Journal article

Stroke Care Trends During COVID-19 Pandemic in Zanjan Province, Iran. From the CASCADE Initiative: Statistical Analysis Plan and Preliminary Results

Abdoreza Ghoreishi, Shahram Arsang-Jang, Ziad Sabaa-Ayoun, Nawaf Yassi, PN Sylaja, Yama Akbari, Afshin A Divani, Jose Biller, Phan Thanh, Sandy Steinwender, Brian Silver, Ramin Zand, Hamidon Bin Basri, Omer M Iqbal, Annemarei Ranta, Sean Ruland, Elizabeth Macri, Henry Ma, Thanh N Nguyen, Shahram Abootalebi Show all

Journal of Stroke and Cerebrovascular Diseases | ELSEVIER | Published : 2020

Abstract

BACKGROUND: The emergence of the COVID-19 pandemic has significantly impacted global healthcare systems and this may affect stroke care and outcomes. This study examines the changes in stroke epidemiology and care during the COVID-19 pandemic in Zanjan Province, Iran. METHODS: This study is part of the CASCADE international initiative. From February 18, 2019, to July 18, 2020, we followed ischemic and hemorrhagic stroke hospitalization rates and outcomes in Valiasr Hospital, Zanjan, Iran. We used a Bayesian hierarchical model and an interrupted time series analysis (ITS) to identify changes in stroke hospitalization rate, baseline stroke severity [measured by the National Institutes of Healt..

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