{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:06:20Z","timestamp":1773795980099,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>A few studies using data from regional databases have recently pointed to a decreased number of patients with stroke. The aim of the present study was to describe country\u2010level data (the number of patients with stroke, the proportion of patients with acute stroke and transient ischemic attack (TIA), the proportion of patients treated with intravenous thrombolysis [IVT] or mechanical thrombectomy [MT], the door\u2010to\u2010needle times [DNT], and the onset\u2010to\u2010needle time [ONT]) during the COVID\u201019 pandemic in Slovakia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study examined data from the stroke register at the National Health Information Centre. Data from three time periods (March to April 2020; March to April 2019; January to February 2020) were compared using an independent samples <jats:italic>t<\/jats:italic>\u2010test and the Wilcoxon\u2013Mann\u2013Whitney two\u2010sample rank\u2010sum test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of stroke patients admitted to hospitals in Slovakia during the COVID\u201019 period showed a decrease (1673 vs. 2328 in period 2 and 2155 in period 3). The proportions of patients with TIA remained the same in periods 1 and 2 (9.7% vs. 11.7%) and in periods 1 and 3 (9.7 vs. 11.8%). The percentage of patients treated with IVT during the pandemic (22.4%) did not differ from period 2 (20.0%) or period 3 (21.4%). No difference was found in the rate of MT between the COVID\u201019 period (10.2%) and the same period in 2019 (10.7%) and in January to February 2020 (13.1%). The median DNT remained unchanged in periods 1 (30\u00a0min), 2 (35\u00a0min) and 3 (30\u00a0min), and no differences were found in median ONT in periods 1 (130\u00a0min), 2 (130\u00a0min) and 3 (140\u00a0min).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found a decreased number of stroke patients during the COVID\u201019 outbreak in Slovakia, but no evidence of a\u00a0change in the quality of acute stroke care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.14640","type":"journal-article","created":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T13:52:57Z","timestamp":1605275577000},"page":"3263-3266","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The impact of the COVID\u201019 outbreak on acute stroke care in Slovakia: Data from across the country"],"prefix":"10.1111","volume":"28","author":[{"given":"Zuzana","family":"Gdovinov\u00e1","sequence":"first","affiliation":[{"name":"Department Neurology Faculty of Medicine P.J. Safarik University and University Hospital L. Pasteur Ko\u0161ice"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6964-6710","authenticated-orcid":false,"given":"Marianna","family":"Vitkov\u00e1","sequence":"additional","affiliation":[{"name":"Department Neurology Faculty of Medicine P.J. Safarik University and University Hospital L. Pasteur Ko\u0161ice"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bar\u00e1kov\u00e1","sequence":"additional","affiliation":[{"name":"National Health Information Center Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alena","family":"Cvopov\u00e1","sequence":"additional","affiliation":[{"name":"National Health Information Center Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-020-04375-9"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030395"},{"key":"e_1_2_9_4_1","first-page":"1","article-title":"Impact of the COVID\u201019 outbreak on acute stroke care","volume":"20","author":"Rinkel LA","year":"2020","journal-title":"J Neurol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14316"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","unstructured":"MezaHT LambeaA SaldanaAS et al.Impact of COVID\u201019 outbreak in reperfusion therapies of acute ischemic stroke in North\u2010West Spain.https:\/\/doi.org\/10.1111\/ENE.14476","DOI":"10.1111\/ene.14476"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Effect of COVID\u201019 pandemic on stroke admission rates in a Norwegian population","author":"Kritoffersen ES","year":"2020","journal-title":"Acta Neurol Scand"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14375"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-020-04389-3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2396987320942622"}],"container-title":["European Journal of Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ene.14640","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ene.14640","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ene.14640","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T21:00:39Z","timestamp":1693342839000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ene.14640"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,3]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/ene.14640"],"URL":"https:\/\/doi.org\/10.1111\/ene.14640","archive":["Portico"],"relation":{},"ISSN":["1351-5101","1468-1331"],"issn-type":[{"value":"1351-5101","type":"print"},{"value":"1468-1331","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,3]]},"assertion":[{"value":"2020-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}