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Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis.

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机构: [1]Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA. [2]Radiation Oncology, Boston Medical Center. [3]Department of Neurology, Federal University of Rio Grande do Sul, and Hospital de Clínicas de Porto Alegre, Brazil. [4]Department of Stroke Neurology, National Hospital Organization, Osaka National Hospital, Japan. [5]Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal. [6]Department of Neurology, Leuven University Hospital, Belgium. [7]International Clinical Research Center and Department of Neurology, St. Anne´s University Hospital in Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic. [8]Department of Neurology, Groeninge Hospital, Kortrijk, Kortrijk, Belgium, Department of Neurology, University Hospitals Antwerp, Antwerp, Belgium, Department of Translational Neuroscience, University of Antwerp, Belgium. [9]Department of Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey. [10]Department of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia. [11]Department of Neurology, Loyola University Chicago Stritch School of Medicine, Chicago, IL, USA. [12]Department of Neurosurgery, Kaiser Permanente Fontana Medical Center. [13]Department of Neurology, Kaiser Permanente Los Angeles Medical Center. [14]Department of Neurology, UT Health McGovern Medical School, Houston, Texas, USA. [15]Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA. [16]Department of Internal Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece. [17]Department of Neurology, Allegheny Health Network, Pittsburgh, PA, USA. [18]Department of Neurology, Ohio Health Doctors Hospital. [19]Department of Medicine and Neurology, University of Otago and Wellington Hospital, Wellington, New Zealand. [20]Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee. [21]Department of Neurology, University of Tennessee Health Center, Memphis. [22]Department of Neurology, University of North Carolina at Chapel Hill, North Carolina, USA. [23]Department of Neurology, New York University Grossman School of Medicine, New York, USA. [24]Department of Radiology, New York University Grossman School of Medicine, New York, USA. [25]Douala Gynaeco-Obstetric and Pediatric Hospital, University of Douala, Faculty of Medicine and Pharmaceutical Science, Cameroon. [26]Ain Shams University Specialized Hospital, Egypt. [27]Ain Shams University Hospital, Egypt. [28]Cairo University Affiliated MOH Network, Egypt. [29]Department of Neurology, Nasser Institute for Research and Treatment, Cairo. [30]Mansoura University Affiliated Private Hospitals Network, Egypt. [31]Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. [32]Stroke Unit, University of Ilorin Teaching Hospital, Nigeria. [33]Neurology Unit, Department of Medicine, Lagos State University Teaching Hospital, Nigeria. [34]Neurology Unit, Department of Medicine, Federal Medical Centre, Owerri, Nigeria. [35]Taofiki Ajao Sunmonu, MD, Neurology Unit, Department of Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria. [36]University College Hospital, Ibadan, Nigeria. [37]The National Ribat University Affiliated Hospitals, Khartoum, Sudan. [38]Neurology Section, Department of Internal Medicine, Aga-Khan University, Medical College East Africa, Dar es Salaam, Tanzania. [39]Tunis El Manar University, Military Hospital of Tunis, Tunisia. [40]Department of Neurology, Mongi Ben Hmida National Institute of Neurology, Faculty of Medicine of Tunis, University Tunis El Manar. [41]Department of Physiology, Parirenyatwa Hospital, University of Zimbabwe. [42]Departments of Physiology and Medicine, University of Zimbabwe. [43]Department of Cerebrovascular / Endovascular Neurosurgery Division, Erebouni Medical Center, Yerevan, Armenia. [44]Department of Neurology, Sir Salimulah College, Dhaka, Bangladesh. [45]Department of Neurology, Taihe Hospital of Shiyan City, Hubei, China. [46]Department of Neurology, Nanyang Central Hospital, Henan, China. [47]Department of Neurology, Wuhan No. 1 Hospital, Wuhan, Hubei, China. [48]Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang, China. [49]Department of Neurology, Traditional Chinese Medicine Hospital of