The impact of COVID-19 on the metrics for stroke care PLOSONE COVID19 coronavirus covid stroke pandemic
By Tarun Sai LomteOct 14 2022Reviewed by Danielle Ellis, B.Sc. A recent study published in PLOS ONE evaluated the effects of the coronavirus disease 2019 pandemic on stroke code metrics.
Reports suggest that each minute saved in the beginning increases life without sequelae by one week. The detection of calls with the suspicion of acute stroke, dispatch of an ambulance, in-situ patient assessment, selection of appropriate hospital, alerting on-duty neurologists, and rapid transfer of patients constitute the SC protocol.
The study included the SC cohort of the Emergency Medical Service of Madrid and discharge summary data from 10 hospitals with a stroke unit. Patients satisfying the SC criteria were eligible for inclusion. Patients were excluded if they lacked a health identification number or a minimum basic data set record.
In the COVID-19 period, patients were younger and predominantly male. Vital signs, CCI, the degree of severity, and mortality risk were not statistically different between the two periods. The proportion of patients undergoing pre-hospital electrogram declined by 10% during the pandemic.
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