Comparison of acute ischemic stroke care qualitybefore and during the COVID-19 pandemic in aprivate tertiary hospital in metro Manila, Philippines

[摘要] Background: The Coronavirus Disease 2019 (COVID-19) pandemic had disrupted established medicalcare systems worldwide, especially for highly time-sensitive acute conditions such as stroke. Strategiesto maintain the quality of stroke care during the COVID-19 outbreak are crucial to prevent indirectmortality and disability due to suboptimal care. Objective: We conducted a single center analysis tocompare the time-based measures for acute ischemic stroke care quality before and during the COVID-19pandemic. Methods: A retrospective study was done utilizing the Registry of Stroke Care Quality(RES-Q) database. All acute ischemic stroke patients who presented within 4.5 hours of symptomonset in Makati Medical Center were included. Patient characteristics, treatment received, in-hospitaltime-based measures of stroke care quality and clinical outcomes were compared between the twoperiods- pre-COVID-19 and COVID-19. Results: There were 151 patients during the pre-COVID-19period and 108 patients during the COVID-19 period who presented to the hospital with acute ischemicstrokes within 4.5 hours of symptom onset. There was significantly higher NIHSS scores on admissionand MRS scores on discharge during the COVID-19 period. There was no significant difference in thedoor-to-scan time, door-to-needle time and door-to-groin time between the two periods.Conclusion: There is no significant change in the acute ischemic stroke care quality on the basis ofin-hospital time-based measures: door-to-scan time, door-to-needle time, and door-to-groin time,between the pre-COVID-19 and COVID-19 periods. Further studies on pre-hospital challenges arerecommended to identify specific targets for improvements in stroke care during pandemics.

[学科分类] 精神健康和精神病学

[关键词] Stroke;COVID-19;door-to-needle time;door-to-groin time;acute stroke care