Maoming, Guangdong, China. [50]Department of Neurology, Affiliated Hospital of Qingdao University, Shandong, China. [51]Department of Neurology, The First Affiliated Hospital of Hainan Medical College, Hainan, China. [52]Department of Neurology, Wuhan Central Hospital, Wuhan, Hubei, China. [53]Department of Neurology, Mianyang 404 Hospital, Sichuan, China. [54]Department of Neurology, Yijishan Hospital of Wannan Medical College, Anhui, China. [55]Department of Neurology and Neuroscience, Shenyang Brain Institute, Shenyang First People's Hospital, Shenyang Medical College Affiliated Brain Hospital, China. [56]Department of Neurology, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Shandong, China. [57]Department of Neurology, Xiangyang Central Hospital, Hubei, China. [58]Department of Neurology, West China Hospital, Sichuan University, Chengdu, China. [59]Department of Neurology, Affiliated Hospital of Southwest Medical University, Sichuan, China. [60]Department of Neurology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Zhejiang, China. [61]Department of Neurology, The First Affiliated Hospital of Shandong First Medical University, Shandong, China. [62]Department of Neurology, First Affiliated Hospital of Fujian Medical University, Fujian, China. [63]Acute Stroke Unit, The Prince of Wales Hospital, Kwok Tak Seng Centre for Stroke Research and Intervention, The Chinese University of Hong Kong, Hong Kong. [64]Interventional Neurology, MAX Superspecialty Hospital, Saket, New Delhi, India. [65]NH Institute of Neurosciences, NH Mazumdar Shaw Medical Center, Bangalore, India. [66], Department of Neurology, Apollo Speciality Hospitals Nellore, India. [67]Department of Neurology, Christian Medical College, Ludhiana, Punjab, India. [68]Sree Chitra Tirunal Institute for Medical Sciences and Technology, Kerala, India. [69]Stroke Unit, Pelni Hospital, Jakarta, Indonesia. [70]Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. [71]Beer Sheva Hospital, Israel. [72]Department of Interventional Neuroradiology, Rambam Health care Campus, Haifa, Israel. [73]Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan. [74]Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan. [75]Department of Stroke and Neurovascular Surgery, IMS Tokyo-Katsushika General Hospital, Tokyo, Japan. [76]Yokohama Brain and Spine Center, Japan. [77]Iwate Prefectural Central, Japan. [78]Japanese Red Cross Kyoto Daiichi Hospital, Japan. [79]Department of Neurology, Kyoto Second Red Cross Hospital, Kyoto, Japan. [80]Department of Neurology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan. [81]Department of Stroke Neurology, Kohnan Hospital, Sendai, Japan. [82]Department of Cerebrovascular Medicine, Saga-Ken Medical Centre, Saga, Japan. [83]Department of Neurology, Saitama Medical Center, Kawagoe, Japan. [84]Department of Neurology, Nara City Hospital, Nara, Japan. [85]Department of Neurology, Toyonaka Municipal Hospital, Osaka, Japan. [86]Department of Neurology, Kagoshima City Hospital, Kagoshima, Japan. [87]Department of Neurology, Japanese Red Cross Matsue Hospital, Shimane, Japan. [88]Department of Neurology, Shiroyama Hospital, Osaka, Japan. [89]Department of Cerebrovascular Medicine, Niigata City General Hospital, Niigata, Japan. [90]Department of Neurology, Sugimura Hospital, Kumamoto, Japan. [91]Stroke Medicine, Kawasaki Medical School, Okayama, Japan. [92]Department of Neurology, Osaka Red Cross Hospital, Osaka, Japan. [93]Department of Stroke Prevention and Treatment, Department of Neurosurgery, University of Tsukuba, Ibaraki, Japan. [94]Department of Neurology, Stroke Center and Neuroendovascular Therapy, Saiseikai Central Hospital, Tokyo, Japan. [95]Department of Neurology, Kin-ikyo Chuo Hospital, Hokkaido, Japan. [96]Department of Cerebrovascular Medicine, NTT Medical Center Tokyo, Japan. [97]Department of Neurology and Neuroendovascular Treatment, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Japan. [98]Department of Neurology, Osaka General Medical Center, Japan. [99]Department of Neurology, Osaka University Hospital, Japan. [100]Department of Advanced Brain Research, Tokushima University Hospital Tokushima, Japan. [101]Department of Neurology, Saiseikai Fukuoka General Hospital, Fukuoka, Japan. [102]Department of Neurology, Tane General