamamoto
  • Function : Author
Ryosuke Doijiri
  • Function : Author
Naoki Tokuda
  • Function : Author
Takehiro Yamada
  • Function : Author
Tadashi Terasaki
  • Function : Author
Yukako Yazawa
  • Function : Author
Takeshi Uwatoko
  • Function : Author
Tomohisa Dembo
  • Function : Author
Hisao Shimizu
  • Function : Author
Yuri Sugiura
  • Function : Author
Fumio Miyashita
  • Function : Author
Hiroki Fukuda
  • Function : Author
Kosuke Miyake
  • Function : Author
Junsuke Shimbo
  • Function : Author
Yusuke Sugimura
  • Function : Author
Yoshiki Yagita
  • Function : Author
Yohei Takenobu
  • Function : Author
Yuji Matsumaru
  • Function : Author
Satoshi Yamada
  • Function : Author
Ryuhei Kono
  • Function : Author
Takuya Kanamaru
  • Function : Author
Hidekazu Yamazaki
  • Function : Author
Manabu Sakaguchi
  • Function : Author
Kenichi Todo
  • Function : Author
Nobuaki Yamamoto
  • Function : Author
Kazutaka Sonoda
  • Function : Author
Tomoko Yoshida
  • Function : Author
Hiroyuki Hashimoto
  • Function : Author
Ichiro Nakahara
  • Function : Author
Aida Kondybayeva
  • Function : Author
Kamila Faizullina
  • Function : Author
Saltanat Kamenova
  • Function : Author
Murat Zhanuzakov
  • Function : Author
Jang-Hyun Baek
  • Function : Author
Yangha Hwang
  • Function : Author
Jin Soo Lee
  • Function : Author
Si Baek Lee
  • Function : Author
Jusun Moon
  • Function : Author
Hyungjong Park
  • Function : Author
Jung Hwa Seo
  • Function : Author
Kwon-Duk Seo
  • Function : Author
Sung Il Sohn
  • Function : Author
Chang Jun Young
  • Function : Author
Rechdi Ahdab
  • Function : Author
Wan Asyraf Wan Zaidi
  • Function : Author
Zariah Abdul Aziz
  • Function : Author
Hamidon Bin Basri
  • Function : Author
Law Wan Chung
  • Function : Author
Aznita Binti Ibrahim
  • Function : Author
Khairul Azmi Ibrahim
  • Function : Author
Irene Looi
  • Function : Author
Wee Yong Tan
  • Function : Author
Nafisah Wan Yahya
  • Function : Author
Stanislav Groppa
  • Function : Author
Pavel Leahu
  • Function : Author
Amal Al Hashmi
  • Function : Author
Yahia Zakaria Imam
  • Function : Author
Naveed Akhtar
  • Function : Author
Maria Carissa Pineda-Franks
  • Function : Author
Christian Oliver Co
  • Function : Author
Dmitriy Kandyba
  • Function : Author
Adel Alhazzani
  • Function : Author
Hosam Al-Jehani
  • Function : Author
Carol Huilian Tham
  • Function : Author
Marlie Jane Mamauag
  • Function : Author
Chih-Hao Chen
  • Function : Author
Sung-Chun Tang
  • Function : Author
Anchalee Churojana
  • Function : Author
Esref Akil
  • Function : Author
Özlem Aykaç
  • Function : Author
Atilla Ozcan Ozdemir
  • Function : Author
Semih Giray
  • Function : Author
Syed Irteza Hussain
  • Function : Author
Seby John
  • Function : Author
Huynh Le Vu
  • Function : Author
Anh Duc Tran
  • Function : Author
Huy Hoang Nguyen
  • Function : Author
Thong Nhu Pham
  • Function : Author
Thang Huy Nguyen
  • Function : Author
Trung Quoc Nguyen
  • Function : Author
Thomas Gattringer
  • Function : Author
Christian Enzinger
  • Function : Author
Monika Killer-Oberpfalzer
Flavio Bellante
  • Function : Author
Sofie de Blauwe
  • Function : Author
Geert Vanhooren
  • Function : Author
Sylvie de Raedt
  • Function : Author
Anne Dusart
  • Function : Author
Robin Lemmens
  • Function : Author
Noemie Ligot
  • Function : Author
Matthieu Pierre Rutgers
  • Function : Author
Laetitia Yperzeele
  • Function : Author
Filip Alexiev
  • Function : Author
Teodora Sakelarova
  • Function : Author
Marina Roje Bedeković
  • Function : Author
Hrvoje Budincevic
  • Function : Author
Igor Cindric
  • Function : Author
Zlatko Hucika
  • Function : Author
David Ozretic
  • Function : Author
