Optimization of resources and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic

The COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare w...

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Bibliographic Details
Published in:	Journal of stroke and cerebrovascular diseases Vol. 29; no. 8; p. 104980
Main Authors:	Ford, Thomas, Curiale, Gioacchino, Nguyen, Thanh N, Aparicio, Hugo, Hamlyn, Emily K., Gangadhara, Suhas, Cervantes-Arslanian, Anna M, Greer, David, Romero, Jose Rafael, Shulman, Julie G
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-08-2020
Subjects:	Acute ischemic stroke Betacoronavirus - pathogenicity Boston Brain Ischemia - diagnosis Brain Ischemia - epidemiology Brain Ischemia - virology Clinical Decision-Making Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronavirus Infections - therapy Coronavirus Infections - virology COVID-19 Critical Pathways - organization & administration Endovascular Procedures - adverse effects Health Services Needs and Demand - organization & administration Host Microbial Interactions Humans Interventional neuroradiology Needs Assessment - organization & administration Pandemics Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Pneumonia, Viral - therapy Pneumonia, Viral - virology Radiography, Interventional - adverse effects Risk Assessment Risk Factors SARS-CoV-2 Stroke - diagnosis Stroke - epidemiology Stroke - therapy Thrombolysis Thrombolytic Therapy - adverse effects Treatment Outcome Triage - organization & administration Boston COVID-19 Acute ischemic stroke Thrombolysis Interventional neuroradiology
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Summary:	The COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare worker safety in the face of limited resources. Boston Medical Center has been particularly affected due to the underserved patient population we care for and the increased risk of ischemic stroke in patients with COVID-19 infection. We present protocol modifications developed to manage patients with acute ischemic stroke in a safe and effective manner while prioritizing judicious use of personal protective equipment and intensive care unit resources. We feel this information will benefit other organizations facing similar obstacles in caring for the most vulnerable patient populations during this ongoing public health crisis.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1052-3057 1532-8511 1532-8511
DOI:	10.1016/j.jstrokecerebrovasdis.2020.104980