Hospital, Osaka, Japan. [103]Division of Stroke, Department of Internal Medicine, Osaka Rosai Hospital, Osaka, Japan. [104]Department of Comprehensive Stroke, Fujita Health University School of Medicine, Toyoake, Japan. [105]Department of Neurology, Asfendiyarov Kazakh National Medical University, Kazakhstan. [106]Republican Center for eHealth, Ministry of Health of the Republic of Kazakhstan. [107]Al-Farabi Kazakh National University, Department of Medicine, Kazakhstan. [108]Kazakh-Russian Medical University, Kazakhstan. [109]Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. [110]Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, South Korea. [111]Ajou University Hospital, South Korea. [112]Department of Neurology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, South Korea. [113]Department of Neurology, National Medical Center, Seoul, South Korea. [114]Department of Neurology, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, South Korea. [115]Department of Neurology, Busan Paik Hospital, School of Medicine, Inje University, Busan, South Korea. [116]Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, South Korea. [117]Asan Medical Center, Seoul, Korea. [118]Department of Neurology, LAU Medical Center-Rizk Hospital, Beirut, Lebanon. [119]Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. [120]Sultanah Nur Zahirah, Kuala Terengganu, Malaysia. [121]University Putra Malaysia. [122]Sarawak General Hospital, Kuching, Malaysia. [123]Hospital Sultan Abdul Halim, Sungai Petani Kedah, Malaysia. [124]Hospital Seberang Jaya, Pulau Pinang, Malaysia. [125]Thomson Hospital Kota Damansara, Malaysia. [126]"Nicolae Testemitanu" State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, Department of Neurology Department, Emergency Medicine Institute, Chisinau, Republic of Moldova. [127]Department of Stroke Unit, Royal Hospital Muscat, Oman. [128]Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar. [129]St. Luke's Medical Center - Institute of Neurosciences, Philippines. [130]Endovascular Neurosurgery, Saint-Petersburg Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia. [131]Endovascular Neurosurgery, Saint-Petersburg Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia; thanh.nguyen@bmc.org. [132]Department of Neurology, Stroke Unit, King Saud University, College of Medicine, Riyadh, Saudi Arabia. [133]Department of Neurosurgery, Interventional Radiology, and Critical Care Medicine, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Saudi Arabia. [134]Singapore National Neuroscience Institute, Singapore. [135]Changi General Hospital, Singapore. [136]Neuroscience Center, Raffles Hospital, Singapore. [137]Department of Neurology, National Taiwan University Hospital, Taiwan. [138]Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. [139]Dicle University Medical School and Hospital, Diyarbakir, Turkey. [140]Stroke and Neurointervention Unit, Eskisehir Osmangazi University, Turkey. [141]Gaziantep University Faculty of Medicine, Turkey. [142]Department of Neurology, Neurological Institute at Cleveland Clinic Abu Dhabi, United Arab Emirates. [143]Stroke Center, Hue Central Hospital, Hue, Vietnam. [144]Stroke Department, Da Nang Hospital, Da Nang City, Vietnam. [145]115 People's Hospital, Vietnam; thanh.nguyen@bmc.org. [146]115 People's Hospital, Vietnam. [147]Department of Neurology, Medical University of Graz, Austria; thanh.nguyen@bmc.org. [148]Neurology, Research Institute of Neurointervention, University Hospital Salzburg / Paracelsus Medical University, Salzburg, Austria. [149]Department of Neurology, Centre Hospitalier de l'Universite Charleroi, Belgium. [150]Department of Neurology, Sint Jan Hospital, Bruges, Belgium. [151]Department of Neurology, Brussels University Hospital (UZ Brussel), Belgium. [152]Department of Neurology, Centre Hospitalier Universitaire de Charleroi, Belgium. [153]Department of Neurology, ULB Erasme Hospitals Brussels, Brussels, Belgium. [154]Department of Neurology, Europa Hospitals Brussels, Brussels, Belgium. [155]Department of Neurology, Antwerp University Hospital, Antwerp, Belgium. [156]Neurology Clinic, St. Anna University Hospital, Sofia, Bulgaria. [157]Department of Neurology, Sestre Milosrdnice University Hospital, Zagreb, Croatia. [158]Department of Neurology, Sveti