Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020

Vollmuth C, Miljukov O, Abu-Mugheisib M, Angermaier A, Barlinn J, Busetto L, Grau AJ, Guenther A, Gumbinger C, Hubert N, Hüttemann K, Klingner C, Naumann M, Palm F, Remi J, Rücker V, Schessl J, Schlachetzki F, Schuppner R, Schwab S, Schwartz A, Trommer A, Urbanek C, Volbers B, Weber J, Wojciechowski C, Worthmann H, Zickler P, Heuschmann PU, Haeusler KG, Hubert GJ (2021)

Publication Type: Journal article

Publication year: 2021

Journal

DOI: 10.1111/ene.14787

Abstract

Background and purpose: The effects of the coronavirus disease 2019 (COVID-19) pandemic on telemedical care have not been described on a national level. Thus, we investigated the medical stroke treatment situation before, during, and after the first lockdown in Germany. Methods: In this nationwide, multicenter study, data from 14 telemedical networks including 31 network centers and 155 spoke hospitals covering large parts of Germany were analyzed regarding patients' characteristics, stroke type/severity, and acute stroke treatment. A survey focusing on potential shortcomings of in-hospital and (telemedical) stroke care during the pandemic was conducted. Results: Between January 2018 and June 2020, 67,033 telemedical consultations and 38,895 telemedical stroke consultations were conducted. A significant decline of telemedical (p < 0.001) and telemedical stroke consultations (p < 0.001) during the lockdown in March/April 2020 and a reciprocal increase after relaxation of COVID-19 measures in May/June 2020 were observed. Compared to 2018–2019, neither stroke patients' age (p = 0.38), gender (p = 0.44), nor severity of ischemic stroke (p = 0.32) differed in March/April 2020. Whereas the proportion of ischemic stroke patients for whom endovascular treatment (14.3% vs. 14.6%; p = 0.85) was recommended remained stable, there was a nonsignificant trend toward a lower proportion of recommendation of intravenous thrombolysis during the lockdown (19.0% vs. 22.1%; p = 0.052). Despite the majority of participating network centers treating patients with COVID-19, there were no relevant shortcomings reported regarding in-hospital stroke treatment or telemedical stroke care. Conclusions: Telemedical stroke care in Germany was able to provide full service despite the COVID-19 pandemic, but telemedical consultations declined abruptly during the lockdown period and normalized after relaxation of COVID-19 measures in Germany.

Authors with CRIS profile

Involved external institutions

Klinikum der Stadt Ludwigshafen am Rhein gGmbH Germany (DE) Universitätsklinikum Jena Germany (DE) Universitätsklinikum Heidelberg Germany (DE) Klinikum Harlaching Germany (DE) Klinikum der Universität München Germany (DE) Julius-Maximilians-Universität Würzburg Germany (DE) Städtisches Klinikum Karlsruhe Germany (DE) Universität Regensburg Germany (DE) Medizinische Hochschule Hannover (MHH) / Hannover Medical School Germany (DE) Universitätsklinikum Würzburg Germany (DE) Städtisches Klinikum Braunschweig Germany (DE) Universitätsmedizin Greifswald / Universitätsklinikum Greifswald Germany (DE) Universitätsklinikum Carl Gustav Carus Dresden Germany (DE) Universitätsklinikum Augsburg Germany (DE) Universitätsklinikum Schleswig-Holstein (UKSH) Germany (DE) Klinikum Region Hannover Germany (DE) Klinikum St. Georg Germany (DE) Charité - Universitätsmedizin Berlin Germany (DE)

How to cite

APA:

Vollmuth, C., Miljukov, O., Abu-Mugheisib, M., Angermaier, A., Barlinn, J., Busetto, L.,... Hubert, G.J. (2021). Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020. European Journal of Neurology. https://doi.org/10.1111/ene.14787

MLA:

Vollmuth, Christoph, et al. "Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020." European Journal of Neurology (2021).

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