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Care Process of Recanalization Therapy for Acute Stroke during the COVID-19 Outbreak in South Korea

DC Field Value Language
dc.contributor.author김영대-
dc.contributor.author남효석-
dc.contributor.author이혜선-
dc.contributor.author허지회-
dc.date.accessioned2021-09-29T01:05:05Z-
dc.date.available2021-09-29T01:05:05Z-
dc.date.issued2021-01-
dc.identifier.issn1738-6586-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184185-
dc.description.abstractBackground and purpose: We aimed to determine whether the care process and outcomes in patients with acute stroke who received recanalization therapy changed during the outbreak of coronavirus disease 2019 (COVID-19) in South Korea. Methods: We used data from a prospective multicenter reperfusion therapy registry to compare the care process-including the time from symptom onset to treatment, number of treated patients, and discharge disposition-and treatment outcomes between before and during the COVID-19 outbreak in South Korea. Results: Upon the COVID-19 outbreak in South Korea, the number of patients receiving endovascular treatment to decrease temporarily but considerably. The use of emergency medical services by stroke patients increased from 91.5% before to 100.0% during the COVID-19 outbreak (p=0.025), as did the median time from symptom onset to hospital visit [median (interquartile range), 91.0 minutes (39.8-277.0) vs. 176.0 minutes (56.0-391.5), p=0.029]. Furthermore, more functionally dependent patients with disabilities were discharged home (59.5% vs. 26.1%, p=0.020) rather than staying in a regional or rehabilitation hospital. In contrast, there were no COVID-19-related changes in the times from the hospital visit to brain imaging and treatment or in the functional outcome, successful recanalization rate, or rate of symptomatic intracerebral hemorrhage. Conclusions: These findings suggest that a prehospital delay occurred during the COVID-19 outbreak, and that patients with acute stroke might have been reluctant to visit and stay in hospitals. Our findings indicate that attention should be paid to prehospital care and the behavior of patients with acute stroke during the COVID-19 outbreak.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Neurological Association-
dc.relation.isPartOfJOURNAL OF CLINICAL NEUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleCare Process of Recanalization Therapy for Acute Stroke during the COVID-19 Outbreak in South Korea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurology (신경과학교실)-
dc.contributor.googleauthorYoung Dae Kim-
dc.contributor.googleauthorHyo Suk Nam-
dc.contributor.googleauthorSung Il Sohn-
dc.contributor.googleauthorHyungjong Park-
dc.contributor.googleauthorJeong Ho Hong-
dc.contributor.googleauthorGyu Sik Kim-
dc.contributor.googleauthorKwon Duk Seo-
dc.contributor.googleauthorJoonsang Yoo-
dc.contributor.googleauthorJang Hyun Baek-
dc.contributor.googleauthorJung Hwa Seo-
dc.contributor.googleauthorJoonNyung Heo-
dc.contributor.googleauthorMinyoul Baik-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorJi Hoe Heo-
dc.identifier.doi10.3988/jcn.2021.17.1.63-
dc.contributor.localIdA00702-
dc.contributor.localIdA01273-
dc.contributor.localIdA03312-
dc.contributor.localIdA04369-
dc.relation.journalcodeJ01327-
dc.identifier.eissn2005-5013-
dc.identifier.pmid33480200-
dc.subject.keywordcoronavirus disease 2019-
dc.subject.keywordoutcome-
dc.subject.keywordreperfusion-
dc.subject.keywordstroke-
dc.subject.keywordtherapy-
dc.contributor.alternativeNameKim, Young Dae-
dc.contributor.affiliatedAuthor김영대-
dc.contributor.affiliatedAuthor남효석-
dc.contributor.affiliatedAuthor이혜선-
dc.contributor.affiliatedAuthor허지회-
dc.citation.volume17-
dc.citation.number1-
dc.citation.startPage63-
dc.citation.endPage69-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL NEUROLOGY, Vol.17(1) : 63-69, 2021-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers

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