Duh University Hospital, Zagreb, Croatia. [159]Department of Neurology, General Hospital Virovitica, Croatia. [160]Department of Neurology, General Hospital Zabok, Croatia. [161]Department of Radiology, University Hospital Centre Zagreb, Croatia. [162]Regional Hospital Karlovy Vary, Czech Republic. [163]Masaryk Hospital Usti nad Labem, Czech Republic. [164]Military University Hospital Praha, Czech Republic. [165]Oblastní Nemocnice Náchod, Czech Republic. [166]Regional Hospital Pribram, Czech Republic. [167]Municipal Hospital Ostrava, Czech Republic. [168]Hospital Mlada Boleslav, Czech Republic. [169]Hospital Vitkovice, Czech Republic. [170]Hospital Jihlava, Czech Republic. [171]General University Hospital Praha, Czech Republic. [172]Hospital Litomysl, Czech Republic. [173]Hospital České Budejovice, Czech Republic. [174]Hospital Pisek, Czech Republic. [175]Hospital Uherske Hradiste, Czech Republic. [176]Hospital Prostejov, Czech Republic. [177]Regional Hospital Chomutov, Czech Republic. [178]Hospital Teplice, Czech Republic. [179]Mining Hospital Karvina, Czech Republic. [180]Thomayer Hospital Praha, Czech Republic. [181]Hospital Blansko, Czech Republic. [182]University Hospital Brno, Czech Republic. [183]Regional Hospital Liberec, Czech Republic. [184]Hospital Ceska Lipa, Czech Republic. [185]Hospital Sokolov, Czech Republic. [186]Regional Hospital Kolin, Czech Republic. [187]Hospital Trutnov, Czech Republic. [188]Hospital Trinec, Czech Republic. [189]Department of Neurology, University Hospital Ostrava, Faculty of Medicine, Masaryk University, Brno, Czech Republic. [190]Bispebjerg Hospital, University of Copenhagen, Denmark. [191]Bispebjerg Hospital, University of Copenhagen, Denmark Stroke Center, Rigshospitalet, University of Copenhagen, Denmark. [192]Aarhus University Hospital, Aarhus, Denmark. [193]Sjaelland University Hospital, Zealand University Hospital, Roskilde, Denmark. [194]Neurology Clinic, West Tallinn Central Hospital, Tallinn, Estonia. [195]Center of Neurology, East Tallinn Central Hospital, School of Natural Sciences and Health, Tallinn University, Tallinn, Estonia. [196]Internal Medicine Clinic, Pärnu Hospital, Pärnu, Estonia. [197]Université Lille, Inserm, CHU Lille, Lille Neuroscience & Cognition, Lille, France. [198]Centre Hospitalier d'Arcachon, Gujan-Mestras, France. [199]Centre Hospitalier d'Agen, Agen, France. [200]Neurologie Vasculaire, Hospices Civils de Lyon, Hôpital Pierre Wertheimer, Bron, France. [201]Neuroradiologie, Hospices Civils de Lyon, Hôpital Pierre Wertheimer, Bron, France. [202]Centre Hospitalier et Universitaire de Bordeaux. [203]Centre Hospitalier de Mont de Marsan, France. [204]Neurologie, Fondation Ophtalmologique Adolphe de Rothschild, France. [205]Versailles Saint-Quentin-en-Yvelines University, Versailles, France. [206]Neuroradiologie Interventionelle, Fondation Ophtalmologique Adolphe de Rothschild, France. [207]Neuroradiologie Interventionelle, Hôpitaux Universitaires de Strasbourg, France. [208]K.Eristavi National Center of Experimental and Clinical Surgery, Tbilisi, Georgia. [209]Department of Neurosurgery, New Vision University Hospital, Tbilisi, Georgia and Vivamedi Medical Center, Georgia. [210]Pineo Medical Ecosystem, Tbilisi, Georgia. [211]Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia. [212]Department of Neurology, University Hospital Heidelberg, Germany. [213]Department of Neurology, Albertinen Krankenhaus, Hamburg, Germany. [214]Department of Neurology, Elbe Klinken Stade, Stade, Germany, University Medical Center Göttingen, Germany. [215]Department of Neurology, University Hospital Carl Gustav Carus, Dresden, Germany. [216]Kristina Szabo, MD, Department of Neurology, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany. [217]Klinik und Poliklinik für Neurologie, Kopf- und Neurozentrum, Universitätsklinikum Hamburg-Eppendorf, Germany. [218]Second Department of Neurology, Stroke Unit, Metropolitan Hospital, Piraeus, Greece. [219]University of Szeged, Szeged, Hungary. [220]University of Pecs, Hungary. [221]Stroke Center, IRCCS Istituto di Ricovero e Cura a Carattere Scientifico, Negrar, Verona, Italy. [222]Department of Neurology, Ospedale San Paolo, Savona, Italy. [223]Institute of Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy. [224]Interventional