Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience
Background and aims: The corononavirus 2019 (COVID-19) pandemic resulted in modifications in the workflow and redistribution of human resources, causing challenges in setting up of an acute stroke service. We would like to share our preliminary outcome amid this pandemic, to determine if the impleme...
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2023
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my.upm.eprints.1077452024-10-28T03:29:49Z http://psasir.upm.edu.my/id/eprint/107745/ Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience Abdul Rashid, Anna Misya’il Md Noh, Mohamad Syafeeq Faeez Yusof Khan, Abdul Hanif Khan Loh, Wei Chao Baharin, Janudin Ibrahim, Azliza Ishak, Fadhilah Hani Sardi, Aminuddin Hanapai, Ahmad Firdaus Mohamad, Nur Afiqah Inche Mat, Liyana Najwa Hoo, Fan Kee Wan Sulaiman, Wan Aliaa Basri, Hamidon Background and aims: The corononavirus 2019 (COVID-19) pandemic resulted in modifications in the workflow and redistribution of human resources, causing challenges in setting up of an acute stroke service. We would like to share our preliminary outcome amid this pandemic, to determine if the implementation of COVID-19 standard operating procedures (SOPs) affected the delivery of our hyperacute stroke service. Methods: We retrospectively analyzed one-year data from our stroke registry that began with the establishment of our hyperacute stroke service at Universiti Putra Malaysia Teaching Hospital from April 2020 until May 2021. Results: Setting up acute stroke services during the pandemic with constrained manpower and implementation of COVID-19 SOPs, was challenging. There was a significant dip of stroke admission from April to June 2020 due to the Movement Control Order (MCO) implemented by the government to curb the spread of COVID-19. However, the numbers of stroke admission steadily rose approaching 2021, after the implementation of recovery MCO. We managed to treat 75 patients with hyperacute stroke interventions i.e. intravenous thrombolysis (IVT), mechanical thrombectomy (MT) or both. Despite implementing COVID-19 SOPs and using magnetic resonance imaging (MRI) as our first line acute stroke imaging modality, clinical outcomes in our cohort were encouraging; almost 40% of patients who underwent hyperacute stroke treatment had early neurological recovery (ENR), and only 33% of patients had early neurological stability (ENS). In addition, we were able to maintain our door-to-imaging (DTI) and door-to-needle (DTN) time in line with international recommendations. Conclusions: Our data reflects that COVID-19 SOPs did not deter successful delivery of hyperacute stroke services in our center. However, bigger and multi center studies are required to support our findings. Springer Science and Business Media 2023-02-15 Article PeerReviewed Abdul Rashid, Anna Misya’il and Md Noh, Mohamad Syafeeq Faeez and Yusof Khan, Abdul Hanif Khan and Loh, Wei Chao and Baharin, Janudin and Ibrahim, Azliza and Ishak, Fadhilah Hani and Sardi, Aminuddin and Hanapai, Ahmad Firdaus and Mohamad, Nur Afiqah and Inche Mat, Liyana Najwa and Hoo, Fan Kee and Wan Sulaiman, Wan Aliaa and Basri, Hamidon (2023) Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience. BMC Neurology, 23. pp. 1-9. ISSN 1471-2377 https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-023-03102-z 10.1186/s12883-023-03102-z |
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Background and aims: The corononavirus 2019 (COVID-19) pandemic resulted in modifications in the workflow and redistribution of human resources, causing challenges in setting up of an acute stroke service. We would like to share our preliminary outcome amid this pandemic, to determine if the implementation of COVID-19 standard operating procedures (SOPs) affected the delivery of our hyperacute stroke service.
Methods: We retrospectively analyzed one-year data from our stroke registry that began with the establishment of our hyperacute stroke service at Universiti Putra Malaysia Teaching Hospital from April 2020 until May 2021.
Results: Setting up acute stroke services during the pandemic with constrained manpower and implementation of COVID-19 SOPs, was challenging. There was a significant dip of stroke admission from April to June 2020 due to the Movement Control Order (MCO) implemented by the government to curb the spread of COVID-19. However, the numbers of stroke admission steadily rose approaching 2021, after the implementation of recovery MCO. We managed to treat 75 patients with hyperacute stroke interventions i.e. intravenous thrombolysis (IVT), mechanical thrombectomy (MT) or both. Despite implementing COVID-19 SOPs and using magnetic resonance imaging (MRI) as our first line acute stroke imaging modality, clinical outcomes in our cohort were encouraging; almost 40% of patients who underwent hyperacute stroke treatment had early neurological recovery (ENR), and only 33% of patients had early neurological stability (ENS). In addition, we were able to maintain our door-to-imaging (DTI) and door-to-needle (DTN) time in line with international recommendations.
Conclusions: Our data reflects that COVID-19 SOPs did not deter successful delivery of hyperacute stroke services in our center. However, bigger and multi center studies are required to support our findings. |
| format |
Article |
| author |
Abdul Rashid, Anna Misya’il Md Noh, Mohamad Syafeeq Faeez Yusof Khan, Abdul Hanif Khan Loh, Wei Chao Baharin, Janudin Ibrahim, Azliza Ishak, Fadhilah Hani Sardi, Aminuddin Hanapai, Ahmad Firdaus Mohamad, Nur Afiqah Inche Mat, Liyana Najwa Hoo, Fan Kee Wan Sulaiman, Wan Aliaa Basri, Hamidon |
| spellingShingle |
Abdul Rashid, Anna Misya’il Md Noh, Mohamad Syafeeq Faeez Yusof Khan, Abdul Hanif Khan Loh, Wei Chao Baharin, Janudin Ibrahim, Azliza Ishak, Fadhilah Hani Sardi, Aminuddin Hanapai, Ahmad Firdaus Mohamad, Nur Afiqah Inche Mat, Liyana Najwa Hoo, Fan Kee Wan Sulaiman, Wan Aliaa Basri, Hamidon Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| author_facet |
Abdul Rashid, Anna Misya’il Md Noh, Mohamad Syafeeq Faeez Yusof Khan, Abdul Hanif Khan Loh, Wei Chao Baharin, Janudin Ibrahim, Azliza Ishak, Fadhilah Hani Sardi, Aminuddin Hanapai, Ahmad Firdaus Mohamad, Nur Afiqah Inche Mat, Liyana Najwa Hoo, Fan Kee Wan Sulaiman, Wan Aliaa Basri, Hamidon |
| author_sort |
Abdul Rashid, Anna Misya’il |
| title |
Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| title_short |
Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| title_full |
Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| title_fullStr |
Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| title_full_unstemmed |
Establishing a hyperacute stroke service during the COVID-19 pandemic: our institutions one year experience |
| title_sort |
establishing a hyperacute stroke service during the covid-19 pandemic: our institutions one year experience |
| publisher |
Springer Science and Business Media |
| publishDate |
2023 |
| url |
http://psasir.upm.edu.my/id/eprint/107745/ https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-023-03102-z |
| _version_ |
1814936501316747264 |
| score |
13.211869 |