Research Article
Year 2024,
Volume: 10 Issue: 1, 124 - 130, 01.01.2024
Abstract
Amaç: Bu retrospektif çalışmanın amacı, pandemi sırasında zorunlu tecrit nedeniyle fiziksel aktivitesi kısıtlanan bireylerde inme insidansının ne ölçüde etkilendiğini belirlemektir.
Gereç ve Yöntem: Çalışma popülasyonu, Mart 2019 ile Şubat 2021 tarihleri arasında Kayseri EMS'yi aktive eden inme, subaraknoid kanamalar, serebrovasküler durumlar, serebrovasküler hastalıklar, subdural kanamalar, hemipleji ve hemiparezi ICD kodlarına sahip hastalardan oluşmaktadır.
Bulgular: Görevlendirilen EMS ekibinin inme hastalarına Covid-19 pandemisi öncesinde ulaştığı ortalama süre 7,69±5,85 idi. Covid-19 sürecinde hastaya ortalama ulaşım süresi 8,94±6,51 olarak bulundu. Covid-19 sırasında ambulans taşıma süreleri daha uzundu ve istatistiksel olarak anlamlıydı.
Sonuç: Türkiye'de yapılan bu tek merkezli çalışma sonucunda Covid-19 pandemisinin inme hastalarının EMS uygulamalarını etkilemediği gözlemlenmiştir. Daha kapsamlı çok merkezli çalışmaların yapılması önerilmektedir.
Keywords
Supporting Institution
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Project Number
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Thanks
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References
- 1- Guzik, A., Bushnell C. Stroke Epidemiology and Risk Factor Management. Continuum (Minneap Minn). 2017 Feb;23(1, Cerebrovascular Disease):15-39. doi: 10.1212/CON.0000000000000416. PMID: 28157742.
- 2- Wang, J., Wen, X., Li, W., Li, X., Wang, Y., Lu, W. Risk Factors for Stroke in the Chinese Population: A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis. 2017;26(3):509-517. doi: 10.1016/j.jstrokecerebrovasdis.2016.12.002. Epub 2016 Dec 29. PMID: 28041900.
- 3- Midi, İ., & Afşar, N. İnme risk faktörleri. Klinik Gelişim, 2010;10(1), 1-14.
- 4- Karatepe, A. G., Kaya, T., Şen, N., Günaydin, R., Gedızlığlu, M. İnmeli Hastalarda Risk Faktörleri ve Fonksiyonel Bağımsızlık ile İlişkisi. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 2007;53(3).
- 5- Uzuner, N., Kutluk, K., Balkan, S. İnme tanı ve tedavi klavuzu. Türk beyin damar hastalıkları derneği yayınları. 2015, ss:17
- 6- Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., Agha, R. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International journal of surgery (London, England), 2020;78, 185.
- 7- Buck, T., Arnold, M., Chazan, G., Cookson, C. Coronavirus declared a pandemic as fears of economic crisis mount. Financial Times. 2020 https://www. ft. com/content/d72f1e54-6396-11eab3f3-fe4680ea68b5. Accessed, 20.
- 8-Barranco, R., Ventura, F. Covid-19 and infection in health-care workers: An emerging problem. Med Leg J. 2020;88(2):65-66. doi: 10.1177/0025817220923694.
- 9- Korkut Gençalp, D .Evaluation of Dietary Habits and Physical Activity Status of Paramedic Students in COVID-19 Outbreak Period . Journal of Paramedic and Emergency Health Services, 2020;(1):1-15 .
- 10- Tsai, L. K., Hsieh, S. T., Chang, Y. C. Neurological manifestations in severe acute respiratory syndrome. Acta Neurol Taiwanica 2005;(3):113–119
- 11- Markus, H. S., Brainin, M. COVID-19 and stroke – a global World Stroke Organization perspective. Int J Stroke 2020; 15: 361–64
- 12- Siegler, J. E., Heslin, M. E., Thau, L., Smith, A., Jovin, T. G. Falling stroke rates during COVID-19 pandemic at a comprehensive stroke center. Journal of Stroke and Cerebrovascular Diseases, 2020;29(8), 104953.
- 13- Fifi, J. T., Mocco, J. COVID-19 related stroke in young individuals. The Lancet Neurology, 2020;19(9), 713-715.
- 15- Nannoni, S., de Groot, R., Bell, S., Markus, H. S. Stroke in COVID-19: a systematic review and meta-analysis. International Journal of Stroke, 2021;16(2), 137-149.
