A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic.

doi:10.3389/fneur.2022.873061

科研成果详情

题名	A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic.
作者	Lin, Gangqiang 1; Xu, Xueqian 1; Luan, Xiaoqian1; Qiu, Huihua1; Shao, Shengfang2; Wu, Qingsong3; Xu, Wei4,5; Huang, Guiqian1; He, Jincai1; Feng, Liang 1,5
发表日期	2022-04-18
发表期刊	Frontiers in neurology 影响因子和分区
语种	英语
原始文献类型	Article
关键词	COVID-19 intracerebral hemorrhage lockdown period longitudinal research prognosis
摘要	Globally, intracerebral hemorrhage (ICH) is a common cerebrovascular disease. At the beginning of 2020, due to the coronavirus disease 2019 (COVID-19) pandemic, the allocation of medical resources and the patient treatment and referrals were affected to varying degrees. We aimed to determine the characteristics and prognoses and associated factors of patients with ICH., The baseline demographic characteristics and ICH outcomes were compared between patients diagnosed with ICH between January and June 2020 (the 2020 group) and between January and June 2019 (the 2019 group). COVID-19 positive patients were excluded from the study. A 30-day data from patients in the 2019 and 2020 groups were analyzed to create survival curves for these patients. We also used regression models to identify the significant determinants of poor outcomes [modified Rankin score (mRS): 3-6] and death., {AbstractText=The number of patients diagnosed with ICH was slightly lower in the 2020 group (n = 707) than in the 2019 group (n = 719). During the lockdown period (February 2020), the admission rates for ICH decreased greatly by 35.1%. The distribution of the patients' domicile (P = 0.002) and the mRS (P < 0.001) differed significantly between the years. The survival curve revealed that the highest risk of death was in the acute stage (especially in the first 5 days) of ICH. At 30 days, mortality was 19.8% in February 2019 and 29.4% in February 2020 (P = 0.119). Multivariate analysis revealed age, baseline mRS, postoperative complications, massive brainstem hemorrhage, and creatinine as factors significantly associated with poor outcomes and death following ICH. Neurosurgery and massive supratentorial hemorrhage were only correlated with the risk of death.}, During the lockdown period, the COVID-19 pandemic caused a decrease in the admission rates and severe conditions at admission due to strict traffic constraints for infection control. This led to high mortality and disability in patients with ICH. It is necessary to ensure an effective green channel and allocate adequate medical resources for patients to receive timely treatment and neurosurgery.
ISSN	1664-2295
卷号	13 页码:873061
DOI	10.3389/fneur.2022.873061
收录类别	PUBMED ; SCOPUS
URL	查看原文
PubMed ID	35518200
SCOPUSEID	2-s2.0-85129492534
通讯作者地址	[Huang, Guiqian]Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China ; [He, Jincai]Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China ; [Feng, Liang]Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China
Scopus学科分类	Neurology;Neurology (clinical)
引用统计	被引频次[WOS]：0 [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/155203
专题	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科附属第一医院
通讯作者	Huang, Guiqian; He, Jincai; Feng, Liang
作者单位	1.Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 2.Department of Emergency,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 3.Medical Record Room,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 4.Outpatient Office,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 5.Teaching and Research Section of Epidemiology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
通讯作者单位	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
第一作者的第一单位	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
推荐引用方式 GB/T 7714	Lin, Gangqiang,Xu, Xueqian,Luan, Xiaoqian,et al. A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic.[J]. Frontiers in neurology,2022,13:873061.
APA	Lin, Gangqiang., Xu, Xueqian., Luan, Xiaoqian., Qiu, Huihua., Shao, Shengfang., ... & Feng, Liang. (2022). A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic.. Frontiers in neurology, 13, 873061.
MLA	Lin, Gangqiang,et al."A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic.".Frontiers in neurology 13(2022):873061.