Majda Seferovic Saric
  • Function : Author
František Pfeifer
  • Function : Author
Igor Karpowic
  • Function : Author
David Cernik
  • Function : Author
Martin Sramek
  • Function : Author
Miroslav Skoda
  • Function : Author
Helena Hlavacova
  • Function : Author
Lukas Klecka
  • Function : Author
Martin Koutny
  • Function : Author
Daniel Vaclavik
  • Function : Author
Ondrej Skoda
  • Function : Author
Jan Fiksa
  • Function : Author
Katerina Hanelova
  • Function : Author
Miroslava Nevsimalova
  • Function : Author
Robert Rezek
  • Function : Author
Petr Prochazka
  • Function : Author
Gabriela Krejstova
  • Function : Author
Jiri Neumann
  • Function : Author
Marta Vachova
  • Function : Author
Henryk Brzezanski
  • Function : Author
David Hlinovsky
  • Function : Author
Dusan Tenora
  • Function : Author
Rene Jura
  • Function : Author
Lubomír Jurák
  • Function : Author
Jan Novak
  • Function : Author
Ales Novak
  • Function : Author
Zdenek Topinka
  • Function : Author
Petr Fibrich
  • Function : Author
Helena Sobolova
  • Function : Author
Ondrej Volny
  • Function : Author
Hanne Krarup Christensen
  • Function : Author
Nicolas Drenck
  • Function : Author
Helle Klingenberg Iversen
  • Function : Author
Claus Simonsen
  • Function : Author
Thomas Clement Truelsen
  • Function : Author
Troels Wienecke
  • Function : Author
Riina Vibo
  • Function : Author
Katrin Gross-Paju
  • Function : Author
Toomas Toomsoo
  • Function : Author
Katrin Antsov
  • Function : Author
Charlotte Cordonnier
  • Function : Author
Maria Dan
  • Function : Author
Jean-Marc Faucheux
  • Function : Author
Laura Mechtouff
Omer Eker
Emilie Lesaine
  • Function : Author
Basile Ondze
  • Function : Author
Roxane Peres
  • Function : Author
Fernando Pico
  • Function : Author
Michel Piotin
Raoul Pop
Francois Rouanet
  • Function : Author
Tatuli Gubeladze
  • Function : Author
Mirza Khinikadze
  • Function : Author
Nino Lobjanidze
  • Function : Author
Alexander Tsiskaridze
  • Function : Author
Simon Nagel
  • Function : Author
Peter Arthur Ringleb
  • Function : Author
Michael Rosenkranz
  • Function : Author
Holger Schmidt
  • Function : Author
Annahita Sedghi
  • Function : Author
Timo Siepmann
  • Function : Author
Kristina Szabo
  • Function : Author
Götz Thomalla
  • Function : Author
Lina Palaiodimou
  • Function : Author
Dimitrios Sagris
  • Function : Author
Odysseas Kargiotis
  • Function : Author
Peter Klivenyi
  • Function : Author
Laszlo Szapary
  • Function : Author
Gabor Tarkanyi
  • Function : Author
Alessandro Adami
  • Function : Author
Fabio Bandini
  • Function : Author
Paolo Calabresi
  • Function : Author
Giovanni Frisullo
  • Function : Author
Leonardo Renieri
  • Function : Author
Davide Sangalli
  • Function : Author
Anne Pirson
  • Function : Author
Maarten Uyttenboogaart
  • Function : Author
Ido van den Wijngaard
  • Function : Author
Espen Saxhaug Kristoffersen
  • Function : Author
Waldemar Brola
Małgorzata Fudala
  • Function : Author
Ewa Horoch-Lyszczarek
  • Function : Author
Michal Karlinski
  • Function : Author
Radoslaw Kazmierski
  • Function : Author
Pawel Kram
  • Function : Author
Marcin Rogoziewicz
  • Function : Author
Rafal Kaczorowski
  • Function : Author
Piotr Luchowski
  • Function : Author
Halina Sienkiewicz-Jarosz
  • Function : Author
Piotr Sobolewski
  • Function : Author
Waldemar Fryze
  • Function : Author
Anna Wisniewska
  • Function : Author
Malgorzata Wiszniewska
  • Function : Author
Patricia Ferreira
  • Function : Author
Paulo Ferreira
Luisa Fonseca
  • Function : Author
João Pedro Marto
  • Function : Author
Teresa Pinho E Melo
  • Function : Author
Ana Paiva Nunes
  • Function : Author
Miguel Rodrigues
Vítor Tedim Cruz
