Abstract
Background During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. Methods We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. Findings There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. Interpretation There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 542-552 |
| Number of pages | 11 |
| Journal | Stroke and Vascular Neurology |
| Volume | 6 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2021 |
Keywords
- aneurysm
- coil
- haemorrhage
- infection
- subarachnoid
ASJC Scopus subject areas
- Clinical Neurology
- Cardiology and Cardiovascular Medicine
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Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic. / Nguyen, Thanh N.; Haussen, Diogo C.; Qureshi, Muhammad M.; Yamagami, Hiroshi; Fujinaka, Toshiyuki; Mansour, Ossama Y.; Abdalkader, Mohamad; Frankel, Michael; Qiu, Zhongming; Taylor, Allan; Lylyk, Pedro; Eker, Omer F.; Mechtouff, Laura; Piotin, Michel; Lima, Fabricio Oliveira; Mont'Alverne, Francisco; Izzath, Wazim; Sakai, Nobuyuki; Mohammaden, Mahmoud; Al-Bayati, Alhamza R.; Renieri, Leonardo; Mangiafico, Salvatore; Ozretic, David; Chalumeau, Vanessa; Ahmad, Saima; Rashid, Umair; Hussain, Syed Irteza; John, Seby; Griffin, Emma; Thornton, John; Fiorot, Jose Antonio; Rivera, Rodrigo; Hammami, Nadia; Cervantes-Arslanian, Anna M.; Dasenbrock, Hormuzdiyar H.; Vu, Huynh Le; Nguyen, Viet Quy; Hetts, Steven; Bourcier, Romain; Guile, Romain; Walker, Melanie; Sharma, Malveeka; Frei, Don; Jabbour, Pascal; Herial, Nabeel; Al-Mufti, Fawaz; Ozdemir, Atilla Ozcan; Aykac, Ozlem; Gandhi, Dheeraj; Chugh, Chandril; Matouk, Charles; Lavoie, Pascale; Edgell, Randall; Beer-Furlan, Andre; Chen, Michael; Killer-Oberpfalzer, Monika; Pereira, Vitor Mendes; Nicholson, Patrick; Huded, Vikram; Ohara, Nobuyuki; Watanabe, Daisuke; Shin, Dong Hun; Magalhaes, Pedro S.C.; Kikano, Raghid; Ortega-Gutierrez, Santiago; Farooqui, Mudassir; Abou-Hamden, Amal; Amano, Tatsuo; Yamamoto, Ryoo; Weeks, Adrienne; Cora, Elena A.; Sivan-Hoffmann, Rotem; Crosa, Roberto; Möhlenbruch, Markus; Nagel, Simon; Al-Jehani, Hosam; Sheth, Sunil A.; Rivera, Victor S.Lopez; Siegler, James E.; Sani, Achmad Fidaus; Puri, Ajit S.; Kuhn, Anna Luisa; Bernava, Gianmarco; Machi, Paolo; Abud, Daniel G.; Pontes-Neto, Octavio M.; Wakhloo, Ajay K.; Voetsch, Barbara; Raz, Eytan; Yaghi, Shadi; Mehta, Brijesh P.; Kimura, Naoto; Murakami, Mamoru; Lee, Jin Soo; Hong, Ji Man; Fahed, Robert; Walker, Gregory; Hagashi, Eiji; Cordina, Steve M.; Roh, Hong Gee; Wong, Ken; Arenillas, Juan F.; Martinez-Galdamez, Mario; Blasco, Jordi; Vasquez, Alejandro Rodriguez; Fonseca, Luisa; Silva, M. Luis; Wu, Teddy Y.; John, Simon; Brehm, Alex; Psychogios, Marios; Mack, William J.; Tenser, Matthew; Todaka, Tatemi; Fujimura, Miki; Novakovic, Roberta; Deguchi, Jun; Sugiura, Yuri; Tokimura, Hiroshi; Khatri, Rakesh; Kelly, Michael; Peeling, Lissa; Murayama, Yuichi; Winters, Hugh Stephen; Wong, Johnny; Teleb, Mohamed; Payne, Jeremy; Fukuda, Hiroki; Miyake, Kosuke; Shimbo, Junsuke; Sugimura, Yusuke; Uno, Masaaki; Takenobu, Yohei; Matsumaru, Yuji; Yamada, Satoshi; Kono, Ryuhei; Kanamaru, Takuya; Morimoto, Masafumi; Iida, Junichi; Saini, Vasu; Yavagal, Dileep; Bushnaq, Saif; Huang, Wenguo; Linfante, Italo; Kirmani, Jawad; Liebeskind, David S.; Szeder, Viktor; Shah, Ruchir; Devlin, Thomas G.; Birnbaum, Lee; Luo, Jun; Churojana, Anchalee; Masoud, Hesham E.; Lopez, Carlos Ynigo; Steinfort, Brendan; Ma, Alice; Hassan, Ameer E.; Al Hashmi, Amal; McDermott, Mollie; Mokin, Maxim; Chebl, Alex; Kargiotis, Odysseas; Tsivgoulis, Georgios; Morris, Jane G.; Eskey, Clifford J.; Thon, Jesse; Rebello, Leticia; Altschul, Dorothea; Cornett, Oriana; Singh, Varsha; Pandian, Jeyaraj; Kulkarni, Anirudh; Lavados, Pablo M.; Olavarria, Veronica V.; Todo, Kenichi; Yamamoto, Yuki; Silva, Gisele Sampaio; Geyik, Serdar; Johann, Jasmine; Multani, Sumeet; Kaliaev, Artem; Sonoda, Kazutaka; Hashimoto, Hiroyuki; Alhazzani, Adel; Chung, David Y.; Mayer, Stephan A.; Fifi, Johanna T.; Hill, Michael D.; Zhang, Hao; Yuan, Zhengzhou; Shang, Xianjin; Castonguay, Alicia C.; Gupta, Rishi; Jovin, Tudor G.; Raymond, Jean; Zaidat, Osama O.; Nogueira, Raul G.
