Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality

• Verfasst von: Nguyen, Thanh N. [VerfasserIn]
• Verfasst von: Etminan, Nima [VerfasserIn]
• Verfasst von: Möhlenbruch, Markus Alfred [VerfasserIn]
• Verfasst von: Nagel, Simon [VerfasserIn]
• Titel: Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality
• Titelzusatz: 1-year follow-up : cerebrovascular disease
• Verf.angabe: SVIN COVID-19 Global SAH Registry
• E-Jahr: 2022
• Jahr: September 14, 2022
• Umfang: 11 S.
• Fussnoten: Co-authors SVIN Global COVID-19 SAH Registry: Thanh N Nguyen, Muhammad M Qureshi, Piers Klein, Hiroshi Yamagami, Robert Mikulik, Nima Etminan, Mohamad Abdalkader, Ossama Yassin Mansour, Anna Czlonkowska, Hannah Lo, Anvitha Sathya, Jelle Demeestere, Georgios Tsivgoulis, Nobuyuki Sakai, Petra Sedova, Espen Saxhaug Kristoffersen, Mahmoud Mohammaden, Virginia Pujol Lereis, Sergio Daniel Scollo, Alice Ma, Aminur Rahman, Thomas Bonnet, Jeroen Cortier, Sylvie De Raedt, Robin Lemmens, Noémie Ligot, Raquel CT Hidalgo, Daissy Liliana Mora Cuervo, Luciana de Oliveira Neves, Marco Túlio Salles Rezende, Igor Bessa Santiago, Alexander Sirakov, Stanimir Sirakov, Elena Adela Cora, Michael E Kelly, Pascale Lavoie, Lissa Peeling, Aleksandra Pikula, Rodrigo Rivera, Hui-Sheng Chen, Yimin Chen, Hongliang Fang, Marina Roje Bedekovic, Hrvoje Budincevic, Martin Čabal, Emanuela Hrabanovska, Lubomír Jurák, Jana Kadlckova, Igor Karpowicz, Lukáš Klečka, Martin Kovář, Jiří Neumann, Hana Paloušková, Martin Reiser, Petra Reková, Miroslav Škorňa, Martin Šrámek, Eva Vítková, Lenka Žáková, Khalid Sobh, Kemal Alpay, Riitta Rautio, Daniel Strbian, Jean-Christophe Gentric, Elsa Magro, Olivier Naggara, Peggy Reiner, Amr Abdulazim, Ferdinand O Bohmann, Stefan Boskamp, Johannes C Gerber, Daniel PO Kaiser, Roxane-Isabelle Kestner, Joshua Mbroh, Milad Neyazi, Michael Rosenkranz, Sven Poli, Götz Thomalla, Theodoros Karapanayiotides, Odysseas Kargiotis, Ioanna Koutroulou, Lina Palaiodimou, José Domingo Barrientos Guerra, Vikram Huded, Shashank Nagendra, Chintan Prajapati, Angga Krishna, Achmad Firdaus Sani, Abdoreza Ghoreishi, Reza Bahrami Ilkhchi, Javad Jalili, Sergiu Ionut Sabetay, Tariq Abu Raya, Maurizio Acampa, Marco Longoni, Claudia Rolla Bigliani, Lucio Castellan, Raffaele Ornello, Leonardo Renieri, Michele Romoli, Simona Sacco, Davide Sangalli, Martina Viganò, Andrea Zini, Hiroshi Tokimura, Kazutaka Sonoda, Kenichi Todo, Hiroki Fukuda, Kyohei Fujita, Manabu Sakaguchi, Masaaki Uno, Issei Kan, Miyake Kosuke, Ryuhei Kono, Naoto Kimura, Nobuaki Yamamoto, Ryoo Yamamoto, Ryosuke Doijiri, Seigo Shindo, Nobuyuki Ohara, Hirotoshi Imamura, Takehiro Ogawa, Takeshi Uwatoko, Takuya Kanamaru, Toshiyuki Fujinaka, Yohei Takenobu, Kazunori Toyoda, Yuji Matsumaru, Yukako Yazawa, Yuri Sugiura, Jang-Hyun Baek, Young Sub Kwon, Yun Ho Lee, Kwon-Duk Seo, Sung-Il Sohn, Yong Chieh Chan, Wan Asyraf Wan Zaidi, Javier Barrientos-Prieto, Fernando Gongora-Rivera, Manuel Martinez-Marino, Alejandra Calderón-Vallejo, Stanislav Groppa, Leahu Pavel, Jonathan M Coutinho, Diederik Dippel, Leon Rinkel, Dianne H K van Dam-Nolen, Ernest Okwundu Nwazor, Taofiki Ajao Sunmonu, Espen Saxhaug Kristoffersen, Amal M Al Hashimi, Saima Ahmad, Umair Rashid, Liliana Rodriguez-Kadota, Miguel Ángel Vences, Patrick Matic Yalung, Jon Stewart Hao Dy, Waldemar Brola, Aleksander Dębiec, Malgorzata Dorobek, Michal Adam Karlinski, Beata M Labuz-Roszak, Anetta Lasek-Bal, Halina Sienkiewicz-Jarosz, Jacek Staszewski, Piotr Sobolewski, Marcin Wiącek, Justyna Zielinska-Turek, André Pinho Araújo, Luísa Fonseca, M Luís Silva, Pedro Castro, Mariana Rocha, Cristian Falup-Pecurariu, Narayanaswamy Venketasubramanian, Georgi Krastev, Miroslav Mako, Oscar Ayo-Martin, Jordi Blasco, Antonio Cruz-Culebras, Francisco Hernandez-Fernandez, Claudio Rodríguez Fernández, Jorge Escartín López, Alejandro Rodriguez, Manuel Bolognese, Grzegorz Marek Karwacki, Emanuela Keller, Paolo Machi, Gianmarco Bernava, Surawan Boonyakarnkul, Anchalee Churojana, Nadia Hammami, Arsida Bajrami, Songul Senadim, Syed I Hussain, Seby John, Graham Dow, Kailash Krishnan, Robert Lenthall, Ken Wong, Liqun Zhang, Dorothea Altschul, Kaiz S Asif, Mohammad A Aziz-Sultan, Ivo Bach, Zeelalem Bahiru, Kristine Below, Jose Biller, Saqib A Chaudhry, Alex Chebl, Michael Chen, Marco Colasurdo, Alexandra Czap, Hormuzdiyar Dasenbrock, Adam H de Havenon, Sushrut Dharmadhikari, Adam A Dmytriw, Clifford J Eskey, Mark Etherton, Chizoba Ezepue, Lauren Fink, Ulviyya Gasimova, Nitin Goyal, Kasey B Grimmett, Maryam Hakemi, Taryn Hester, Violiza Inoa, Peter T Kan, Ekkehard M Kasper, Priyank Khandelwal, Rakesh Khatri, Ayaz M Khawaja, Naim N Khoury, Benny S Kim, Murali Kolikonda, Anna Luisa Kuhn, Guillermo Linares, Italo Linfante, Aaron I Loochtan, Timothy G Lukovits, Shailesh S Male, Laith Maali, Hesham E Masoud, Elsi Milagros Galecio-Castillo, Jiangyong Min, Ghada A Mohamed, Krishna Nalleballe, Santiago Ortega-Gutierrez, Ajit S Puri, Yazan Radaideh, Rahul H Rahangdale, Pankajavalli Ramakrishnan, Aravind B Reddy, Sean Ruland, Setareh Salehi Omran, Sunil A Sheth, James E Siegler, Amy K Starosciak, Nicholas E Tarlov, Robert A Taylor, Jenny Tsai, Michael J Wang, Ka-Ho Wong, Osama O Zaidat, Huynh Vu Le, Thong Nhu Pham, Hoang Thi Phan, Mai Duy Ton, Anh Duc Tran, Kristina Sirakova, Markus A Möhlenbruch, Simon Nagel, Jean Raymond, Raul G Nogueira ; Gesehen am 15.08.2023
• Titel Quelle: Enthalten in: Journal of neurology, neurosurgery, and psychiatry
• Ort Quelle: London : BMJ Publishing Group, 1944
• Jahr Quelle: 2022
• Band/Heft Quelle: 93(2022), 10, Seite 1028-1038
• ISSN Quelle: 1468-330X
• DOI: doi:10.1136/jnnp-2022-329200
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: CEREBROVASCULAR DISEASE
• Sach-SW: COVID-19
• Sach-SW: SUBARACHNOID HAEMORRHAGE
• K10plus-PPN: 1856196062

