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Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020
Author(s) -
Vollmuth Christoph,
Miljukov Olga,
AbuMugheisib Mazen,
Angermaier Anselm,
Barlinn Jessica,
Busetto Loraine,
Grau Armin J.,
Guenther Albrecht,
Gumbinger Christoph,
Hubert Nikolai,
Hüttemann Katrin,
Klingner Carsten,
Naumann Markus,
Palm Frederick,
Remi Jan,
Rücker Viktoria,
Schessl Joachim,
Schlachetzki Felix,
Schuppner Ramona,
Schwab Stefan,
Schwartz Andreas,
Trommer Adrian,
Urbanek Christian,
Volbers Bastian,
Weber Joachim,
Wojciechowski Claudia,
Worthmann Hans,
Zickler Philipp,
Heuschmann Peter U.,
Haeusler Karl Georg,
Hubert Gordian Jan
Publication year - 2021
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.14787
Subject(s) - medicine , stroke (engine) , pandemic , covid-19 , thrombolysis , emergency medicine , telemedicine , disease , acute stroke , pediatrics , health care , myocardial infarction , tissue plasminogen activator , infectious disease (medical specialty) , mechanical engineering , engineering , economics , economic growth
Background and purpose The effects of the coronavirus disease 2019 (COVID‐19) pandemic on telemedical care have not been described on a national level. Thus, we investigated the medical stroke treatment situation before, during, and after the first lockdown in Germany. Methods In this nationwide, multicenter study, data from 14 telemedical networks including 31 network centers and 155 spoke hospitals covering large parts of Germany were analyzed regarding patients' characteristics, stroke type/severity, and acute stroke treatment. A survey focusing on potential shortcomings of in‐hospital and (telemedical) stroke care during the pandemic was conducted. Results Between January 2018 and June 2020, 67,033 telemedical consultations and 38,895 telemedical stroke consultations were conducted. A significant decline of telemedical ( p < 0.001) and telemedical stroke consultations ( p < 0.001) during the lockdown in March/April 2020 and a reciprocal increase after relaxation of COVID‐19 measures in May/June 2020 were observed. Compared to 2018–2019, neither stroke patients' age ( p = 0.38), gender ( p = 0.44), nor severity of ischemic stroke ( p = 0.32) differed in March/April 2020. Whereas the proportion of ischemic stroke patients for whom endovascular treatment (14.3% vs. 14.6%; p = 0.85) was recommended remained stable, there was a nonsignificant trend toward a lower proportion of recommendation of intravenous thrombolysis during the lockdown (19.0% vs. 22.1%; p = 0.052). Despite the majority of participating network centers treating patients with COVID‐19, there were no relevant shortcomings reported regarding in‐hospital stroke treatment or telemedical stroke care. Conclusions Telemedical stroke care in Germany was able to provide full service despite the COVID‐19 pandemic, but telemedical consultations declined abruptly during the lockdown period and normalized after relaxation of COVID‐19 measures in Germany.