Neurovascular Unit, Careggi University Hospital, Florence, Italy. [225]Stroke Unit, Azienda Socio Sanitaria Territoriale (ASST) di Lecco, Italy. [226]Maastricht University Medical Center. [227]Department of Neurology, Radiology, University Medical Center Groningen, Groningen. [228]Department of Neurology, Haaglanden Medical Center, the Hague, the Netherlands. [229]Department of Neurology, Akershus University Hospital, Lørenskog, General Practice, HELSAM, University of Oslo, Oslo, Norway. [230]Neurological Ward with Stroke Unit, Specialist Hospital in Konskie, Gimnazjalna, Poland. [231]Neurological Ward with Stroke Unit, District Hospital in Skarzysko-Kamienna, Poland. [232]Department of Neurology, Szpitala im. T. Marciniaka in Wroclaw, Poland. [233]2 Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland. [234]Department of Neurology and Cerebrovascular Disorders, Poznan University of Medical Sciences, Poznan, Poland. [235]107 Military Hospital with Polyclinic, Walcz, Poland. [236]Department of Neurology, St. Queen Jadwiga, Clinical Regional Hospital No. 2, Rzeszow, Poland. [237]Department of Neurology, Medical University of Lublin, Lublin, Poland. [238]1 Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland. [239]Department of Neurology and Stroke Unit, Holy Spirit Specialist Hospital in Sandomierz, Collegium Medicum Jan Kochanowski University in Kielce, Poland. [240]Copernicus PL, Neurology and Stroke Department, Hospital M. Kopernik, Gdansk, Poland. [241]Stroke Unit, Neurological Department, Stanislaw Staszic University of Applied Sciences, Pila, Poland. [242]Hospital São José, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal. [243]Stroke Unit, Hospital Pedro Hispano, Matosinhos. [244]Department of Neurology, Neuroradiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal. [245]Department of Neurology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal. [246]Department of Neurosciences, Hospital de Santa Maria-CHLN, North Lisbon University Hospital, Lisbon, Portugal. [247]Department of Neurology, Hospital Garcia de Orta, Portugal. [248]Department of Neurology, Transilvania University, Brasov, Romania. [249]Department of Neurology, Faculty Hospital Trnava, Slovakia. [250]Department of Neurology and Stroke Center, Hospital Universitario La Paz, Madrid, Spain. [251]Department of Neurology, Hospital Clínico Universitario, Universidad de Valladolid, Valladolid, Spain. [252]Department of Neurology, Complejo Hospitalario Universitario de Albacete, Spain. [253]Department of Neurology, Unidad de Ictus. Hospital Universitario Ramon y Cajal, Madrid, Spain. [254]Department of Neurology, Hospital Universitario Virgen Macarena & Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla-IbiS, Seville, Spain. [255]Rio Hortega University Hospital. University of Valladolid. [256]Cerebrovascular Diseases, Hospital Clinic of Barcelona, Spain. [257]Department of Neurology, Karolinska University Hospital and Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. [258]Department of Interventional Neuroradiology, University Hospitals of Geneva, Switzerland. [259]Department of Interventional and Diagnostic Neuroradiology, Radiology and Nuclear Medicine, University Hospital Basel, Switzerland. [260]Department of Neurology, University of Bern, Bern, Switzerland. [261]Department of Neuroradiology, University of Bern, Bern, Switzerland. [262]Department of Neuroscience, Lausanne University Hospital, Lausanne, Switzerland. [263]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK. [264]Department of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, United Kingdom. [265]Department of Neurology, University of Alberta, Edmonton, Canada. [266]Department of Neurology, McMaster University, Hamilton, Canada. [267]Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Canada. [268]Department of Neurology, University of British Columbia, Vancouver, British Columbia, Canada. [269]Mackenzie Health. [270]Department of Neurology, Sunnybrook Health Sciences Centre, University of Toronto, Canada. [271]Department of Neurology, Hopital Enfant Jesus, Centre Hospitalier de l'Universite Laval, Quebec City, Canada. [272]Department of Neurology, University of Toronto, Canada. [273]Medicine, St. Michael's Hospital, University of Toronto, Canada. [274]Department