Excess cerebrovascular mortality in the United States during the COVID-19 pandemic
Stroke Jan 16, 2021
Sharma R, Kuohn LR, Weinberger DM, et al. - In the present study, researchers sought to describe excess stroke-related deaths and their link with social distancing behavior and coronavirus disease 2019 (COVID-19)-related vascular pathology. Using National Center for Health Statistic data and Poisson regression models, the United States and state-level excess cerebrovascular deaths from January to May 2020 were measured. They included 40 states and New York City. Excess US cerebrovascular deaths were observed during the COVID-19 pandemic and were correlated with national declines in stroke-related EMS calls and state-level mobility. From the weeks ending March 28 to May 2, 2020, excess cerebrovascular mortality was seen nationally, up to 7.8% higher than expected levels during the week of April 18. Fewer stroke-related EMS calls were linked with excess stroke deaths 1 and 2 weeks later. After adjusting for COVID-19 deaths, a 10% increase in time spent at home was linked with a 4.3% increase in stroke deaths. There is a need for public health measures to identify and counteract reluctance to seek medical care for acute stroke during the COVID-19 pandemic.
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