Hospital admissions for stroke dropped by nearly a third during the coronavirus lockdown, according to a new report published in the journal Stroke and Vascular Neurology.
The findings add to a growing body of research that fear of contracting the virus at a hospital, stay-home orders and a dramatic cutback in nonurgent care resulted in patients not seeking care for critical medical needs.
Researchers reviewed stroke and “mini stroke” hospital admissions in the first four months of the year at stroke centers in Boston, New York City, Providence and Seattle, compared to the same period last year. They found the greatest decline in stroke cases — a 31 percent drop — in mid-March through mid-April, when many states issued stay-at-home orders in an effort to curtail a surge in COVID-19 cases.
“Our findings underscore the indirect effects of this pandemic. Public health officials, hospital systems and health care providers must continue to encourage patients with stroke to seek acute care during this crisis,” researchers from University of Washington School of Medicine in Seattle, Harvard Medical School, Brown University, Boston University School of Medicine, and Columbia University wrote in the conclusion of their study.
Critical heart and stroke patients have been returning to hospitals since stay-home orders were lifted, but doctors still worry patients who did not seek care when they needed it may have done more harm to their health.
Strokes and heart attacks require immediate attention, and patients who do not seek care for more mild episodes could suffer damage to their heart or nervous system that leads to more severe problems in the future.
“We really do see two health crises for 2020: the first being the pandemic, the second being the impact of the care that wasn’t delivered,” Jonathan Gleason, chief quality officer for Jefferson Health, said in July.