COVID-19’un genç hastalarda iskemik inme nedenli acil başvurularına etkisi: Kesintili zaman serisi analizi

Year 2024, Volume: 29 Issue: 1, 69 - 75, 27.01.2024

Betül Sümbül Şekerci , Özge Pasin , Asli Yaman , Tuğçe Pasin , Abdüsselam Şekerci

https://doi.org/10.21673/anadoluklin.1358649

Abstract

Amaç: Bu çalışma, Koronavirüs Hastalığı-19 (COVID-19)’un Türkiye’deki bir üniversite hastanesinde hem genç hem de genel popülasyonda iskemik inme nedeniyle acil başvuru sıklığı üzerindeki etkisini değerlendirmeyi amaçlamaktadır.

Yöntemler: Bu çalışmada Bezmialem Vakıf Üniversitesi Hastanesi sisteminden retrospektif olarak toplanan veriler kullanılarak kesintili zaman serileri analizi kullanılmıştır. Çalışmaya Mayıs 2019 ile Şubat 2023 tarihleri arasında hastane acil servisine başvuran ve iskemik inme tanısı alan hastalar dahil edilmiştir.

Bulgular: Hastanemize iskemik inmeli 2196 hasta başvurmuş ve bunların 277’si genç inme hastası olduğu görülmüştür. Pandemi öncesi dönemde, iskemik inme nedeniyle hastane başvurularında istatiksel olarak anlamlı bir artış olmakla birlikte (p<0.001), genç inmeli olguların başvuru oranlarında anlamlı bir değişiklik gözlenmemiştir. (p>0,05). COVID-19 pandemisi acil iskemik inme başvuruları üzerinde ani bir etkiye neden olmuş ve toplam başvuru sayılarında önemli bir düşüşe yol açmıştır. COVID-19 sonrası dönem analiz edildiğinde, COVID-19’un genç popülasyondaki inme oranları üzerinde istatiksel açıdan anlamlı bir etkisi olmadığı görülmüştür.

Sonuç: İskemik inmeli hastaların hastaneye başvuruları, COVID-19 döneminde uygulanan karantina önlemlerinin sonuçlarından önemli ölçüde etkilenmiştir. Ancak kesintili zaman serisi analizi kullanılarak COVID-19 sonrası analizi edildiğinde, genç iskemik inmeli hastaların başvurularında COVID-19’un anlamlı bir etkisi gözlenmemiştir.

Keywords

COVID-19, inme, veri analizi

Project Number

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Effect of COVID-19 on emergency admissions for young patients with ischemic stroke: An interrupted time series analysis

Abstract

Aim: This study aims to evaluate the influence of Coronavirus Disease-19 (COVID-19) on the frequency of emergency admissions for ischemic stroke among both young and general populations at a university hospital in Turkey.

Methods: An interrupted time series analysis was employed in this study, utilizing retrospectively collected data from the Bezmialem Vakıf University Hospital system. The study included patients who visited the hospital emergency department from May 2019 to February 2023 and were diagnosed with ischemic stroke.

Results: 2196 patients with ischemic stroke were admitted to our hospital and 277 of them were young stroke patients. During the pre-pandemic period, there was a noteworthy rise in overall admissions for ischemic stroke (p<0.001); however, no significant change was observed in the rate of admissions for young stroke cases (p>0.05). The COVID-19 pandemic had an immediate impact on emergency ischemic stroke admissions, leading to a significant decrease in total admission numbers. Upon analyzing the post-COVID-19 period, we observed that COVID-19 did not exert a significant influence on the rate of strokes among the youth population.

Conclusion: The hospital admissions of patients with ischemic stroke have been significantly affected by the outcomes of quarantine measures implemented during the COVID-19 period. However, when the analysis of the post-COVID-19 period was conducted using interrupted time series analysis, a significant impact of COVID-19 on the admissions of young patients with ischemic stroke was not observed.

Keywords

COVID-19, interrupted time series analysis, stroke

Ethical Statement

The study was approved by the Ethics Committee of the Bezmialem Vakif University (Number: 95128).

Supporting Institution

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Project Number

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Thanks

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