{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:14:40Z","timestamp":1769116480869,"version":"3.49.0"},"reference-count":16,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cerebrovasc Dis"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; The coronavirus disease 2019 (COVID-19) pandemic has led to changes in stroke patients\u2019 healthcare use. This study evaluated changes in Korean stroke patients\u2019 health-seeking behaviors and stroke care services using data from the Korean Stroke Registry (KSR). &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We reviewed data from patients with acute stroke and transient ischemic attack (TIA) during 2019 (before COVID-19 period) and 2020 (COVID-19 period). Outcomes included patient characteristics, time from stroke onset to hospital arrival, and in-hospital stroke pathways. Subgroup analyses were performed for an epidemic region (Daegu city and Gyeongsangbuk-do region, the D-G region). &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The study included 1,792 patients from the pre-COVID-19 period and 1,555 patients from the COVID-19 period who visited hospitals that contribute to the KSR. During the COVID-19 period, the D-G region had two-thirds the number of cases (vs. the pre-CO\u00adVID-19 period) and a significant decrease in the proportion of patients with TIA (9.97%\u20132.91%). Unlike other regions, the median onset-to-door time increased significantly in the D-G region (361 min vs. 526.5 min, &lt;i&gt;p&lt;\/i&gt; = 0.016), and longer onset-to-door times were common for patients with mild symptoms and who were in their 60s or 70s. The number of patients who underwent intravenous thrombolysis also decreased during the COVID-19 period, although the treatment times were not significantly different between the 2 periods. &lt;b&gt;&lt;i&gt;Discussion\/Conclusion:&lt;\/i&gt;&lt;\/b&gt; Korean stroke patients in a CO\u00adVID-19 epidemic region exhibited distinct changes in health-seeking behaviors. Appropriate triage system and public education regarding the importance of early treatment are needed during the COVID-19 pandemic. <\/jats:p>","DOI":"10.1159\/000519093","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T21:02:43Z","timestamp":1633035763000},"page":"169-177","source":"Crossref","is-referenced-by-count":12,"title":["Changes in Stroke Patients\u2019 Health-Seeking Behavior by COVID-19 Epidemic Regions: Data from the Korean Stroke Registry"],"prefix":"10.1159","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3373-118X","authenticated-orcid":false,"given":"Han-Yeong","family":"Jeong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5326-1111","authenticated-orcid":false,"given":"Eung-Joon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Kyoung","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ki-Woong","family":"Nam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9843-8902","authenticated-orcid":false,"given":"Jeonghoon","family":"Bae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kipyoung","family":"Jeon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keun-Hwa","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9429-9597","authenticated-orcid":false,"given":"Sang-Bae","family":"Ko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi Sun","family":"Oh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Sung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8917-3439","authenticated-orcid":false,"given":"Jaechun","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunhwan","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin-Kuk","family":"Do","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6900-1242","authenticated-orcid":false,"given":"Sung-Il","family":"Sohn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun U.","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hee-Joon","family":"Bae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-807X","authenticated-orcid":false,"given":"Byung-Woo","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4199-3024","authenticated-orcid":false,"given":"Jong-Moo","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-020-04375-9"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030329"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.120.006631"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2014816"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030225"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030792"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.111.963736"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/1747493019884517"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2017.02894"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247970"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.12.038"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11264-z"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14316"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2020.01550"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030105"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-73777-8"}],"container-title":["Cerebrovascular Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/519093","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/519093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:22:20Z","timestamp":1745421740000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000519093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,3,16]]},"published-print":{"date-parts":[[2022,3,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000519093","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.16704958","asserted-by":"subject"}]},"ISSN":["1015-9770","1421-9786"],"issn-type":[{"value":"1015-9770","type":"print"},{"value":"1421-9786","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]}}}