Acute Stroke in Times of the COVID-19 Pandemic: A Multicenter Study

This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic. In this retrospective multicenter study, data on the numbe...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	Stroke (1970) Ročník 51; číslo 7; s. 2224
Hlavní autoři:	Hoyer, Carolin, Ebert, Anne, Huttner, Hagen B, Puetz, Volker, Kallmünzer, Bernd, Barlinn, Kristian, Haverkamp, Christian, Harloff, Andreas, Brich, Jochen, Platten, Michael, Szabo, Kristina
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.07.2020
Témata:	Acute Disease Aged Betacoronavirus Brain Ischemia - epidemiology Brain Ischemia - therapy Catchment Area, Health Coronavirus Infections - epidemiology COVID-19 Female Germany - epidemiology Hospitals, Special - statistics & numerical data Humans Ischemic Attack, Transient - epidemiology Male Middle Aged Pandemics Patient Acceptance of Health Care - statistics & numerical data Patient Admission - statistics & numerical data Pneumonia, Viral - epidemiology Procedures and Techniques Utilization Reperfusion - statistics & numerical data Retrospective Studies SARS-CoV-2 Stroke - epidemiology Stroke - therapy Germany brain ischemia pandemics reperfusion stroke thrombectomy
ISSN:	1524-4628, 1524-4628
On-line přístup:	Zjistit podrobnosti o přístupu
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Abstract	This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic. In this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack. Only little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers. These data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks.
AbstractList	This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic.BACKGROUND AND PURPOSEThis study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic.In this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack.METHODSIn this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack.Only little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers.RESULTSOnly little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers.These data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks.CONCLUSIONSThese data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks. This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic. In this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack. Only little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers. These data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks.
Author	Hoyer, Carolin Ebert, Anne Puetz, Volker Brich, Jochen Barlinn, Kristian Haverkamp, Christian Harloff, Andreas Platten, Michael Huttner, Hagen B Szabo, Kristina Kallmünzer, Bernd
Author_xml	– sequence: 1 givenname: Carolin surname: Hoyer fullname: Hoyer, Carolin organization: Department of Neurology, Medical Faculty Mannheim, Heidelberg University, Germany (C. Hoyer, A.E., M.P., K.S.) – sequence: 2 givenname: Anne surname: Ebert fullname: Ebert, Anne organization: Department of Neurology, Medical Faculty Mannheim, Heidelberg University, Germany (C. Hoyer, A.E., M.P., K.S.) – sequence: 3 givenname: Hagen B surname: Huttner fullname: Huttner, Hagen B organization: Department of Neurology, University Hospital Erlangen, Germany (H.B.H., B.K.) – sequence: 4 givenname: Volker surname: Puetz fullname: Puetz, Volker organization: Department of Neurology, Dresden Neurovascular Center, Carl Gustav Carus University Hospital, Technische Universität Dresden, Germany (V.P., K.B.) – sequence: 5 givenname: Bernd surname: Kallmünzer fullname: Kallmünzer, Bernd organization: Department of Neurology, University Hospital Erlangen, Germany (H.B.H., B.K.) – sequence: 6 givenname: Kristian surname: Barlinn fullname: Barlinn, Kristian organization: Department of Neurology, Dresden Neurovascular Center, Carl Gustav Carus University Hospital, Technische Universität Dresden, Germany (V.P., K.B.) – sequence: 7 givenname: Christian surname: Haverkamp fullname: Haverkamp, Christian organization: Institute of Digitalization in Medicine (C. Haverkamp), Faculty of Medicine, University of Freiburg, Germany – sequence: 8 givenname: Andreas surname: Harloff fullname: Harloff, Andreas organization: Department of Neurology and Clinical Neuroscience (A.H., J.B.), Faculty of Medicine, University of Freiburg, Germany – sequence: 9 givenname: Jochen surname: Brich fullname: Brich, Jochen organization: Department of Neurology and Clinical Neuroscience (A.H., J.B.), Faculty of Medicine, University of Freiburg, Germany – sequence: 10 givenname: Michael surname: Platten fullname: Platten, Michael organization: Department of Neurology, Medical Faculty Mannheim, Heidelberg University, Germany (C. Hoyer, A.E., M.P., K.S.) – sequence: 11 givenname: Kristina surname: Szabo fullname: Szabo, Kristina organization: Department of Neurology, Medical Faculty Mannheim, Heidelberg University, Germany (C. Hoyer, A.E., M.P., K.S.)
