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

Publication

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

Nguyen, Thanh N
;
Haussen, Diogo C
;
Qureshi, Muhammad M
;
Yamagami, Hiroshi
;
Fujinaka, Toshiyuki
;
Mansour, Ossama Y
;
Abdalkader, Mohamad
;
Frankel, Michael
;
Qiu, Zhongming
;
Taylor, Allan
... show 10 more

Author

Nguyen, Thanh N
Haussen, Diogo C
Qureshi, Muhammad M
Yamagami, Hiroshi
Fujinaka, Toshiyuki
Mansour, Ossama Y
Abdalkader, Mohamad
Frankel, Michael
Qiu, Zhongming
Taylor, Allan
Lylyk, Pedro
Eker, Omer F
Mechtouff, Laura
Piotin, Michel
Lima, Fabricio Oliveira
Mont'Alverne, Francisco
Izzath, Wazim
Sakai, Nobuyuki
Mohammaden, Mahmoud
Al-Bayati, Alhamza R
Renieri, Leonardo
Mangiafico, Salvatore
Ozretic, David
Chalumeau, Vanessa
Ahmad, Saima
Rashid, Umair
Hussain, Syed Irteza
John, Seby
Griffin, Emma
Thornton, John
Fiorot, Jose Antonio
Rivera, Rodrigo
Hammami, Nadia
Cervantes-Arslanian, Anna M
Dasenbrock, Hormuzdiyar H
Vu, Huynh Le
Nguyen, Viet Quy
Hetts, Steven
Bourcier, Romain
Guile, Romain
Walker, Melanie
Sharma, Malveeka
Frei, Don
Jabbour, Pascal
Herial, Nabeel
Al-Mufti, Fawaz
Ozdemir, Atilla Ozcan
Aykac, Ozlem
Gandhi, Dheeraj
Chugh, Chandril
Matouk, Charles
Lavoie, Pascale
Edgell, Randall
Beer-Furlan, Andre
Chen, Michael
Killer-Oberpfalzer, Monika
Pereira, Vitor Mendes
Nicholson, Patrick
Huded, Vikram
Ohara, Nobuyuki
Watanabe, Daisuke
Shin, Dong Hun
Magalhaes, Pedro Sc
Kikano, Raghid
Ortega-Gutierrez, Santiago
Farooqui, Mudassir
Abou-Hamden, Amal
Amano, Tatsuo
Yamamoto, Ryoo
Weeks, Adrienne
Cora, Elena A
Sivan-Hoffmann, Rotem
Crosa, Roberto
Möhlenbruch, Markus
Nagel, Simon
Al-Jehani, Hosam
Sheth, Sunil A
Lopez Rivera, Victor S
Siegler, James E
Sani, Achmad Fidaus
Puri, Ajit S
Kuhn, Anna Luisa
Bernava, Gianmarco
Machi, Paolo
Abud, Daniel G
Pontes-Neto, Octavio M
Wakhloo, Ajay K
Voetsch, Barbara
Raz, Eytan
Yaghi, Shadi
Mehta, Brijesh P
Kimura, Naoto
Murakami, Mamoru
Lee, Jin Soo
Hong, Ji Man
Fahed, Robert
Walker, Gregory
Hagashi, Eiji
Cordina, Steve M
Roh, Hong Gee
Wong, Ken
Arenillas, Juan F
Martinez-Galdamez, Mario
Blasco, Jordi
Rodriguez Vasquez, Alejandro
Fonseca, Luisa
Silva, M Luis
Wu, Teddy Y
John, Simon
Brehm, Alex
Psychogios, Marios
Mack, William J
Tenser, Matthew
Todaka, Tatemi
Fujimura, Miki
Novakovic, Roberta
Deguchi, Jun
Sugiura, Yuri
Tokimura, Hiroshi
Khatri, Rakesh
Kelly, Michael
Peeling, Lissa
Murayama, Yuichi
Winters, Hugh Stephen
Wong, Johnny
Teleb, Mohamed
Payne, Jeremy
Fukuda, Hiroki
Miyake, Kosuke
Shimbo, Junsuke
Sugimura, Yusuke
Uno, Masaaki
Takenobu, Yohei
Matsumaru, Yuji
Yamada, Satoshi
Kono, Ryuhei
Kanamaru, Takuya
Morimoto, Masafumi
Iida, Junichi
Saini, Vasu
Yavagal, Dileep
Bushnaq, Saif
Huang, Wenguo
Linfante, Italo
Kirmani, Jawad
Liebeskind, David S
Szeder, Viktor
Shah, Ruchir
Devlin, Thomas G
Birnbaum, Lee
Luo, Jun
Churojana, Anchalee
Masoud, Hesham E
Lopez, Carlos Ynigo
Steinfort, Brendan
Ma, Alice
Hassan, Ameer E
Al Hashmi, Amal
McDermott, Mollie
Mokin, Maxim
Chebl, Alex
Kargiotis, Odysseas
Tsivgoulis, Georgios
Morris, Jane G
Eskey, Clifford J
Thon, Jesse
Rebello, Leticia
Altschul, Dorothea
Cornett, Oriana
Singh, Varsha
Pandian, Jeyaraj
Kulkarni, Anirudh
Lavados, Pablo M
Olavarria, Veronica V
Todo, Kenichi
Yamamoto, Yuki
Silva, Gisele Sampaio
Geyik, Serdar
Johann, Jasmine
Multani, Sumeet
Kaliaev, Artem
Sonoda, Kazutaka
Hashimoto, Hiroyuki
Alhazzani, Adel
Chung, David Y
Mayer, Stephan A
Fifi, Johanna T
Hill, Michael D
Zhang, Hao
Yuan, Zhengzhou
Shang, Xianjin
Castonguay, Alicia C
Gupta, Rishi
Jovin, Tudor G
Raymond, Jean
Zaidat, Osama O
Nogueira, Raul G

Date

2021-03-26

Keywords

Aneurysm
coil
HAEMORRHAGE
infection
subarachnoid

Files

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542.full(1).pdf

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URI

https://hdl.handle.net/10147/631735

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<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.

Language

en

eISSN

2059-8696

DOI

10.1136/svn-2020-000695

PMID

33771936

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