In: Stroke and Vascular Neurology, Vol. 6, No. 4, 01.12.2021, p. 542-552.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic
AU - Nguyen, Thanh N.
AU - Haussen, Diogo C.
AU - Qureshi, Muhammad M.
AU - Yamagami, Hiroshi
AU - Fujinaka, Toshiyuki
AU - Mansour, Ossama Y.
AU - Abdalkader, Mohamad
AU - Frankel, Michael
AU - Qiu, Zhongming
AU - Taylor, Allan
AU - Lylyk, Pedro
AU - Eker, Omer F.
AU - Mechtouff, Laura
AU - Piotin, Michel
AU - Lima, Fabricio Oliveira
AU - Mont'Alverne, Francisco
AU - Izzath, Wazim
AU - Sakai, Nobuyuki
AU - Mohammaden, Mahmoud
AU - Al-Bayati, Alhamza R.
AU - Renieri, Leonardo
AU - Mangiafico, Salvatore
AU - Ozretic, David
AU - Chalumeau, Vanessa
AU - Ahmad, Saima
AU - Rashid, Umair
AU - Hussain, Syed Irteza
AU - John, Seby
AU - Griffin, Emma
AU - Thornton, John
AU - Fiorot, Jose Antonio
AU - Rivera, Rodrigo
AU - Hammami, Nadia
AU - Cervantes-Arslanian, Anna M.
AU - Dasenbrock, Hormuzdiyar H.
AU - Vu, Huynh Le
AU - Nguyen, Viet Quy
AU - Hetts, Steven
AU - Bourcier, Romain
AU - Guile, Romain
AU - Walker, Melanie
AU - Sharma, Malveeka
AU - Frei, Don
AU - Jabbour, Pascal
AU - Herial, Nabeel
AU - Al-Mufti, Fawaz
AU - Ozdemir, Atilla Ozcan
AU - Aykac, Ozlem
AU - Gandhi, Dheeraj
AU - Chugh, Chandril
AU - Matouk, Charles
AU - Lavoie, Pascale
AU - Edgell, Randall
AU - Beer-Furlan, Andre
AU - Chen, Michael
AU - Killer-Oberpfalzer, Monika
AU - Pereira, Vitor Mendes
AU - Nicholson, Patrick
AU - Huded, Vikram
AU - Ohara, Nobuyuki
AU - Watanabe, Daisuke
AU - Shin, Dong Hun
AU - Magalhaes, Pedro S.C.
AU - Kikano, Raghid
AU - Ortega-Gutierrez, Santiago
AU - Farooqui, Mudassir
AU - Abou-Hamden, Amal
AU - Amano, Tatsuo
AU - Yamamoto, Ryoo
AU - Weeks, Adrienne
AU - Cora, Elena A.
AU - Sivan-Hoffmann, Rotem
AU - Crosa, Roberto
AU - Möhlenbruch, Markus
AU - Nagel, Simon
AU - Al-Jehani, Hosam
AU - Sheth, Sunil A.
AU - Rivera, Victor S.Lopez
AU - Siegler, James E.
AU - Sani, Achmad Fidaus
AU - Puri, Ajit S.
AU - Kuhn, Anna Luisa
AU - Bernava, Gianmarco
AU - Machi, Paolo
AU - Abud, Daniel G.
AU - Pontes-Neto, Octavio M.