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32516064$$D View this record in MEDLINE/PubMed
BookMark	eNpNT8lOwzAUtFARXeAPEPKRS4qfHdsJtygUqCgqooVr5LjPIpClxMmhf08kisRpFs2MNFMyqpsaCbkENgdQcLPZvq6fFsljMgfO5kwwEcsTMgHJwyBUPBr942My9f6TMcZFJM_IWHAJiqlwQtLE9h3STdc2X0iLmm6LCj1tHO0-kKbr9-VdADF9MfUOq8Le0oQ-92VXWKw7bIdevzuck1NnSo8XR5yRt_vFNn0MVuuHZZqsAhsykAHyKBaChzlzWmmBALHjnDs5aAF5bACY4y7Powi1RWWMVjmzIE2o1eDwGbn-3d23zXePvsuqwlssS1Nj0_uMhwAyklrrIXp1jPZ5hbts3xaVaQ_Z33H-Az2iWjk
CitedBy_id	crossref_primary_10_1038_s41392_022_01039_2 crossref_primary_10_1159_000517968 crossref_primary_10_1016_j_jss_2022_07_007 crossref_primary_10_1002_hsr2_386 crossref_primary_10_1177_2474126420968407 crossref_primary_10_1016_j_jstrokecerebrovasdis_2022_106405 crossref_primary_10_1080_17434440_2021_1928495 crossref_primary_10_1161_STROKEAHA_120_033160 crossref_primary_10_1371_journal_pone_0255185 crossref_primary_10_3390_ijerph18168567 crossref_primary_10_36290_neu_2020_121 crossref_primary_10_1186_s42466_020_00094_w crossref_primary_10_1177_21514593211009657 crossref_primary_10_1161_STR_0000000000000394 crossref_primary_10_3390_life11070710 crossref_primary_10_1007_s13365_021_00948_2 crossref_primary_10_1161_STROKEAHA_120_034414 crossref_primary_10_1186_s13561_024_00577_5 crossref_primary_10_7759_cureus_14052 crossref_primary_10_1177_17474930211055878 crossref_primary_10_3390_healthcare10040604 crossref_primary_10_3389_fpubh_2020_594117 crossref_primary_10_1007_s00415_021_10488_8 crossref_primary_10_1159_000525057 crossref_primary_10_1177_23969873221139695 crossref_primary_10_1371_journal_pone_0261587 crossref_primary_10_1007_s11298_021_2076_1 crossref_primary_10_1053_j_semvascsurg_2021_05_001 crossref_primary_10_3390_jpm12050664 crossref_primary_10_2196_21608 crossref_primary_10_1007_s10072_021_05039_y crossref_primary_10_1016_j_clineuro_2022_107370 crossref_primary_10_1186_s12913_021_06297_4 crossref_primary_10_1159_000514154 crossref_primary_10_1016_j_jstrokecerebrovasdis_2022_106591 crossref_primary_10_1186_s12889_023_15375_7 crossref_primary_10_1016_j_wneu_2021_04_120 crossref_primary_10_1093_pnasnexus_pgae508 crossref_primary_10_1007_s00415_021_10819_9 crossref_primary_10_1007_s10072_020_05030_z crossref_primary_10_2147_IJGM_S335968 crossref_primary_10_3389_fneur_2020_590406 crossref_primary_10_1111_ene_15209 crossref_primary_10_1007_s00415_020_10199_6 crossref_primary_10_1055_a_1484_0224 crossref_primary_10_1186_s12875_021_01471_3 crossref_primary_10_3389_fneur_2020_611504 crossref_primary_10_1136_neurintsurg_2020_016803 crossref_primary_10_1016_j_jstrokecerebrovasdis_2021_105860 crossref_primary_10_1186_s12889_021_11838_x crossref_primary_10_1159_000514140 crossref_primary_10_1093_qjmed_hcaa334 crossref_primary_10_2147_CEG_S348574 crossref_primary_10_1038_s41598_024_83016_z crossref_primary_10_1371_journal_pone_0282045 crossref_primary_10_1007_s15005_021_1893_9 crossref_primary_10_3389_fneur_2020_584522 crossref_primary_10_1186_s12873_021_00436_0 crossref_primary_10_1007_s10072_020_04775_x crossref_primary_10_1186_s41983_022_00517_2 crossref_primary_10_3389_fneur_2022_998134 crossref_primary_10_3390_healthcare13172129 crossref_primary_10_1111_ane_13392 crossref_primary_10_3389_fneur_2020_571996 crossref_primary_10_1007_s00392_022_02074_3 crossref_primary_10_1007_s00701_020_04583_4 crossref_primary_10_4103_aian_AIAN_122_21 crossref_primary_10_1371_journal_pone_0307220 crossref_primary_10_1111_1467_9566_13848 crossref_primary_10_1111_ene_14640 crossref_primary_10_23736_S0392_9590_21_04623_X crossref_primary_10_1111_ane_13545 crossref_primary_10_1038_s41598_023_46755_z crossref_primary_10_1159_000516309 crossref_primary_10_3389_fneur_2021_682827 crossref_primary_10_1161_CIRCULATIONAHA_120_050173 