Impact of COVID-19 on Stroke Admissions and the Medical Care System in the Tokyo Metropolitan Area

This study aimed to assess the number of patients with acute stroke seeking medical emergency care since the declaration of the state of emergency in the COVID-19 pandemic in the Tokyo metropolitan area of Japan. In this combined retrospective and prospective multicenter survey, data on the numbers...

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Bibliographic Details
Published in:Frontiers in neurology 2020-11, Vol.11, p.601652-601652
Main Authors: Ota, Takahiro, Shiokawa, Yoshiaki, Hirano, Teruyuki
Format: Article
Language:English
Subjects:
care system
COVID-19
Neurology
stroke
thrombectomy
Tokyo
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Summary:This study aimed to assess the number of patients with acute stroke seeking medical emergency care since the declaration of the state of emergency in the COVID-19 pandemic in the Tokyo metropolitan area of Japan. In this combined retrospective and prospective multicenter survey, data on the numbers of hospital admissions due to acute ischemic stroke, of large vessel occlusion (LVO) cases, and of reperfusion therapies performed from February to July 2020, restrictions of the medical care system, and comprehensive stroke center (CSC) scale scores were collected in 19 stroke centers in Tokyo. In the survey period, 3,456 patients were admitted with acute stroke. There was a decrease in the number of admissions (-22%), LVO (-22%), thrombolysis (-6%), and thrombectomy (-23%) during the state of emergency, but the ratio of thrombectomy to LVO cases was not different. The acceptance of acute stroke cases by emergency transport and emergent operations in the central eastern area of Tokyo, was also significantly decreased to
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2020.601652