of Neurosciences, Hospital Dr. Rafael A. Calderon Guardia, CCSS. San Jose, Costa Rica. [275]Neurovascular Service, Hospital General San Juan de Dios, Guatemala City. [276]Department of Neurología, Hospital General de Enfermedades, Instituto Guatemalteco de Seguridad Social, Guatemala. [277]Department of Neurology, University Hospital Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Mexico. [278]Pacífica Salud - Hospital Punta Pacífica, Panama. [279]Department of Neurology, Radiology, University of Kansas Medical Center, Kansas. [280]Department of Neurointerventional Neurosurgery, Valley Baptist. [281]Palmetto General Hospital, Tenet, Florida, USA. [282]Neurology, University Hospital Newark, New Jersey Medical School, Rutgers, Newark, NJ, USA. [283]Community Healthcare System, Munster, Indiana. [284]Department of Neurology, California Pacific Medical Center, CA. [285]Department of Neurology, Mount Sinai South Nassau, New York, USA. [286]University of Toledo, Ohio, USA. [287]Department of Neurology, University of Maryland School of Medicine, USA. [288]Neuroscience, Inova Fairfax Hospital, Virginia. [289]Department of Neurology, Abington Jefferson Hospital, Pennsylvania. [290]Baptist Health Medical Center, Little Rock, Arkansas, USA. [291]Department of Neurology, HCA Houston Healthcare Clearlake, Texas, USA. [292]Department of Neurology, Erlanger, Tennessee, USA. [293]Wilmington North Carolina. [294]Department of Vascular and Neurointerventional Services, St. Louis University. [295]Department of Neurology, Massachusetts General Hospital, Boston, USA. [296]Department of Neurology, Neurosurgery, and Radiology, University of Iowa Hospitals and Clinics, USA. [297]Department of Radiology, Swedish Medical Center, Englewood, Colorado, USA. [298]Department of Radiology, Neurosurgery, University of Maryland School of Medicine, USA. [299]Adventist Health Glendale Comprehensive Stroke Center, Los Angeles, CA, USA. [300]Wellstar Neuroscience Institute, Marietta, Georgia, USA. [301]Department of Neurology, University of Texas Rio Grande Valley-Valley Baptist Medical Center, Texas, USA. [302]Department of Neurology, Lahey Hospital & Medical Center, Beth Israel Lahey Health, Burlington, USA. [303]Department of Neurology, Wayne State, Detroit, USA. [304]HSHS St. John's Hospital, Southern Illinois University School of Medicine, Springfield, USA. [305]Virginia Hospital Center, USA. [306]Department of Neurology, University of Michigan, USA. [307]Weill-Cornell Medical College, New York-Presbyterian Queens, New York, USA. [308]Department of Neurology, Ohio State University, USA. [309]Department of Neurology, Tufts Medical Center, Boston, USA. [310]Vascular and Neurointerventional Services, St. Louis University. [311]Vascular Institute, Florida, USA. [312]Department of Neurology, Oregon Health & Science University, USA. [313]Department of Emergency Medicine, Steward Holy Family Hospital, MA, USA. [314]Vidant Medical Center, Greenville, North Carolina. [315]Department of Neurology, University of Miami Miller School of Medicine, Florida, USA. [316]Department of Neurology, SUNY Upstate New York, USA. [317]Memorial Neuroscience Institute, Pembroke Pines, Florida, USA. [318]Neurosciences, Spectrum Health, Michigan State University College of Medicine, Grand Rapids, MI. [319]Sutter Health, Sacramento, California. [320]Department of Neurology, Maine Medical Center, Portland, Maine, USA. [321]Department of Neurology, Bayhealth, Dover, Delaware, USA. [322]Department of Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA. [323]Department of Neurology, University of Arkansas for Medical Sciences, USA. [324]Department of Radiology and Neurology, UT Southwestern Medical Center, Dallas, Texas, USA. [325]Department of Neurology, Mount Sinai South Nassau, New York, USA; thanh.nguyen@bmc.org. [326]Ascension St. John Medical Center, Tulsa Oklahoma, USA. [327]Riverside Regional Medical Center, Newport, Virginia, USA. [328]Department of Neurology, Boston University School of Medicine, Boston, MA, USA. [329]Department of Neurology, Hospital of the University of Pennsylvania, USA. [330]Department of Neurology, University of Washington School Medicine, Seattle, USA. [331]Department of Neurology, University of Massachusetts Medical Center, Worcester, MA, USA. [332]Department