Establishing a hyperacute stroke service during the COVID-19 pandemic: our institution’s one year experience

BMC Neurology

Research

Wan Aliaa Wan Sulaiman¹  Liyana Najwa Inche Mat¹  Janudin Baharin¹  Fan Kee Hoo¹  Wei Chao Loh¹  Hamidon Basri¹  Abdul Hanif Khan Yusof Khan¹  Nur Afiqah Mohamad²  Anna Misya’il Abdul Rashid³  Aminuddin Sardi⁴  Azliza Ibrahim⁴  Fadhilah Hani Ishak⁴  Ahmad Firdaus Hanapai⁴  Mohamad Syafeeq Faeez Md Noh⁵ 

[1] Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia;Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia;Center for Foundation Studies, Foundation in Science, Lincoln University College, 47301, Petaling Jaya, Selangor, Malaysia;Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia;Institut Penyelidikan Penuaan Malaysia (MyAgeing™), Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia;Department of Neurology, Universiti Putra Malaysia Teaching Hospital, 43400, Serdang, Selangor, Malaysia;Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia;

关键词: Hyperacute stroke service;    COVID-19;    Pandemic;    Intravenous thrombolysis;    Mechanical thrombectomy;   

DOI  :  10.1186/s12883-023-03102-z

 received in 2022-09-27, accepted in 2023-02-01,  发布年份 2023

来源: Springer

【 摘 要 】

Background and aimsThe corononavirus 2019 (COVID-19) pandemic resulted in modifications in the workflow and redistribution of human resources, causing challenges in setting up of an acute stroke service. We would like to share our preliminary outcome amid this pandemic, to determine if the implementation of COVID-19 standard operating procedures (SOPs) affected the delivery of our hyperacute stroke service.MethodsWe retrospectively analyzed one-year data from our stroke registry that began with the establishment of our hyperacute stroke service at Universiti Putra Malaysia Teaching Hospital from April 2020 until May 2021.ResultsSetting up acute stroke services during the pandemic with constrained manpower and implementation of COVID-19 SOPs, was challenging. There was a significant dip of stroke admission from April to June 2020 due to the Movement Control Order (MCO) implemented by the government to curb the spread of COVID-19. However, the numbers of stroke admission steadily rose approaching 2021, after the implementation of recovery MCO. We managed to treat 75 patients with hyperacute stroke interventions i.e. intravenous thrombolysis (IVT), mechanical thrombectomy (MT) or both. Despite implementing COVID-19 SOPs and using magnetic resonance imaging (MRI) as our first line acute stroke imaging modality, clinical outcomes in our cohort were encouraging; almost 40% of patients who underwent hyperacute stroke treatment had early neurological recovery (ENR), and only 33% of patients had early neurological stability (ENS). In addition, we were able to maintain our door-to-imaging (DTI) and door-to-needle (DTN) time in line with international recommendations.ConclusionsOur data reflects that COVID-19 SOPs did not deter successful delivery of hyperacute stroke services in our center. However, bigger and multi center studies are required to support our findings.

【 授权许可】

CC BY   
© The Author(s) 2023

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