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Impact of the COVID-19 Pandemic on Acute Stroke Rehabilitation in Japanese Primary Stroke Centers: A Nationwide Cross-Sectional Study Using a Web-Based Questionnaire Survey.
Oyama, Naoki; Oki, Koichi; Nakajima, Makoto; Matsumoto, Koichi; Omori, Tomohiro; Hayase, Makoto; Ohta, Tsuyoshi; Koga, Masatoshi; Koyama, Tetsuo; Fujimoto, Shigeru; Iguchi, Yasuyuki; Kakuda, Wataru; Ogasawara, Kuniaki.
Afiliación
  • Oyama N; Department of Stroke Medicine, Kawasaki Medical School, Okayama, Japan.
  • Oki K; Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
  • Nakajima M; Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
  • Matsumoto K; Division of Rehabilitation Medicine, Tokyo General Hospital, Tokyo, Japan.
  • Omori T; Division of Rehabilitation Medicine, International University of Health and Welfare Narita Hospital, Chiba, Japan.
  • Hayase M; Department of Neurosurgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
  • Ohta T; Department of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Koga M; Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
  • Koyama T; Department of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Hyogo, Japan.
  • Fujimoto S; Division of Neurology, Department of Medicine, Jichi Medical University, Tochigi, Japan.
  • Iguchi Y; Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
  • Kakuda W; Department of Rehabilitation Medicine, International University of Health and Welfare School of Medicine, Chiba, Japan.
  • Ogasawara K; Department of Neurosurgery, Iwate Medical University School of Medicine, Iwate, Japan.
Eur Neurol ; : 1-8, 2024 Jul 31.
Article en En | MEDLINE | ID: mdl-39084198
ABSTRACT

INTRODUCTION:

Acute stroke rehabilitation is crucial for achieving good functional recovery, even during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to clarify the impact of the COVID-19 pandemic on acute stroke rehabilitation and identify which components in the acute stroke rehabilitation provision system were susceptible to the pandemic.

METHODS:

A web-based questionnaire survey was conducted in all primary stroke centers (PSCs) in Japan between February 7 and April 21, 2022. The survey included questions about the current status of acute stroke rehabilitation and the influence of the pandemic. We classified the influences and investigated the relationship between the influence of the pandemic and the provision of rehabilitation. Additionally, we investigated a group of prefectures divided according to the grade of the pandemic.

RESULTS:

The survey response rate was 67% (639 of 959 PSCs). Among them, 387 PSCs (61%) reported that the COVID-19 pandemic affected acute stroke rehabilitation. In PSCs affected by the pandemic, more rehabilitation-related staff were working, and the proportion of weekend/holiday rehabilitation implementation was higher compared to those unaffected. In PSCs from highly infected prefectures, no significant relationship was observed between the influence of the pandemic and the rehabilitation provision system.

CONCLUSIONS:

PSCs that provide denser acute stroke rehabilitation may be affected to a greater extent by the pandemic. We conclude that stroke hospitals should formulate infection control procedures for acute stroke rehabilitation in advance, depending on the conditions of the region and facility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Neurol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Neurol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza