Aneurismal subarachnoid hemorrhage during the COVID-19 outbreak in a Hub and Spoke system: observational multicenter cohort study in Lombardy, Italy - Summary - MDSpire

Aneurismal subarachnoid hemorrhage during the COVID-19 outbreak in a Hub and Spoke system: observational multicenter cohort study in Lombardy, Italy

  • By

  • Alessandro Fiorindi

  • Marika Vezzoli

  • Francesco Doglietto

  • Luca Zanin

  • Giorgio Saraceno

  • Edoardo Agosti

  • Antonio Barbieri

  • Silvio Bellocchi

  • Claudio Bernucci

  • Daniele Bongetta

  • Andrea Cardia

  • Emanuele Costi

  • Marcello Egidi

  • Antonio Fioravanti

  • Roberto Gasparotti

  • Carlo Giussani

  • Gianluca Grimod

  • Nicola Latronico

  • Davide Locatelli

  • Dikran Mardighian

  • Giovanni Nodari

  • Jacopo Carlo Poli

  • Frank Rasulo

  • Elena Roca

  • Giovanni Marco Sicuri

  • Giannantonio Spena

  • Roberto Stefini

  • Oscar Vivaldi

  • Cesare Zoia

  • Stefano Calza

  • Marco Maria Fontanella

  • Marco Cenzato

  • October 25, 2021

  • 0 min

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Objective:

To evaluate the impact of the COVID-19 pandemic on the management and outcomes of aneurismal subarachnoid hemorrhage (aSAH) in Lombardy, Italy, focusing on diagnostic and therapeutic delays.

Key Findings:
  • 72 patients with aSAH during COVID-19 vs. 179 pre-pandemic, indicating a potential decrease in cases.
  • Significant increase in diagnostic delay during COVID-19 (+68%), highlighting the urgency of addressing this issue.
  • No significant differences in Fisher and WFNS grades between groups, suggesting clinical severity remained stable.
  • Only 5.5% of patients tested positive for SARS-CoV-2, indicating a low prevalence in this cohort.
Interpretation:

The COVID-19 pandemic led to increased diagnostic delays for aSAH, which may have critical implications for patient outcomes, but did not significantly alter clinical severity or treatment types compared to pre-pandemic periods.

Limitations:
  • Retrospective data collection may introduce bias, potentially affecting the reliability of findings.
  • Limited number of patients in the COVID-19 group may restrict the generalizability of results.
Conclusion:

The study highlights the challenges in managing aSAH during the COVID-19 pandemic, particularly regarding diagnostic delays, while treatment outcomes remained comparable to pre-pandemic levels, underscoring the need for improved strategies in future crises.

Original Source(s)

Aneurismal subarachnoid hemorrhage during the COVID-19 outbreak in a Hub and Spoke system: observational multicenter cohort study in Lombardy, Italy

  • by Alessandro Fiorindi, Marika Vezzoli, Francesco Doglietto, Luca Zanin, Giorgio Saraceno, Edoardo Agosti, Antonio Barbieri, Silvio Bellocchi, Claudio Bernucci, Daniele Bongetta, Andrea Cardia, Emanuele Costi, Marcello Egidi, Antonio Fioravanti, Roberto Gasparotti, Carlo Giussani, Gianluca Grimod, Nicola Latronico, Davide Locatelli, Dikran Mardighian, Giovanni Nodari, Jacopo Carlo Poli, Frank Rasulo, Elena Roca, Giovanni Marco Sicuri, Giannantonio Spena, Roberto Stefini, Oscar Vivaldi, Cesare Zoia, Stefano Calza, Marco Maria Fontanella, Marco Cenzato

  • October 25, 2021

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