Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture. - Université de Lille
Article Dans Une Revue Clinical Neurology and Neurosurgery Année : 2020

Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture.

Résumé

Background/objectives The present study aimed at evaluating the impact on the early outcome of patients with ruptured intracranial aneurysms. Methods Our study prospectively included 26 consecutive patients with ruptured intracranial aneurysm managed at our institution in context of COVID-19 pandemic between March 1st, 2020 and April, 26th, 2020 (2020 group). A group control included other 28 consecutive patients managed at the same institution for the same disease in 2019, during the same time frame (2019 group). On admission, poor neurological status was defined as WFNS score >3. Severe radiological status was defined by the presence of intracerebral hematoma, or/and acute hydrocephalus requiring further EVD or/and the presence of vasospasm on presentation. Statistical analysis was performed to compare the 2 distinct groups. Results Rates of poor neurological presentation and severe radiological presentation on hospital admission were higher in the 2020 group (p = 0.01 and p = 0.02, respectively). The delayed hospital admission was 2.7 days in 2020 group and 0.75 days in 2019 group (p = 0.005). Therefore, vasospasm’s rate on presentation was also higher in the 2020 group (p = 0.04). Conclusion To our knowledge, this is one of the first studies demonstrating influence of the COVID-19 pandemic on patients with urgent and severe intracranial aneurysmal disease. In case of recurrent COVID-19 pandemic, educating the population concerning specific symptoms such as sudden headache, neurological deficit or even sudden chest pain should be emphasized.

Dates et versions

hal-04379908 , version 1 (08-01-2024)

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Rabih Aboukaïs, Antoine Devalckeneer, Pierre Boussemart, Amélie Vromant, Nicolas Bricout, et al.. Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture.. Clinical Neurology and Neurosurgery, 2020, Clinical Neurology and Neurosurgery, 201, pp.106425. ⟨10.1016/j.clineuro.2020.106425⟩. ⟨hal-04379908⟩
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