crossref_primary_10_3389_fneur_2022_998758 crossref_primary_10_1016_j_jstrokecerebrovasdis_2020_105344 crossref_primary_10_1161_STROKEAHA_121_034562 crossref_primary_10_3389_fneur_2022_836422 crossref_primary_10_1371_journal_pone_0321269 crossref_primary_10_1080_15563650_2021_1874402 crossref_primary_10_1093_ehjqcco_qcad051 crossref_primary_10_3390_ijerph18189461 crossref_primary_10_1007_s10072_021_05066_9 crossref_primary_10_3390_nu15112639 crossref_primary_10_1097_WCO_0000000000000890 crossref_primary_10_3390_jcm10071357 crossref_primary_10_1038_s41598_023_31530_x crossref_primary_10_1097_WCO_0000000000000893 crossref_primary_10_1038_s41598_023_44277_2 crossref_primary_10_3389_fneur_2021_621495 crossref_primary_10_1016_j_jns_2021_117583 crossref_primary_10_1136_heartjnl_2020_318646 crossref_primary_10_1371_journal_pone_0240385 crossref_primary_10_1111_ene_14666 crossref_primary_10_1111_ene_14787 crossref_primary_10_1161_STROKEAHA_121_034150 crossref_primary_10_1182_blood_2020008248 crossref_primary_10_3390_ijerph19084769 crossref_primary_10_3390_brainsci11010092 crossref_primary_10_3389_fneur_2020_584734 crossref_primary_10_1177_23969873221089426 crossref_primary_10_1186_s42826_022_00127_2 crossref_primary_10_1111_ene_14709 crossref_primary_10_1097_HEP_0000000000000306 crossref_primary_10_1212_WNL_0000000000011885 crossref_primary_10_1016_j_hrtlng_2024_06_015 crossref_primary_10_1111_ene_15008 crossref_primary_10_1161_STROKEAHA_120_031769 crossref_primary_10_1177_1747493021991652 crossref_primary_10_1212_WNL_0000000000012578 crossref_primary_10_1159_000513097 crossref_primary_10_1177_23969873221089152 crossref_primary_10_3390_brainsci12111431 crossref_primary_10_1097_CRD_0000000000000385 crossref_primary_10_1016_j_clineuro_2022_107565 crossref_primary_10_7759_cureus_71851 crossref_primary_10_1177_17562864211029540 crossref_primary_10_1177_24741264211039960 crossref_primary_10_1136_bmjopen_2023_079625 crossref_primary_10_1016_j_clineuro_2021_107027 crossref_primary_10_3390_healthcare12111157 crossref_primary_10_1186_s42466_021_00118_z crossref_primary_10_1080_08998280_2023_2165319 crossref_primary_10_1080_19368623_2022_2058671
ContentType	Journal Article
DBID	CGR CUY CVF ECM EIF NPM 7X8
DOI	10.1161/STROKEAHA.120.030395
DatabaseName	Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic
DatabaseTitle	MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic
DatabaseTitleList	MEDLINE - Academic MEDLINE
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	no_fulltext_linktorsrc
Discipline	Medicine
EISSN	1524-4628
ExternalDocumentID	32516064
Genre	Research Support, Non-U.S. Gov't Multicenter Study Journal Article
GeographicLocations	Germany
GeographicLocations_xml	– name: Germany
GroupedDBID	--- .3C .55 .GJ .XZ .Z2 01R 0R~ 123 1J1 2WC 3O- 40H 4Q1 4Q2 4Q3 53G 5RE 5VS 6PF 71W 77Y 7O~ A9M AAAAV AAAXR AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AAQQT AARTV AASCR AASOK AAUEB AAXQO AAYEP AAYJJ ABASU ABBUW ABDIG ABJNI ABQRW ABVCZ ABXVJ ABZAD ACCJW ACDDN ACEWG ACGFS ACGOD ACIJW ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ADBBV ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEBDS AEETU AENEX AFDTB AFEXH AFFNX AFSOK AFUWQ AGINI AHMBA AHOMT AHQNM AHRYX AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AWKKM AYCSE BAWUL BCGUY BOYCO BQLVK BS7 C45 CGR CS3 CUY CVF DIK DIWNM DU5 DUNZO E.X E3Z EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL GX1 H0~ H13 HLJTE HZ~ IKREB IKYAY IN~ IPNFZ J5H JF9 JG8 JK3 JK8 K8S KD2 KMI KQ8 L-C L7B M18 N4W N9A NPM N~7 N~B N~M O9- OAG OAH OB3 OCUKA ODA ODMTH OGROG OHYEH OJAPA OK1 OL1 OLG OLH OLU OLV OLW OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWBYB OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P PQQKQ R58 RAH RHF RIG RLZ S4R S4S T8P TEORI TSPGW V2I VVN W3M W8F WH7 WOQ WOW X3V X3W X7M XXN XYM YCJ YFH YHZ YQJ YYP ZB8 ZGI ZZMQN 7X8 AAFWJ ABPXF ABXYN ABZZY ACDOF ACZKN ADKSD ADSXY AFBFQ AFMBP AFNMH AHQVU AOQMC
