Publication:
Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

Issued Date

2021-12-01

Resource Type

Article

ISSN

20598696
20598688

DOI

10.1136/svn-2020-000695

Other identifier(s)

2-s2.0-85103441210

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Stroke and Vascular Neurology. Vol.6, No.4 (2021), 542-552

Suggested Citation

Thanh N. Nguyen, Diogo C. Haussen, Muhammad M. Qureshi, Hiroshi Yamagami, Toshiyuki Fujinaka, Ossama Y. Mansour, Mohamad Abdalkader, Michael Frankel, Zhongming Qiu, Allan Taylor, Pedro Lylyk, Omer F. Eker, Laura Mechtouff, Michel Piotin, Fabricio Oliveira Lima, Francisco Mont'Alverne, Wazim Izzath, Nobuyuki Sakai, Mahmoud Mohammaden, Alhamza R. Al-Bayati, Leonardo Renieri, Salvatore Mangiafico, David Ozretic, Vanessa Chalumeau, Saima Ahmad, Umair Rashid, Syed Irteza Hussain, Seby John, Emma Griffin, John Thornton, Jose Antonio Fiorot, Rodrigo Rivera, Nadia Hammami, Anna M. Cervantes-Arslanian, Hormuzdiyar H. Dasenbrock, Huynh Le Vu, Viet Quy Nguyen, Steven Hetts, Romain Bourcier, Romain Guile, Melanie Walker, Malveeka Sharma, Don Frei, Pascal Jabbour, Nabeel Herial, Fawaz Al-Mufti, Atilla Ozcan Ozdemir, Ozlem Aykac, Dheeraj Gandhi, Chandril Chugh, Charles Matouk, Pascale Lavoie, Randall Edgell, Andre Beer-Furlan, Michael Chen, Monika Killer-Oberpfalzer, Vitor Mendes Pereira, Patrick Nicholson, Vikram Huded, Nobuyuki Ohara, Daisuke Watanabe, Dong Hun Shin, Pedro S.C. Magalhaes, Raghid Kikano, Santiago Ortega-Gutierrez, Mudassir Farooqui, Amal Abou-Hamden, Tatsuo Amano, Ryoo Yamamoto, Adrienne Weeks, Elena A. Cora, Rotem Sivan-Hoffmann, Roberto Crosa, Markus Möhlenbruch, Simon Nagel, Hosam Al-Jehani, Sunil A. Sheth, Victor S.Lopez Rivera, James E. Siegler, Achmad Fidaus Sani, Ajit S. Puri, Anna Luisa Kuhn, Gianmarco Bernava, Paolo Machi, Daniel G. Abud, Octavio M. Pontes-Neto, Ajay K. Wakhloo, Barbara Voetsch, Eytan Raz, Shadi Yaghi, Brijesh P. Mehta, Naoto Kimura, Mamoru Murakami, Jin Soo Lee, Ji Man Hong, Robert Fahed, Gregory Walker, Eiji Hagashi, Steve M. Cordina, Hong Gee Roh Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic. Stroke and Vascular Neurology. Vol.6, No.4 (2021), 542-552. doi:10.1136/svn-2020-000695 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77610

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Title

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

Author(s)