of Neurology, CHI-Immanuel Neurological Institute, Creighton University, Omaha, Nebraska, USA. [333]Holy Cross Hospital, Fort Lauderdale, Florida, USA. [334]Department of Neurology, Interventional Neuroradiology, University of California in Los Angeles, Los Angeles, USA. [335]Banner Desert Medical Center, AZ USA; Hospital de Agudos Dr. Ignacio Privano, Argentina. [336]Institute for Neurological Research, FLENI, Buenos Aires, Argentina. [337]Hospital das Clinicas / Sao Paulo University, Brazil. [338]Sumare State Hospital, Brazil. [339]Hospital Vera Cruz, Deus Campinas, Brazil. [340]Irmanandade Santa Casa de Porto Alegre, Brazil. [341]Stroke Unit, Hospital Geral de Fortaleza, Fortaleza-CE, Brazil. [342]Stroke Unit, Hospital Sao Jose, Joinville, Santa Catarina, Brazil. [343]Stroke Unit, Neurology, Nossa Senhora da Conceição Hospital, Porto Alegre, Brazil. [344]Department of Neurology, Hospital Moinhos de Vento, Porto Alegre, Brazil. [345]Department of Neurology, Hospital de Base do Distrito Federal, Brazil. [346]Hospital Ana, Hospital Juliane, Federal University of Parana, Curitiba, Brazil. [347]Vascular Neurology Unit, Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. [348]Hospital Padre Hurtado. Santiago, Chile. [349]Fundación Valle del Lili, Cali, Colombia. [350]Stroke Center, Fundación Santa Fe, Colombia. [351]Department of Neurology, Hospital Departamental Universitario del Quindio San Juan de Dios, Armenia, Colombia. [352]Clinica Universitaria Colombia, Colombia. [353]University Hospital of San Vicente Foundation, Medellin, Colombia. [354]Barranquilla, Colombia. [355]Hospital Infantil Universitario de San Jose, Bogota, Colombia. [356]Stroke Unit, Hospital de Clínicas, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Colombia. [357]Neurology Service, Hospital Central del Instituto de Prevision Social, Colombia. [358]Internal Medicine Service, Hospital Central de Policia "Rigoberto Caballero", Colombia. [359]National Institute of Neurological Sciences of Lima Peru. [360]Hospital Edgardo Rebagliati Martins Lima-Peru. [361]Department of Neurology, Royal Melbourne Hospital, Melbourne, Australia. [362], Department of Neurology, Sir Charles Gairdner Hospital, The University of Western Australia, Perth, Australia. [363]University of Melbourne, Ballarat Health Service, Australia University of Melbourne, Australia. [364]Department of Neurology, Royal Adelaide Hospital, Adelaide, Australia. [365]Department of Neurosurgery, Royal North Shore Hospital, Sydney, Australia. [366]Department of Neurology, Mater Hospital and Health Care, Brisbane, Australia. [367]Department of Neurology, Austin Health, Victoria, Australia and Florey Institute of Neuroscience and Mental Health. [368]Greymouth Base Hospital, Greymouth, New Zealand. [369]Department of Neurology, Christchurch Hospital, Christchurch, New Zealand. [370]Department of Neurology, University of California in Los Angeles, Los Angeles, USA. [371]Department of Neurology, Mercy Health Neurosciences, USA. [372].Department of Neurology, Mercy Health Neurosciences, USA.
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The objectives of this study were to measure the global impact of the pandemic on the volumes for intravenous thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with two control 4-month periods. 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 and/or classifications in stroke databases. 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%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 two later (May, June) versus the two earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.3% (1,722/52,026) of all stroke admissions. 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 COVID19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months. © 2021 American Academy of Neurology.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学
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大类 | 1 区 医学
小类 | 1 区 临床神经病学
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Q1 CLINICAL NEUROLOGY
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Q1 CLINICAL NEUROLOGY

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第一作者机构: [1]Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA.
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