AU - Wakhloo, Ajay K.
AU - Voetsch, Barbara
AU - Raz, Eytan
AU - Yaghi, Shadi
AU - Mehta, Brijesh P.
AU - Kimura, Naoto
AU - Murakami, Mamoru
AU - Lee, Jin Soo
AU - Hong, Ji Man
AU - Fahed, Robert
AU - Walker, Gregory
AU - Hagashi, Eiji
AU - Cordina, Steve M.
AU - Roh, Hong Gee
AU - Wong, Ken
AU - Arenillas, Juan F.
AU - Martinez-Galdamez, Mario
AU - Blasco, Jordi
AU - Vasquez, Alejandro Rodriguez
AU - Fonseca, Luisa
AU - Silva, M. Luis
AU - Wu, Teddy Y.
AU - John, Simon
AU - Brehm, Alex
AU - Psychogios, Marios
AU - Mack, William J.
AU - Tenser, Matthew
AU - Todaka, Tatemi
AU - Fujimura, Miki
AU - Novakovic, Roberta
AU - Deguchi, Jun
AU - Sugiura, Yuri
AU - Tokimura, Hiroshi
AU - Khatri, Rakesh
AU - Kelly, Michael
AU - Peeling, Lissa
AU - Murayama, Yuichi
AU - Winters, Hugh Stephen
AU - Wong, Johnny
AU - Teleb, Mohamed
AU - Payne, Jeremy
AU - Fukuda, Hiroki
AU - Miyake, Kosuke
AU - Shimbo, Junsuke
AU - Sugimura, Yusuke
AU - Uno, Masaaki
AU - Takenobu, Yohei
AU - Matsumaru, Yuji
AU - Yamada, Satoshi
AU - Kono, Ryuhei
AU - Kanamaru, Takuya
AU - Morimoto, Masafumi
AU - Iida, Junichi
AU - Saini, Vasu
AU - Yavagal, Dileep
AU - Bushnaq, Saif
AU - Huang, Wenguo
AU - Linfante, Italo
AU - Kirmani, Jawad
AU - Liebeskind, David S.
AU - Szeder, Viktor
AU - Shah, Ruchir
AU - Devlin, Thomas G.
AU - Birnbaum, Lee
AU - Luo, Jun
AU - Churojana, Anchalee
AU - Masoud, Hesham E.
AU - Lopez, Carlos Ynigo
AU - Steinfort, Brendan
AU - Ma, Alice
AU - Hassan, Ameer E.
AU - Al Hashmi, Amal
AU - McDermott, Mollie
AU - Mokin, Maxim
AU - Chebl, Alex
AU - Kargiotis, Odysseas
AU - Tsivgoulis, Georgios
AU - Morris, Jane G.
AU - Eskey, Clifford J.
AU - Thon, Jesse
AU - Rebello, Leticia
AU - Altschul, Dorothea
AU - Cornett, Oriana
AU - Singh, Varsha
AU - Pandian, Jeyaraj
AU - Kulkarni, Anirudh
AU - Lavados, Pablo M.
AU - Olavarria, Veronica V.
AU - Todo, Kenichi
AU - Yamamoto, Yuki
AU - Silva, Gisele Sampaio
AU - Geyik, Serdar
AU - Johann, Jasmine
AU - Multani, Sumeet
AU - Kaliaev, Artem
AU - Sonoda, Kazutaka
AU - Hashimoto, Hiroyuki
AU - Alhazzani, Adel
AU - Chung, David Y.
AU - Mayer, Stephan A.
AU - Fifi, Johanna T.
AU - Hill, Michael D.
AU - Zhang, Hao
AU - Yuan, Zhengzhou
AU - Shang, Xianjin
AU - Castonguay, Alicia C.
AU - Gupta, Rishi
AU - Jovin, Tudor G.
AU - Raymond, Jean
AU - Zaidat, Osama O.
AU - Nogueira, Raul G.
N1 - Publisher Copyright: ©
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Background During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. Methods We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. Findings There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. Interpretation There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.
AB - Background During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. Methods We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. Findings There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. Interpretation There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.
KW - aneurysm
KW - coil
KW - haemorrhage
KW - infection
KW - subarachnoid
UR - http://www.scopus.com/inward/record.url?scp=85103441210&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103441210&partnerID=8YFLogxK
U2 - 10.1136/svn-2020-000695
DO - 10.1136/svn-2020-000695
M3 - Article
C2 - 33771936
AN - SCOPUS:85103441210
VL - 6
SP - 542
EP - 552
JO - Stroke and Vascular Neurology
JF - Stroke and Vascular Neurology
SN - 2059-8688
IS - 4
ER -