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Greater decline of acute stroke admissions compared with acute coronary syndromes during COVID‐19 outbreak in Greece: Cerebro/Cardiovascular implications amidst a second wave surge

European Journal of Neurology Dec 13, 2020

Katsouras C, Karapanayiotides T, Papafaklis M, et al. - Since recent studies indicate a drastic decrease in hospitalizations for acute stroke and acute coronary syndrome (ACS) in countries significantly affected by the global COVID-19 pandemic, researchers sought to investigate the rate of stroke and ACS admissions in neurology and cardiology departments in three COVID-19 referral hospitals in Greece during the COVID-19 outbreak. The rates of stroke and ACS hospital admissions were documented over a 6-week period of time during the outbreak of COVID‐19 in 2020 and compared with the rates for the same period in 2019. During the COVID‐19 outbreak, the hospitalization rates for both stroke and ACS were decreased in a country with strict social distancing measures, low incidence of COVID‐19, and low population mortality. During the COVID‐19 outbreak there was a larger relative reduction of stroke admissions compared with ACS admissions. Compared with the control period, fewer older (>65 years) patients were admitted during the COVID‐19. The lack of triggers for stroke and ACS during social distancing/quarantining may explain these findings, but in the midst of the rising second COVID-19 wave, attitudes of medical care avoidance among cerbro/cardiovascular patients should be discouraged.

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