CENTRUM
NEUROLOGIE
ARTIKELS ABSTRACT 1 Be aware: COVID-19 the new stroke mimicker Zuurbier SM, Verschelde HL, Vantyghem S, Vanacker P, et al. Acta Neurologica Belgica, 2021, 121(1), 309-310
ABSTRACT
respectively). Despite a reduction in absolute volumes, there was no difference in the monthly proportion of thrombolysis or endovascular treatment provided to the overall stroke hospitalizations. Acute treatment time metrics did not change between COVID-19 pandemic and control time epochs. We found no difference in 90-day functional outcomes nor in mortality after stroke between patients admitted during the pandemic versus control periods.
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ABSTRACT 2
We found a decline in the volume of stroke hospitalizations during the first wave of the COVID-19 pandemic in Belgium. Stroke care quality parameters remained unchanged.
Detailed histological analysis of a thrombectomyresistant ischemic stroke thrombus: a case report
ABSTRACT 4 Staessens S, Francois O, Desender L, Vanacker P, et al. Thrombosis Journal, 2021, 19(11)
The state of stroke services across the globe: report of world stroke organization-world health organization surveys
ABSTRACT Het abstract is na te lezen op p. 34
ABSTRACT 3
ABSTRACT
The impact of COVID-19 on acute stroke care in Belgium
Improving stroke services is critical for reducing the global stroke burden. The World Stroke Organization-World Health Organization-Lancet Neurology Commission on Stroke conducted a survey of the status of stroke services in low and middle-income countries (LMICs) compared to high-income countries. Using a validated World Stroke Organization comprehensive questionnaire, we collected and compared data on stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in 84 countries across World Health Organization regions and economic strata. The World Health Organization also conducted a survey of non-communicable diseases in 194 countries in 2019. Fewer surveillance activities (including presence of registries, presence of recent risk factors surveys, and participation in research) were reported in low-income countries than high-income countries. The overall global score for prevention was 40.2%. Stroke units were present in 91% of high-income countries in contrast to 18% of low-income countries (p < 0.001). Acute stroke treatments were offered in ~60% of high-income countries compared to 26% of low-income countries (p = 0.009). Compared to high-income countries, LMICs provided less rehabilitation services including in-patient rehabilitation, home assessment, community rehabilitation, education, early hospital discharge program, and presence of rehabilitation protocol.
Raymaekers V, Demeestere J, Bellante F, Vanacker P, et al. Acta neurologica Belgica, 121(5), 2021, 1251–1258
ABSTRACT A worldwide decline in stroke hospitalizations during the COVID-19 pandemic has been reported. Information on stroke care during the pandemic in Belgium is lacking. This study aims to analyze the impact of COVID-19 on acute stroke care in eight Belgian stroke centers. This Belgian study is part of an international observational and retrospective study in 70 countries and 457 stroke centers. We compared volumes of COVID-19 and stroke hospitalizations, intravenous thrombolysis and endovascular treatment rates, acute treatment time intervals and functional outcome at 90 days during the first wave of the pandemic to two control intervals (March-May 2019 and December-February 2020). From March 2020 to May 2020, 860 stroke patients were hospitalized. In the same time period, 2850 COVID-19 patients were admitted, of which 37 (1.3%) were diagnosed with a stroke. Compared to the months prior to the pandemic and the same time epoch one year earlier, stroke hospitalizations were reduced (relative difference 15.9% [p = 0.03] and 14.5% [p = 0.05],
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Owolabi MO, Thrift AG, Vanacker P, et al. International Journal of Stroke, 2021, 16(8), 889-901
ABSTRACTBOEK | 2021
