JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
The effect of COVID-19 pandemic on stroke admissions to a city
Abstract
Aims: The COVID-19 pandemic has brought about significant changes in healthcare around the world. The idea that hospital admissions due to cerebrovascular diseases may be affected during global epidemics made us do this study. In this study, we aimed to evaluate the effects of the pandemic and curfew restrictions on stroke applications and admissions in Bursa at the local level.
Methods: Our study was conducted by retrospectively scanning the patients who received treatment for cerebrovascular diseases in our hospital between 01.01.2018 and 31.12.2021. The admission dates, ages and International Classification of Diseases (ICD-10) codes of the patients included in the study were recorded. ICD-10 codes were categorized as bleeding (I60/I61/I62), infarct (I63), nonspecific (I64/I67), other (I65/I66/I68/I69) for use in analyses. Patients under the age of 18 and patients with missing file data were excluded from the study. The files of a total of 6997 patients were accessed.
Results: When in this study look at the number of patients by years, it was seen that there were 1326 people in 2018, 1562 people in 2019, 1916 people in 2020, and 2187 people in 2021. It is noteworthy that if we call the years 2018-2019, when there is no COVID-19 pandemic, as prepandemic, and if we call the years 2020-2021, when the COVID-19 pandemic is experienced, as pandemic, the cases due to infarction (I63) increase approximately twice. In the chi-square analysis we performed between categorical diagnoses and years, a statistical difference was found between years and diagnoses (p<0.001)
Conclusion: We have raised awareness about improving stroke treatment and the importance of early diagnosis and treatment. Because stroke and its complications affect human life badly. Knowing the increase and decrease of acute stroke in pandemic and non-pandemic periods, we would shed light on the pandemics we will experience in the future.

Keywords : Acute stroke, COVID-19 pandemic, quarantine

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1. Ciotti M, Ciccozzi M, Terrinoni A, Jiang W-C, Wang C-B,Bernardini S. The COVID-19 pandemic. Crit Rev Clin Lab Sci.2020;57(6):365-388.
2. Katan M, Luft A. Global burden of stroke. Thieme MedicalPublishers; 2018:208-211.
3. Wang H, Naghavi M, Allen C, et al. Global, regional, andnational life expectancy, all-cause mortality, and cause-specificmortality for 249 causes of death, 1980-2015: a systematicanalysis for the Global Burden of Disease Study 2015. Lancet.2016;388(10053):1459-1544.
4. Feigin VL, Abajobir AA, Abate KH, et al. Global, regional, and national burden of neurological disorders during 1990-2015: asystematic analysis for the Global Burden of Disease Study 2015.Lancet Neurol. 2017;16(11):877-897.
5. Feigin VL, Norrving B, Mensah GA. Global burden of stroke.Circulation Res. 2017;120(3):439-448.
6. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease andstroke statistics&mdash;2019 update: a report from the American HeartAssociation. Circulation. 2019;139(10):e56-e528.
7. Wasserman J, Perry J, Dowlatshahi D, et al. Stratified, urgent carefor transient ischemic attack results in low stroke rates. Stroke.2010;41(11):2601-2605.
8. Nogueira RG, Abdalkader M, Qureshi MM, et al. Global impactof COVID-19 on stroke care. Int J Stroke. 2021;16(5):573-584. doi.10.1177/1747493021991652
9. Yaghi S, Ishida K, Torres J, et al. SARS-CoV-2 and stroke in a NewYork healthcare system. Stroke. 2020;51(7):2002-2011.
10. Siegler J, Heslin M, Thau L, Smith A, Jovin T. Falling stroke ratesduring COVID-19 pandemic at a comprehensive stroke center. JStroke Cerebrovasc Dis. 2020;29(8):104953.
11. Teo K-C, Leung WC, Wong Y-K, et al. Delays in stroke onset tohospital arrival time during COVID-19. Stroke. 2020;51(7):2228-2231.
12. Montaner J, Barrag&aacute;n-Prieto A, P&eacute;rez-S&aacute;nchez S, et al. Breakin the stroke chain of survival due to COVID-19. Stroke.2020;51(8):2307-2314.
13. Diegoli H, Magalh&atilde;es PS, Martins SC, et al. Decrease in hospitaladmissions for transient ischemic attack, mild, and moderatestroke during the COVID-19 era. Stroke. 2020;51(8):2315-2321.
14. Hoyer C, Ebert A, Huttner HB, et al. Acute stroke in timesof the COVID-19 pandemic: a multicenter study. Stroke.2020;51(7):2224-2227.
15. Pujol-Lereis VA, Flores A, Barboza MA, et al. COVID-19lockdown effects on acute stroke care in Latin America. J StrokeCerebrovasc Dis. 2021;30(9):105985.
Article available in :
Volume 6, Issue 5, 2023
Page : 893-897
https://doi.org/10.32322/jhsm.1320080
Article Information
Received : 26 Haz 2023
Accepted : 08 Ağu 2023
Published : 28 Eyl 2023
Corresponding Author :

Salih Metin: Public Hospitals Services Presidency, Bursa Provincial Health Directorate, Bursa, Turkey

[email protected]
Citation : Metin S, Aygün H, Haki C. The effect of COVID-19 pandemic on stroke admissions to a city. J Health Sci Med. 2023;6(5):893-897.

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