Alarming downtrend in mechanical thrombectomy rates in African American patients during the COVID-19 pandemic-Insights from STAR.
Publication/Presentation Date
4-1-2021
Abstract
BACKGROUND: The coronavirus disease (COVID-19) pandemic has affected stroke care globally. In this study, we aim to evaluate the impact of the current pandemic on racial disparities among stroke patients receiving mechanical thrombectomy (MT).
METHODS: We used the prospectively collected data in the Stroke Thrombectomy and Aneurysm Registry from 12 thrombectomy-capable stroke centers in the US and Europe. We included acute stroke patients who underwent MT between January 2017 and May 2020. We compared baseline features, vascular risk factors, location of occlusion, procedural metrics, complications, and discharge outcomes between patients presenting before (before February 2020) and those who presented during the pandemic (February to May 2020).
RESULTS: We identified 2083 stroke patients: of those 235 (11.3%) underwent MT during the COVID-19 pandemic. Compared with pre-pandemic, stroke patients who received MT during the pandemic had longer procedure duration (44 vs 38 min, P=0.006), longer length of hospitalization (6 vs 4 days, P< 0.001), and higher in-hospital mortality (18.7% vs 11%, P< 0.001). Importantly, there was a lower number of African American patients undergoing MT during the COVID-19 pandemic (609 (32.9%) vs 56 (23.8%); P=0.004).
CONCLUSION: The COVID-19 pandemic has affected the care process for stroke patients receiving MT globally. There is a significant decline in the number of African American patients receiving MT, which mandates further investigation.
Volume
13
Issue
4
First Page
304
Last Page
307
ISSN
1759-8486
Published In/Presented At
Al Kasab, S., Almallouhi, E., Alawieh, A., Jabbour, P., Sweid, A., Starke, R. M., Saini, V., Wolfe, S. Q., Fargen, K. M., Arthur, A. S., Goyal, N., Pandhi, A., Maier, I., Grossberg, J. A., Howard, B. M., Tjoumakaris, S. I., Rai, A., Park, M. S., Mascitelli, J. R., Psychogios, M. N., … STAR collaborators (2021). Alarming downtrend in mechanical thrombectomy rates in African American patients during the COVID-19 pandemic-Insights from STAR. Journal of neurointerventional surgery, 13(4), 304–307. https://doi.org/10.1136/neurintsurg-2020-016946
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
33408256
Department(s)
Administration and Leadership
Document Type
Article