Effect of pandemic of COVID-19 on the onset to door time of patients with acute ischemic stroke
- VernacularTitle: 新型冠状病毒肺炎疫情对急性缺血性卒中患者就诊时间的影响
- Author:
Liqiong ZHOU
1
;
Ruxiang WANG
1
;
Xiaofan CHU
1
Author Information
- Publication Type:Journal Article
- Keywords: COVID-19; Stroke; Onset to door time; Influencing factors analysis
- From: Journal of Apoplexy and Nervous Diseases 2020;37(5):406-408
- CountryChina
- Language:Chinese
- Abstract: Objective To confirm the effect of the pandemic on the health seeking behavior of patients by analyzing the changes of onset to door time（ODT） of patients with acute ischemic stroke（AIS） before and after the pandemic of COVID-19.Methods Consecutive cases of hospitalized patients with AIS who visited the University of Hong Kong-Shenzhen Hospital in the same time span and at different periods were collected，including 100 cases in the pre-pandemic group（pre-PG），64 cases in the post-pandemic group（post-PG），and 86 cases in the Spring Festival group（SFG-19） in 2019.The chi-square test or t-test were used to analyze changes of ODT；Patients whose ODT more than 12 hours in post-PG were followed up，and descriptive statistics were performed on the reasons for delay of arrival. Results The ODT of the post-PG was significantly prolonged compared with the pre-PG ［（38.8±69.9） hours vs （17.9±26.7） hours，P<0.05］，and the SFG-19 ［（38.8±69.9） hours vs （20.0±27.6）hours，P<0.05］. The proportion of ODT within 4.5 hours （28.1% vs 44%，P<0.05），6 hours （31.2% vs 48%，P<0.05），and 24 hours （62.5% vs 79%，P<0.05） in the post-PG was significantly less than the pre-PG. The proportion of ODT within 4.5 hours （28.1% vs 44.2%，P<0.05） and 6 hours （31.2% vs 48.8%，P<0.05） in the post-PG was significantly less than the SFG-19，but there was no significant difference in 24 hours （62.5% vs 74.4%，P>0.05）. The follow-up questionnaire found that the main reason for the delay of ODT as below：fear of infection with the virus，lack of knowledge about stroke，and insufficient attention，accounting for 66%，40%，and 37% of the respondents，respectively. Conclusion The pandemic of COVID-19 significantly delay the ODT of patients with AIS and adversely affect its treatment.
- Full text:2024080123232266322Effect of pandemic of COVID-19 on the onset to door time of patients with acute ischemic stroke.pdf