- 16- Mao, L., Jin, H., Wang, M., et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. Epub ahead of print 10 April 2020; 77(6): 683-90 DOI:10.1001/jamaneurol.2020.1127.
- 17- Requena, M., Olivé-Gadea, M., Muchada, M., García-Tornel, Á., Deck, M., Juega, J., Ribo, M. COVID-19 and stroke: incidence and etiological description in a high-volume center. Journal of Stroke and Cerebrovascular Diseases, 2020;29(11)
- 18- Bullrich, M. B., Fridman, S., Mandzia, J. L., Mai, L. M., Khaw, A., Gonzalez, J. C. V., Sposato, L. A. COVID-19: stroke admissions, emergency department visits, and prevention clinic referrals. Canadian Journal of Neurological Sciences, 2020;47(5), 693-696.
- 19- Turkish Statistical İnstitute. URL: https://www.tuik.gov.tr/ acces date: 15.11.2021
- 20- Budak, F., Korkmaz, Ş. COVID-19 pandemi sürecine yönelik genel bir değerlendirme: Türkiye örneği. Sosyal Araştırmalar ve Yönetim Dergisi, 2020;(1), 62-79.
- 21- Kansagra, A. P., Goyal, M. S., Hamilton, S., Albers, G. W. Collateral Effect of Covid-19 on Stroke Evaluation in the United States. N Engl J Med. 2020:383(4): 400-401
- 22- Şensöz, N. P., Börü, Ü. T., Bölük, C., Bilgiç, A., Çakmak, Ö. Ö., Duman, A., & Taşdemir, M. Stroke epidemiology in Karabük city Turkey: Community based study. Eneurologicalsci, 2018;10, 12-15.
- 23- Wright, A., Salazar, A., Mirica, M., Volk, L. A., Schiff, G. D. The Invisible Epidemic: Neglected Chronic Disease Management During COVID-19. J Gen Intern Med. 2020;35(9):2816-17. doi:10.1007/s11606-020-06025-4
- 24- Weldegebreal, S., Gidey, K., Gidey, K., Nirayo, Y. L., Desta, D. M., & Atey, T. M. Management Outcome, Mortality and Factors Associated with Mortality Amongst Hospitalized Patients with Stroke. A Cross Sectional Study. 2020
Have COVID-19 Quarantine Measures Triggered The (Incidence Of) Stroke Patients Transported By Ambulance?
Abstract
Aim: The aim of this retrospective study is to determine to what extent the incidence of stroke in individuals whose physical activity was restricted due to the mandatory lockdown during the pandemic has been affected.
Material and Method: The study population consists of patients with the ICD codes of stroke, subarachnoid hemorrhages, cerebrovascular situations, cerebrovascular diseases, subdural hemorrhages, hemiplegia and hemiparesis who activated the Kayseri EMS between March 2019 and February 2021.
Result: The average timeframe in which the assigned EMS team reached stroke patients before the Covid-19 pandemic was 7.69±5.85. The average transportation time to the patient during Covid-19 was 8.94±6.51. Ambulance transportation times during Covid-19 were longer and statistically significant
Conclusion: As a result of this single-center study conducted in Turkey, it is observed that the Covid-19 pandemic did not affect the EMS applications of stroke patients. It is recommended that more comprehensive multicenter studies be conducted.
Project Number
yok
References
- 1- Guzik, A., Bushnell C. Stroke Epidemiology and Risk Factor Management. Continuum (Minneap Minn). 2017 Feb;23(1, Cerebrovascular Disease):15-39. doi: 10.1212/CON.0000000000000416. PMID: 28157742.
- 2- Wang, J., Wen, X., Li, W., Li, X., Wang, Y., Lu, W. Risk Factors for Stroke in the Chinese Population: A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis. 2017;26(3):509-517. doi: 10.1016/j.jstrokecerebrovasdis.2016.12.002. Epub 2016 Dec 29. PMID: 28041900.
- 3- Midi, İ., & Afşar, N. İnme risk faktörleri. Klinik Gelişim, 2010;10(1), 1-14.
- 4- Karatepe, A. G., Kaya, T., Şen, N., Günaydin, R., Gedızlığlu, M. İnmeli Hastalarda Risk Faktörleri ve Fonksiyonel Bağımsızlık ile İlişkisi. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 2007;53(3).
