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Comparison of treatment durations before Covid-19 pandemic, pre- and post-vaccination periods in acute ischemic stroke patients in a Turkish tertiary hospital

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dc.contributor.authorVURAL, EZGİ
dc.contributor.authorERDEM, SEMA NUR
dc.contributor.authorIRMAK, SEÇİL
dc.contributor.authorMİDİ, İPEK
dc.contributor.authorsBaran G., VURAL E., Erdem S. N., IRMAK S., Cetin S. Z., MİDİ İ.
dc.date.accessioned2023-10-30T06:56:29Z
dc.date.available2023-10-30T06:56:29Z
dc.date.issued2023-01-01
dc.description.abstractObjective: This study aimed to compare the frequency of admission to hospital in patients with acute ischemic stroke before the COVID 19 pandemic, during the pre-vaccination period, and after the start of vaccination for COVID 19, and to evaluate the time window period between symptom onset to door time, door to CT scan time, door to needle time, and door to puncture time. In addition, it aimed to investigate the effects of the COVID-19 pandemic on the admission, evaluation, and initiation of acute treatment of patients with acute ischemic stroke. Methods: Patients presenting with acute ischemic stroke between March 2019-December 2019 (pre-pandemic), March 2020-December 2020 (pre-vaccination pandemic period), and March 2021-December 2021 (post-vaccination pandemic period) were included in the study. NIHSS was calculated by accordance with the neurological examination findings of the patients, cranial CT for the exclusion of bleeding and CT angiography images for the large vessel occlusions were performed, and the vital signs of the patients were recorded. IV tPA treatment was applied within the first 4.5 hours, and mechanical thrombectomy (MT) was performed in patients with large vessel occlusion. Results: Three hundred nineteen patients were included in the study. The times from symptom onset to emergency admission and from symptom onset to CT scan were found to be similar in all periods. The time from symptom onset to examine by a neurologist was found to be significantly longer in the vaccination period compared to the pandemic period. It was observed that the time from the door to needle time and the time from examine by a neurology doctor to needle time was statistically significantly shorter during the pandemic period (p<0.05). Conclusion: In our study in a tertiary hospital in Turkey, it was determined that the number of patients who was admitted with acute stroke clinic during the pandemic period was similar to other years and there was no delay in the initiation of treatment during the pandemic period. Door to needle times, as well as the time taken by the neurologist to examine and initiate IV-tPA treatment, were found to be shorter in the pre-vaccination pandemic period than in the pre-pandemic and post-vaccination periods.
dc.identifier.citationBaran G., VURAL E., Erdem S. N., IRMAK S., Cetin S. Z., MİDİ İ., "Comparison of treatment durations before Covid-19 pandemic, pre- and post-vaccination periods in acute ischemic stroke patients in a Turkish tertiary hospital", Neurology Asia, cilt.28, sa.3, ss.575-581, 2023
dc.identifier.doi10.54029/2023pxi
dc.identifier.endpage581
dc.identifier.issn1823-6138
dc.identifier.issue3
dc.identifier.startpage575
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/823c8f51-f208-438e-bb69-d8e17429ff73/file
dc.identifier.urihttps://hdl.handle.net/11424/294484
dc.identifier.volume28
dc.language.isoeng
dc.relation.ispartofNeurology Asia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectNöroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectNeurology
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectKLİNİK NÖROLOJİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectCLINICAL NEUROLOGY
dc.subjectYaşam Bilimleri
dc.subjectNöroloji (klinik)
dc.subjectLife Sciences
dc.subjectNeurology (clinical)
dc.subjectAcute stroke
dc.subjectCOVID-19
dc.subjectIV-tPA
dc.subjectmechanical thrombectomy
dc.subjectpandemic
dc.titleComparison of treatment durations before Covid-19 pandemic, pre- and post-vaccination periods in acute ischemic stroke patients in a Turkish tertiary hospital
dc.typearticle
dc.type.subanimation
dspace.entity.typePublication
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