Neuroanesthesia & neurocritical care
Trends in Intensive Care Admissions and Outcomes of Stroke Patients Over 10 Years in Brazil: Impact of the COVID-19 Pandemic
Authors' conclusion
Hospital outcomes of stroke admissions worsened during the COVID-19 pandemic, interrupting a trend of improvements in survival rates over 10 years.
Study context
- Population
- Stroke patients admitted to 165 ICUs in Brazil, 2011–2020
- Participants
- 17,115 stroke admissions
- Exposure
- 2020 vs previous years 2011–2019
- Ischemic stroken = 13,634
- Hemorrhagic stroken = 3,481
- Outcome
- In-hospital mortality
Methodological detailsprospectively collected data, multicentre (165 ICUs), mixed-effects multivariable logistic regression, variable life-adjusted display (VLAD)
- Prospectively collected data
- Multicentre (165 ICUs)
- Mixed-effects multivariable logistic regression
- Variable life-adjusted display (VLAD)
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
VLAD across epidemiological weeks of 2020
- Rise in COVID-19 cases accompanied by increased mortality, mainly after ischemic stroke
Original publication
Trends in Intensive Care Admissions and Outcomes of Stroke Patients Over 10 Years in Brazil: Impact of the COVID-19 Pandemic. Chest. Published 5 November 2022. doi:10. 1016/ j. chest. 2022. 10. 033
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