ID	FETCH-LOGICAL-c4015-e2893324b0f7673e119f222f50f731b9a110f2fbb88e7ce6aa76b0c15a476e7c2
IEDL.DBID	7X8
ISICitedReferencesCount	149
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00007670-202007000-00044&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1524-4628
IngestDate	Sun Sep 28 10:02:20 EDT 2025 Wed Feb 19 02:29:40 EST 2025
IsPeerReviewed	true
IsScholarly	true
Issue	7
Keywords	brain ischemia pandemics reperfusion stroke thrombectomy
Language	English
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c4015-e2893324b0f7673e119f222f50f731b9a110f2fbb88e7ce6aa76b0c15a476e7c2
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
PMID	32516064
PQID	2411585777
PQPubID	23479
ParticipantIDs	proquest_miscellaneous_2411585777 pubmed_primary_32516064
PublicationCentury	2000
PublicationDate	2020-07-00 20200701
PublicationDateYYYYMMDD	2020-07-01
PublicationDate_xml	– month: 07 year: 2020 text: 2020-07-00
PublicationDecade	2020
PublicationPlace	United States
PublicationPlace_xml	– name: United States
PublicationTitle	Stroke (1970)
PublicationTitleAlternate	Stroke
PublicationYear	2020
SSID	ssj0002385
Score	2.6499226
Snippet	This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation...
SourceID	proquest pubmed
SourceType	Aggregation Database Index Database
StartPage	2224
SubjectTerms	Acute Disease Aged Betacoronavirus Brain Ischemia - epidemiology Brain Ischemia - therapy Catchment Area, Health Coronavirus Infections - epidemiology COVID-19 Female Germany - epidemiology Hospitals, Special - statistics & numerical data Humans Ischemic Attack, Transient - epidemiology Male Middle Aged Pandemics Patient Acceptance of Health Care - statistics & numerical data Patient Admission - statistics & numerical data Pneumonia, Viral - epidemiology Procedures and Techniques Utilization Reperfusion - statistics & numerical data Retrospective Studies SARS-CoV-2 Stroke - epidemiology Stroke - therapy
Title	Acute Stroke in Times of the COVID-19 Pandemic: A Multicenter Study
URI	https://www.ncbi.nlm.nih.gov/pubmed/32516064 https://www.proquest.com/docview/2411585777
Volume	51
WOSCitedRecordID	wos00007670-202007000-00044&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings	1
isFullTextHit
isPrint
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpZ1bS8MwFICDOhFfvE_njQi-xjVt07S-SJkbE9kFN2VvJU0TGGI7dxH8955kHXsSBF8KLW0ph9Oc79xyELqN3Ax8HJYRrQKH-HAbCVNfED-kgiklwWhpO2yCd7vhaBT1y4DbrCyrXK2JdqHOCmli5HWwNBTQlnP-MPkkZmqUya6WIzQ2UcUDlDFazUfr3cLBHDG7X6rrE9ODWbbOAeTUB8OX3nMzbptgoHMHmu5F7HfItMamtf_fzzxAeyVm4nipF4doQ-VHaKdTJtKPUSOWi7nCg_m0eFd4nGPbCoILjQEIcaP39vRIaIT7JsT8MZb3OMa2VdfUcqopNtWH3yfotdUcNtqknKdAJHhRjChwrjwAqNTRPOCeojTSgAeawblH00gACmhXp2kYKi5VIAQPUkdSJnwewBW3irbyIldnCGt4B7A5l34IQAWYIBwhTIYv8zxGRVhDNyvxJKCvJgkhclUsZslaQDV0upRxMllurJGA0lBwqPzzPzx9gXZd4_raytlLVNHwt6ortC2_5uPZ9NoqAhy7_c4PP6q5LA
linkProvider	ProQuest
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Acute+Stroke+in+Times+of+the+COVID-19+Pandemic%3A+A+Multicenter+Study&rft.jtitle=Stroke+%281970%29&rft.au=Hoyer%2C+Carolin&rft.au=Ebert%2C+Anne&rft.au=Huttner%2C+Hagen+B&rft.au=Puetz%2C+Volker&rft.date=2020-07-01&rft.issn=1524-4628&rft.eissn=1524-4628&rft.volume=51&rft.issue=7&rft.spage=2224&rft_id=info:doi/10.1161%2FSTROKEAHA.120.030395&rft.externalDBID=NO_FULL_TEXT
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1524-4628&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1524-4628&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1524-4628&client=summon