- 5- Uzuner, N., Kutluk, K., Balkan, S. İnme tanı ve tedavi klavuzu. Türk beyin damar hastalıkları derneği yayınları. 2015, ss:17
- 6- Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., Agha, R. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International journal of surgery (London, England), 2020;78, 185.
- 7- Buck, T., Arnold, M., Chazan, G., Cookson, C. Coronavirus declared a pandemic as fears of economic crisis mount. Financial Times. 2020 https://www. ft. com/content/d72f1e54-6396-11eab3f3-fe4680ea68b5. Accessed, 20.
- 8-Barranco, R., Ventura, F. Covid-19 and infection in health-care workers: An emerging problem. Med Leg J. 2020;88(2):65-66. doi: 10.1177/0025817220923694.
- 9- Korkut Gençalp, D .Evaluation of Dietary Habits and Physical Activity Status of Paramedic Students in COVID-19 Outbreak Period . Journal of Paramedic and Emergency Health Services, 2020;(1):1-15 .
- 10- Tsai, L. K., Hsieh, S. T., Chang, Y. C. Neurological manifestations in severe acute respiratory syndrome. Acta Neurol Taiwanica 2005;(3):113–119
- 11- Markus, H. S., Brainin, M. COVID-19 and stroke – a global World Stroke Organization perspective. Int J Stroke 2020; 15: 361–64
- 12- Siegler, J. E., Heslin, M. E., Thau, L., Smith, A., Jovin, T. G. Falling stroke rates during COVID-19 pandemic at a comprehensive stroke center. Journal of Stroke and Cerebrovascular Diseases, 2020;29(8), 104953.
- 13- Fifi, J. T., Mocco, J. COVID-19 related stroke in young individuals. The Lancet Neurology, 2020;19(9), 713-715.
- 15- Nannoni, S., de Groot, R., Bell, S., Markus, H. S. Stroke in COVID-19: a systematic review and meta-analysis. International Journal of Stroke, 2021;16(2), 137-149.
- 16- Mao, L., Jin, H., Wang, M., et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. Epub ahead of print 10 April 2020; 77(6): 683-90 DOI:10.1001/jamaneurol.2020.1127.
- 17- Requena, M., Olivé-Gadea, M., Muchada, M., García-Tornel, Á., Deck, M., Juega, J., Ribo, M. COVID-19 and stroke: incidence and etiological description in a high-volume center. Journal of Stroke and Cerebrovascular Diseases, 2020;29(11)
- 18- Bullrich, M. B., Fridman, S., Mandzia, J. L., Mai, L. M., Khaw, A., Gonzalez, J. C. V., Sposato, L. A. COVID-19: stroke admissions, emergency department visits, and prevention clinic referrals. Canadian Journal of Neurological Sciences, 2020;47(5), 693-696.
- 19- Turkish Statistical İnstitute. URL: https://www.tuik.gov.tr/ acces date: 15.11.2021
- 20- Budak, F., Korkmaz, Ş. COVID-19 pandemi sürecine yönelik genel bir değerlendirme: Türkiye örneği. Sosyal Araştırmalar ve Yönetim Dergisi, 2020;(1), 62-79.
- 21- Kansagra, A. P., Goyal, M. S., Hamilton, S., Albers, G. W. Collateral Effect of Covid-19 on Stroke Evaluation in the United States. N Engl J Med. 2020:383(4): 400-401
- 22- Şensöz, N. P., Börü, Ü. T., Bölük, C., Bilgiç, A., Çakmak, Ö. Ö., Duman, A., & Taşdemir, M. Stroke epidemiology in Karabük city Turkey: Community based study. Eneurologicalsci, 2018;10, 12-15.
- 23- Wright, A., Salazar, A., Mirica, M., Volk, L. A., Schiff, G. D. The Invisible Epidemic: Neglected Chronic Disease Management During COVID-19. J Gen Intern Med. 2020;35(9):2816-17. doi:10.1007/s11606-020-06025-4
- 24- Weldegebreal, S., Gidey, K., Gidey, K., Nirayo, Y. L., Desta, D. M., & Atey, T. M. Management Outcome, Mortality and Factors Associated with Mortality Amongst Hospitalized Patients with Stroke. A Cross Sectional Study. 2020
There are 23 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Article |
| Authors | |
| Project Number | yok |
| Early Pub Date | January 15, 2024 |
| Publication Date | January 1, 2024 |
| Submission Date | September 14, 2022 |
| Published in Issue | Year 2024 Volume: 10 Issue: 1 |
