Abstract WP26: Covid Pandemic Versus Pre-pandemic Care Of Stroke Patients Within The Florida Stroke Registry

• DOI: 10.1161/str.53.suppl_1.wp26
• Publication Date: 2022-02-03T10:01:59Z
• Authors: David Z Rose; ; Kefeng Wang; Hannah Gardener; Carolina M Gutierrez; Sebastian Koch; Chuanhui Dong; Dianne Foster; Angus Jameson; Tatjana Rundek; Jose G Romano; Ralph L Sacco; Negar Asdaghi
• Keywords: Pandemic; Stroke; Demographics

Background: The coronavirus 2019 (COVID-19) pandemic has affected all aspects of stroke care delivery and resource allocation. We sought to study this effect utilizing the Florida Stroke Registry (FSR), which collects data from hospitals in large metropolitan cities small communities, each facing peaks at different timepoints within various healthcare system organizations. Methods: From March 2021, FSR identified 82,899 patients with final diagnosis ischemic TIA. metrics were compared enrolled during COVID-19 (March 2020 February 2021) those immediate pre-pandemic year. These included utilization intravenous thrombolytic (IVT), Endovascular therapy (EVT), Door-To-Needle time (DTN), Door-To-Puncture (DTP), Door-To-Computed Tomography (DTCT) overall Defect-Free Care (DFC). Results: Pre-pandemic (n= 41,929, 49.0% female, mean age 70.1 ± 14.6 years, 64.3% white, 20.4% black, 15.3% Hispanic) had similar demographics (48.8% 69.9 14.4 65.4% 19.9% 14.7% Hispanic). Pandemic more severe presentations (median NIHSS 3 [IQR 8] vs [7], p < .0001), longer onset-to-arrival (242 [677] 229 [654] minutes, = 0.002), likely arrive via emergency medical services (62.3% vs. 60.8%, .0001) than patients. Although both groups received IVT equally (13.4% 13.5%, 0.67), receive EVT (7.0% 6.5%, 0.005) DTP (84 [60] 81 [64] 0.01), shorter DTCT (22 [52] 23 [56] 0.01) DTN (36 [22] 37 0.05) times, an increased DFC rate 2.2% (86.6% 84.4%, .0001). Conclusions: In registry based study, we found that care, treated COVID19 presented sicker later hospital EVT, but door-to-puncture times. Despite many challenges imposed by COVID19, maintained high quality overall.