Abstract

Background Prior studies indicated a decrease in the incidences of aneurysmal subarachnoid haemorrhage (aSAH) during the early stages of the COVID-19 pandemic. We evaluated differences in the incidence, severity of aSAH presentation, and ruptured aneurysm treatment modality during the first year of the COVID-19 pandemic compared with the preceding year. - Methods We conducted a cross-sectional study including 49 countries and 187 centres. We recorded volumes for COVID-19 hospitalisations, aSAH hospitalisations, Hunt-Hess grade, coiling, clipping and aSAH in-hospital mortality. Diagnoses were identified by International Classification of Diseases, 10th Revision, codes or stroke databases from January 2019 to May 2021. - Results Over the study period, there were 16 247 aSAH admissions, 344 491 COVID-19 admissions, 8300 ruptured aneurysm coiling and 4240 ruptured aneurysm clipping procedures. Declines were observed in aSAH admissions (−6.4% (95% CI −7.0% to −5.8%), p=0.0001) during the first year of the pandemic compared with the prior year, most pronounced in high-volume SAH and high-volume COVID-19 hospitals. There was a trend towards a decline in mild and moderate presentations of subarachnoid haemorrhage (SAH) (mild: −5% (95% CI −5.9% to -4.3%), p=0.06; moderate: −8.3% (95% CI −10.2% to -6.7%), p=0.06) but no difference in higher SAH severity. The ruptured aneurysm clipping rate remained unchanged (30.7% vs 31.2%, p=0.58), whereas ruptured aneurysm coiling increased (53.97% vs 56.5%, p=0.009). There was no difference in aSAH in-hospital mortality rate (19.1% vs 20.1%, p=0.12). - Conclusion During the first year of the pandemic, there was a decrease in aSAH admissions volume, driven by a decrease in mild to moderate presentation of aSAH. There was an increase in the ruptured aneurysm coiling rate but neither change in the ruptured aneurysm clipping rate nor change in aSAH in-hospital mortality. - Trial registration number NCT04934020.