Imperial College London
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DrPaulBentley

Faculty of Medicine, Department of Brain Sciences

Senior Clinical Research Fellow
 
 
 
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Contact

 

p.bentley

 
 
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Location

 

10L21Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kwan:2021:10.1159/000512603,
author = {Kwan, J and Brown, M and Bentley, P and D'Anna, L and Hall, C and Halse, O and Jamil, S and Jenkins, H and Kalladka, D and Patel, M and Rane, N and Singh, A and Venter, M and Lobotesis, K and Banerjee, S},
doi = {10.1159/000512603},
journal = {Cerebrovascular Diseases},
pages = {178--184},
title = {Impact of COVID-19 pandemic on a regional stroke thrombectomy service in the United Kingdom},
url = {http://dx.doi.org/10.1159/000512603},
volume = {50},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: We examined the impact of the COVID-19 pandemic on our regional stroke thrombectomy service in the UK. Methods: This was a single-centre health service evaluation. We began testing for COVID-19 on 3 March and introduced a modified “COVID Stroke Thrombectomy Pathway” on 18 March. We included 61 consecutive stroke thrombectomy patients admitted between 1 January and 30 April, and analyzed data on patient demographics, thrombectomy procedures, thrombectomy pathway time-points, and early neurological outcomes. We compared the data for January and February (“pre-COVID”, n=33) vs. March and April (“during COVID”, n=28).  Results: Patient demographics were similar between the two groups (mean age 71±12.8 years, 39% female). During the COVID-19 pandemic, a) total stroke admissions fell by 17% but the stroke thrombectomy rate was maintained at 17%; b) successful recanalization rate was maintained at 81%; c) early neurological outcomes (neurological improvement following thrombectomy and inpatient mortality) were not significantly different; d) use of general anesthesia fell significantly from 85% to 32% as intended; and e) time intervals from onset to arrival, groin puncture, and recanalization were not significantly different, whereas internal delays for external referrals were significantly reduced for door-to-groin puncture [48 (IQR 39-57) vs. 33 (IQR 27-44) minutes, p=.013] and door-to-recanalization [82·5 (IQR 61-110) vs. 60 (IQR 55-70) minutes, p=.018].Conclusion: The COVID-19 pandemic had lowered stroke admission numbers but not stroke thrombectomy rate, successful recanalization rate, or chance of a favorable outcome. Internal delays were actually reduced during the COVID-19 pandemic. Further studies can examine the effects of COVID-19 pandemic on longer term outcome after stroke thrombectomy.
AU  - Kwan,J
AU  - Brown,M
AU  - Bentley,P
AU  - D'Anna,L
AU  - Hall,C
AU  - Halse,O
AU  - Jamil,S
AU  - Jenkins,H
AU  - Kalladka,D
AU  - Patel,M
AU  - Rane,N
AU  - Singh,A
AU  - Venter,M
AU  - Lobotesis,K
AU  - Banerjee,S
DO  - 10.1159/000512603
EP  - 184
PY  - 2021///
SN  - 1015-9770
SP  - 178
TI  - Impact of COVID-19 pandemic on a regional stroke thrombectomy service in the United Kingdom
T2  - Cerebrovascular Diseases
UR  - http://dx.doi.org/10.1159/000512603
UR  - https://www.karger.com/Article/FullText/512603
UR  - http://hdl.handle.net/10044/1/83797
VL  - 50
ER  -
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