The impact of home quarantine during COVID-19 lockdown on neurological hospitalizations, in-hospital mortality, and acute ischemic stroke management in older patients without COVID-19

Haki, Cemile; Deniz, O.

doi:10.1016/j.clineuro.2021.107027

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…This might reflect a sample bias, as our participants were drawn from those visiting primary care institutions. With the rapid evolution of technology, many inpatient hospital services have transitioned to Hospital at Home models ( 88 , 89 ), particularly evident during the COVID-19 pandemic ( 89 , 90 ). Empirical evidence supports the effectiveness of Hospital at Home in postoperative patient recovery and the management of complex conditions among older patients ( 91 ).…”

Section: Discussionmentioning

confidence: 99%

Preference of primary care patients for home-based healthcare and support services: a discrete choice experiment in China

Liu,

Du,

Liu

et al. 2024

Front. Public Health

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ImportanceThis research, utilizing discrete choice experiments, examines the preferences and willingness to pay for home-based healthcare and support services among residents in China, a country grappling with severe aging population, an area often underexplored in international scholarship.ObjectivesThis study aims to solicit the preferences of primary care patients for home-based healthcare and support services in China.Design, setting, and participantsA discrete choice experiment (DCE) was conducted on 312 primary care patients recruited from 13 community health centers in Wuhan and Kunming between January and May 2023. The experimental choice sets were generated using NGene, covering five attributes: Scope of services, health professionals, institutions, insurance reimbursements, and visiting fees.Main outcomes and measuresThe choice sets were further divided into three blocks, and each participant was asked to complete one block containing 12 choice tasks. Mixed logit models were established to estimate the relevant importance coefficients of and willingness to pay for different choices, while Latent Class Logit (LCL) modeling was conducted to capture possible preferences heterogeneity.ResultsThe relevant importance of the scope of services reached 67.33%, compared with 19.84% for service institutions and 12.42% for health professionals. Overall, respondents preferred physician-led diagnostic and treatment services. LCL categorized the respondents into three groups: Group one (60.20%) was most concerned about the scope of services, prioritizing disease diagnosis and treatment over preventive care and mental health, while group two (16.60%) was most concerned about care providers (hospitals and medical doctors were preferred), and group three (23.20%) was most concerned about financial burdens.ConclusionPrimary care patients prefer physical health and medical interventions for home-based healthcare and support services. However, heterogeneity in preferences is evident, indicating potential disparities in healthcare and support at home services in China.

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Section: Discussionmentioning

confidence: 99%

Preference of primary care patients for home-based healthcare and support services: a discrete choice experiment in China

Liu,

Du,

Liu

et al. 2024

Front. Public Health

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“…17 Strict in-hospital isolation policies can also impact the management of acute ischemic stroke, leading to increased severity and in-hospital mortality rates. 5 These not only affects acute stroke patients, but also has repercussions on general stroke patient care, including response times, treatment interventions, and stroke prevention, all of which are deteriorated after the onset of COVID-19. [17][18][19] These ndings emphasize the need for a cautious approach when settling a policy regarding infection control to ensure it does not disrupt the process for acute stroke care.…”

Section: Discussionmentioning

confidence: 99%

“…4 Emergency care system, including that for acute ischemic stroke, is not an exception. 5 The pandemic has resulted in delays in the time course of reaching to treatment for acute stroke patients, such as elongated time from symptom detection to hospital arrival in the community, leading to worse functional prognosis. 6,7 After the rst COVID-19 case in Korea, the Korean government has implemented quarantine policies, requiring suspected COVID-19 patients to be isolated at home and con rmed cases to be placed in Residential Treatment Centers.…”

Section: Introductionmentioning

confidence: 99%

Impact of in-hospital COVID-19 quarantine policy changes on quality of acute stroke care: A single center experience

Kim,

Lee,

Kim

et al. 2024

Preprint

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Background and purpose The COVID-19 pandemic is known to impact in-hospital processes for acute stroke patients, potentially resulting in delays due to quarantine and screening measures. The purpose of this study was to determine effects of changes in in-hospital quarantine policies on quality of care for acute stroke patients. Methods Hyperacute ischemic stroke patients who were admitted to Korea University Guro Hospital between January 2019 and February 2021 via the emergency department were included in this study. All had neurological symptoms within six hours before arrival. As a mandatory COVID-19 real-time PCR screening test was implemented in March 2020, changes in quality indicators according to the progress of COVID-19 pandemic and changes in in-hospital quarantine policy, including door-to-image time (DIT), door-to-referral time, door-to-needle time (DNT), door-to-puncture time (DPT), and functional outcomes (discharge and 3-month modified Rankin's scale) were determined. Results A total of 268 hyperacute stroke patients were analyzed. The number of hyperacute stroke patients gradually decreased as the pandemic progressed. Time indicators, including door-to-referral time, DIT, and DPT during the pandemic were increased. When pre- and post-COVID-19 screening epochs were compared, DIT, door-to-neurologist referral time, and DPT showed numerical increases. However, after accounting for potential confounders, a significant delay in DIT was found to be associated with the in-hospital COVID-19 quarantine policy. Conclusions Our study showed that enhancing in-hospital COVID-19 quarantine measures might increase the response time for hyperacute stroke care, suggesting an impact on the quality of care. Trial registration: Not applicable.

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“…There have been controversial results regarding the impact of the COVID-19 pandemic on the outcomes of ED patients [ 4 , 15 , 21 , 22 ]. In our study, patients with cardiovascular disease had a significant increase in mortality after COVID-19 compared with before COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on patients with cardio/cerebrovascular disease who visit the emergency department

Park

Bae

Kim

et al. 2022

The American Journal of Emergency Medicine

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The impact of home quarantine during COVID-19 lockdown on neurological hospitalizations, in-hospital mortality, and acute ischemic stroke management in older patients without COVID-19

Cited by 6 publications

References 19 publications

Preference of primary care patients for home-based healthcare and support services: a discrete choice experiment in China

Preference of primary care patients for home-based healthcare and support services: a discrete choice experiment in China

Impact of in-hospital COVID-19 quarantine policy changes on quality of acute stroke care: A single center experience

Impact of COVID-19 pandemic on patients with cardio/cerebrovascular disease who visit the emergency department

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