Impact of the COVID‐19 pandemic and a national lockdown on hospitalizations for stroke and related 30‐day mortality in France: A nationwide observational study

Gabet, Amélie; Grave, Clémence; Tuppin, Philippe; Chatignoux, Édouard; Béjot, Yannick; Olié, Valérie

doi:10.1111/ene.14831

Cited by 20 publications

(28 citation statements)

References 35 publications

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“…A significantly lower number of hospital admissions of patients with myocardial infarction was reported during the lockdown compared to before the pandemic [4]. The same trend was observed for stroke [5], mental health care [6], oral cancer diagnosis [7], oncologic management [8] and diabetes [9].…”

Section: Introductionmentioning

confidence: 58%

Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic

et al. 2022

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Emergency rooms (ER) are largely used by patients with oral complaints, who choose the ER over private or public dental offices for oral prevention and treatment. During the COVID-19 pandemic, the activity of most dental facilities was limited, and most hospitals and ERs were dedicated to the treatment of COVID-19 patients. The present study analyzed the number of and reason for visits at the emergency room (ER) of Ospedale dei Bambini “Vittore Buzzi”, the main pediatric hospital in Milano, Italy, between 2019 and 2020, with a particular focus on oral emergencies. In 2019, 25,435 children turned to the ER, compared to 16,750 in 2020. About 10% of the children were eventually admitted to the hospital in both years. The number of admissions for infectious diseases, other than COVID-19, signed an important decrease in 2020, while trauma/injuries decreased slightly in number but increased in proportion. The number and proportion of ER visits for oral complaints decreased in 2020 compared to 2019. Stomatitis was the most frequent condition, followed by traumatic injuries, which decreased in number and percentage between 2019 and 2020. Oral infections and painful caries accounted for about 15% of the cases in both 2019 and 2020. These data highlight the need to promote territorial services for the prevention and treatment of oral health complaints, including dental emergencies.

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Section: Introductionmentioning

confidence: 58%

Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic

et al. 2022

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“…Gabet et al [13] reported that mortality increased during the lockdown period in France and subsequently returned to the baseline. In our study, the mortality rate peaked in the early post-period and returned to the expected rate.…”

Section: Ischemic Strokementioning

confidence: 99%

“…Delayed basic and advanced life support significantly impact the outcome of cardiac arrest [9]. The worsening outcomes of time-sensitive diseases were reported during the COVID-19 pandemic [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…The effect of the COVID-19 pandemic differs by disease entity, capacity of the healthcare system, number of COVID-19 patients, and cultural characteristics of a country or region [2][3][4][5][6][10][11][12][13][14]. During the early months of the COVID-19 pandemic, the mortality rate of cardiac arrest increased in the United States [10].…”

Section: Introductionmentioning

confidence: 99%

“…The mortality rate and adverse cardiac outcomes of acute myocardial infarction increased during this period in Korea and Germany [11,12]. The admission rate of stroke decreased, while its mortality rate increased during the lockdown period in France [13].…”

Section: Introductionmentioning

confidence: 99%

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Changes in clinical features and outcomes in three major critical diseases after COVID-19 pandemic: acute myocardial infarction, stroke, and cardiac arrest

2021

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A few months after the onset of the coronavirus Disease 2019 (COVID-19) pandemic, the worse prognoses of acute myocardial infarction, ischemic and hemorrhagic stroke, and cardiac arrest were reported. This study aimed to investigate the changes in the characteristics and prognoses of these diseases in the emergency department (ED) over a year after pandemic’s onset. This was a retrospective observational study. The year 2019 was defined as the pre-period, while the year from February 2020 to January 2021 was defined as the post-period. Adult patients diagnosed with acute myocardial infarction, ischemic stroke, hemorrhagic stroke, or cardiac arrest during the study period were included. The primary outcome was in-hospital mortality. Time series analyses using autoregressive integrated moving average (ARIMA)(p,d,q) model were performed to evaluate the changes between periods. A multivariable logistic regression analysis of factors affecting in-hospital mortality was performed. The proportions of patients with acute myocardial infarction (0.8% vs. 1.1%, p < 0.001), hemorrhagic stroke (1.0%vs. 1.2%, p = 0.011), and cardiac arrest (0.9% vs. 1.1%, p = 0.012) increased in the post-period. The post-period was independently associated with in-hospital mortality in acute myocardial infarction (adjusted odds ratio (aOR) 2.54, 95% confidence interval (95% CI) 1.06–6.08, p = 0.037) and hemorrhagic stroke (aOR 1.74, 95% CI 1.11–2.73, p = 0.016), but not for ischemic stroke or cardiac arrest. Over a year after onset of the COVID-19 pandemic in Korea, the number of patients with acute myocardial infarction, hemorrhagic stroke, and cardiac arrest in the ED increased. An independent association between the post-period and mortality was observed for acute myocardial infarction, and hemorrhagic stroke. This study provides important information for future studies and policies.

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Epidemiology, pathogenesis, and management of Coronavirus disease 2019-associated stroke

Liu,

Zhou,

Jiang

et al. 2023

Front. Med.

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Impact of the COVID‐19 pandemic and a national lockdown on hospitalizations for stroke and related 30‐day mortality in France: A nationwide observational study

Cited by 20 publications

References 35 publications

Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic

Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic

Changes in clinical features and outcomes in three major critical diseases after COVID-19 pandemic: acute myocardial infarction, stroke, and cardiac arrest

Epidemiology, pathogenesis, and management of Coronavirus disease 2019-associated stroke

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