  • Function : Author
Cristian Falup-Pecurariu
  • Function : Author
Georgi Krastev
  • Function : Author
Miroslav Mako
  • Function : Author
María Alonso de Leciñana
  • Function : Author
Juan Arenillas
  • Function : Author
Oscar Ayo-Martin
  • Function : Author
Antonio Cruz Culebras
  • Function : Author
Exuperio Diez Tejedor
  • Function : Author
Joan Montaner
  • Function : Author
Soledad Pérez-Sánchez
  • Function : Author
Miguel Angel Tola Arribas
  • Function : Author
Alejandro Rodriguez Vasquez
  • Function : Author
Michael Mayza
  • Function : Author
Gianmarco Bernava
  • Function : Author
Alex Brehm
  • Function : Author
Paolo Machi
  • Function : Author
Urs Fischer
Jan Gralla
  • Function : Author
Patrik Michel
  • Function : Author
Marios-Nikos Psychogios
  • Function : Author
Davide Strambo
  • Function : Author
Soma Banerjee
  • Function : Author
Kailash Krishnan
  • Function : Author
Joseph Kwan
  • Function : Author
Asif Butt
  • Function : Author
Luciana Catanese
  • Function : Author
Andrew Demchuk
  • Function : Author
Thalia Field
  • Function : Author
Jennifer Haynes
  • Function : Author
Michael Hill
Houman Khosravani
  • Function : Author
Ariane Mackey
  • Function : Author
Aleksandra Pikula
  • Function : Author
Gustavo Saposnik
  • Function : Author
Courtney Anne Scott
  • Function : Author
Ashkan Shoamanesh
  • Function : Author
Ashfaq Shuaib
  • Function : Author
Samuel Yip
  • Function : Author
Miguel Barboza
  • Function : Author
Jose Domingo Barrientos
  • Function : Author
Ligia Ibeth Portillo Rivera
  • Function : Author
Fernando Gongora-Rivera
  • Function : Author
Nelson Novarro-Escudero
  • Function : Author
Anmylene Blanco
  • Function : Author
Michael Abraham
  • Function : Author
Diana Alsbrook
  • Function : Author
Dorothea Altschul
  • Function : Author
Anthony Alvarado-Ortiz
  • Function : Author
Ivo Bach
  • Function : Author
Aamir Badruddin
  • Function : Author
Nobl Barazangi
  • Function : Author
Charmaine Brereton
  • Function : Author
Alicia Castonguay
  • Function : Author
Seemant Chaturvedi
  • Function : Author
Saqib Chaudry
  • Function : Author
Hana Choe
  • Function : Author
Jae Choi
  • Function : Author
Sushrut Dharmadhikari
  • Function : Author
Kinjal Desai
  • Function : Author
Thomas Devlin
  • Function : Author
Vinodh Doss
  • Function : Author
Randall Edgell
  • Function : Author
Mark Etherton
  • Function : Author
Mudassir Farooqui
  • Function : Author
Don Frei
  • Function : Author
Dheeraj Gandhi
  • Function : Author
Mikayel Grigoryan
  • Function : Author
Rishi Gupta
  • Function : Author
Ameer Hassan
  • Function : Author
Johanna Helenius
  • Function : Author
Artem Kaliaev
  • Function : Author
Ritesh Kaushal
  • Function : Author
Priyank Khandelwal
  • Function : Author
Naim Khoury
  • Function : Author
Benny Kim
  • Function : Author
Dawn Kleindorfer
  • Function : Author
Feliks Koyfman
  • Function : Author
Vivien Lee
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Abstract

Objective To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] −11.7 to −11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI −13.8 to −12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI −13.7 to −10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2–9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.

Dates and versions

inserm-03356024 , version 1 (27-09-2021)

Identifiers

Cite

Raul Nogueira, Muhammad Qureshi, Mohamad Abdalkader, Sheila Ouriques Martins, Hiroshi Yamagami, et al.. Global Impact of COVID-19 on Stroke Care and IV Thrombolysis. Neurology, 2021, 96 (23), pp.e2824-e2838. ⟨10.1212/WNL.0000000000011885⟩. ⟨inserm-03356024⟩

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