Thanh N. Nguyen
 Diogo C. Haussen
 Muhammad M. Qureshi
 Hiroshi Yamagami
 Toshiyuki Fujinaka
 Ossama Y. Mansour
 Mohamad Abdalkader
 Michael Frankel
 Zhongming Qiu
 Allan Taylor
 Pedro Lylyk
 Omer F. Eker
 Laura Mechtouff
 Michel Piotin
 Fabricio Oliveira Lima
 Francisco Mont'Alverne
 Wazim Izzath
 Nobuyuki Sakai
 Mahmoud Mohammaden
 Alhamza R. Al-Bayati
 Leonardo Renieri
 Salvatore Mangiafico
 David Ozretic
 Vanessa Chalumeau
 Saima Ahmad
 Umair Rashid
 Syed Irteza Hussain
 Seby John
 Emma Griffin
 John Thornton
 Jose Antonio Fiorot
 Rodrigo Rivera
 Nadia Hammami
 Anna M. Cervantes-Arslanian
 Hormuzdiyar H. Dasenbrock
 Huynh Le Vu
 Viet Quy Nguyen
 Steven Hetts
 Romain Bourcier
 Romain Guile
 Melanie Walker
 Malveeka Sharma
 Don Frei
 Pascal Jabbour
 Nabeel Herial
 Fawaz Al-Mufti
 Atilla Ozcan Ozdemir
 Ozlem Aykac
 Dheeraj Gandhi
 Chandril Chugh
 Charles Matouk
 Pascale Lavoie
 Randall Edgell
 Andre Beer-Furlan
 Michael Chen
 Monika Killer-Oberpfalzer
 Vitor Mendes Pereira
 Patrick Nicholson
 Vikram Huded
 Nobuyuki Ohara
 Daisuke Watanabe
 Dong Hun Shin
 Pedro S.C. Magalhaes
 Raghid Kikano
 Santiago Ortega-Gutierrez
 Mudassir Farooqui
 Amal Abou-Hamden
 Tatsuo Amano
 Ryoo Yamamoto
 Adrienne Weeks
 Elena A. Cora
 Rotem Sivan-Hoffmann
 Roberto Crosa
 Markus Möhlenbruch
 Simon Nagel
 Hosam Al-Jehani
 Sunil A. Sheth
 Victor S.Lopez Rivera
 James E. Siegler
 Achmad Fidaus Sani
 Ajit S. Puri
 Anna Luisa Kuhn
 Gianmarco Bernava
 Paolo Machi
 Daniel G. Abud
 Octavio M. Pontes-Neto
 Ajay K. Wakhloo
 Barbara Voetsch
 Eytan Raz
 Shadi Yaghi
 Brijesh P. Mehta
 Naoto Kimura
 Mamoru Murakami
 Jin Soo Lee
 Ji Man Hong
 Robert Fahed
 Gregory Walker
 Eiji Hagashi
 Steve M. Cordina
 Hong Gee Roh

Other Contributor(s)

Ajou University Hospital
 Gachon University
 Cleveland Clinic Abu Dhabi
 Kobe City Medical Center General Hospital
 Imam Abdulrahman Bin Faisal university
 Max Super Speciality Hospital, Saket
 CHU de Québec - Université Laval
 Universitas Airlangga
 Hospital Geral de Rio de Janeiro
 Université de Tunis El Manar, Institut National de Neurologie
 Alexandria University
 Thomas Jefferson University Hospital
 KBC Zagreb
 National Hospital Organization Osaka National Hospital
 Royal Adelaide Hospital
 Fondation Adolphe de Rothschild
 University of Ottawa
 University of Washington School of Medicine
 University of Texas Health Science Center at Houston
 Westchester Medical Center
 Swedish Medical Center, Colorado
 Nottingham University Hospitals NHS Trust
 NYU Grossman School of Medicine
 University of California, San Francisco
 Rambam Health Care Campus Israel
 Azienda Ospedaliera Careggi
 Kyorin University
 Rush University Medical Center
 Yale School of Medicine
 Cooper University Hospital
 University of Toronto
 Dalhousie University
 Paracelsus Medizinische Privatuniversitat
 Hopital de Bicetre
 University of Maryland School of Medicine
 CHU de Lyon
 Hôpitaux Universitaires de Genève
 Universidade de São Paulo
 University of Iowa Hospitals & Clinics
 Boston University School of Medicine
 Japanese Red Cross Kyoto Daini Hospital
 Boston Medical Center
 Universitätsklinikum Heidelberg
 Hopital G. et R. Laennec CHU de Nantes
 Emory University School of Medicine
 University of Massachusetts Chan Medical School
 St. Louis University School of Medicine
 Beaumont Hospital
 University of South Alabama
 University of Cape Town
 Konkuk University
 Memorial Neuroscience Institute
 Lau Medical Center
 Hue Central Hospital
 Hospital Estadual Central de Vitória
 Yokohama Brain and Spine Center
 NH Mazumdar Shah Medical Center
 Universidad de Eskişehir Osmangazi
 Centro Endovascular Neurológico
 IMS Tokyo Katsushika General Hospital
 Saga-Ken Medical Centre Koseikan
 Lahey Health
 Hospital Municipal São José
 Lahore General Hospital
 Clínica La Sagrada Familia
 Instituto de Neurocirugía Dr. Asenjo
 Xinqiao Hospital
 Iwate Prefectural Central Hospital

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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/77610

Collections

Scopus 2021