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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Impact of SARS-CoV-2 Pandemic on “Stroke Code” Imaging Utilization and Yield

D.R. Shatzkes, A.B. Zlochower, J.M. Steinklein, B.K. Pramanik, C.G. Filippi, S. Azhar, J.J. Wang and P.C. Sanelli
American Journal of Neuroradiology June 2021, 42 (6) 1017-1022; DOI: https://doi.org/10.3174/ajnr.A7038
D.R. Shatzkes
aDepartments of Radiology and Otolaryngology (D.R.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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A.B. Zlochower
bDepartment of Radiology (A.B.Z., J.M.S., B.K.P., C.G.F., P.C.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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J.M. Steinklein
bDepartment of Radiology (A.B.Z., J.M.S., B.K.P., C.G.F., P.C.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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B.K. Pramanik
bDepartment of Radiology (A.B.Z., J.M.S., B.K.P., C.G.F., P.C.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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C.G. Filippi
bDepartment of Radiology (A.B.Z., J.M.S., B.K.P., C.G.F., P.C.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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S. Azhar
cDepartment of Neurology (S.A.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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J.J. Wang
dInstitute for Health Innovations and Outcomes Research (J.J.W.), Feinstein Institutes for Medical Research, and Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Manhasset, New York
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P.C. Sanelli
bDepartment of Radiology (A.B.Z., J.M.S., B.K.P., C.G.F., P.C.S.), Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York
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  • FIG 1.
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    FIG 1.

    Hospital census March 13, 2020, through May 24, 2020, shows the timing of the COVID-19 surge. The turquoise line indicates total hospital census; the orange line, patients positive for COVID-19; and the yellow line, patients under investigation for COVID-19. N indicates the number of patients in each category.

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    FIG 2.

    Total number of stroke codes and imaging-positive cases by month.

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    Table 1:

    Comparison of the monthly stroke code volume in 2020 and 2019

    Month2020 No. (%)2019 No. (%)P Value
    January121 (34)84 (21)<.001
    February113 (32)96 (24)
    March67 (19)105 (27)
    April56 (16)108 (28)
    January/February234 (66)180 (46)<.001
    March/April123 (34)213 (54)
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    Table 2:

    Comparison of the demographic and clinical characteristics of the study cohort stratified by time periods

    2020 Pre-COVID 1/22019 Pre-COVID 1/2P Value2020 COVID 3/42019 Pre-COVID 3/4P Value2020 COVID 3/42020 Pre-COVID 1/2P Value
    No.234180123213123234
    Mean age (range) (yr)66.1 (18–98)65.7 (22–98).8166.4 (25–97)63.8 (20–101).1866.466.1.87
    Sex (No.) (%)
        Male102 (44)73 (41).5467 (54)95 (45).0867 (54)102 (44).05
        Female132 (56)107 (59)56 (46)118 (55)56 (46)132 (56)
    Location (No.) (%)
        ED192 (82)157 (87).1589 (72)182 (85).00389 (72)192 (82).03
        Inpatient42 (18)23 (13)34 (28)31 (15)34 (28)42 (18)
    Mean NIHSS4.74.4.657.35.2.0457.34.8.01
    Positive imaging findings (No.) (%)42 (18)32 (18).9642 (34)37 (17)<.00142 (34)42 (18)<.001
    • Note:—ED indicates emergency department; NA, not available.

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American Journal of Neuroradiology: 42 (6)
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D.R. Shatzkes, A.B. Zlochower, J.M. Steinklein, B.K. Pramanik, C.G. Filippi, S. Azhar, J.J. Wang, P.C. Sanelli
Impact of SARS-CoV-2 Pandemic on “Stroke Code” Imaging Utilization and Yield
American Journal of Neuroradiology Jun 2021, 42 (6) 1017-1022; DOI: 10.3174/ajnr.A7038

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Impact of SARS-CoV-2 Pandemic on “Stroke Code” Imaging Utilization and Yield
D.R. Shatzkes, A.B. Zlochower, J.M. Steinklein, B.K. Pramanik, C.G. Filippi, S. Azhar, J.J. Wang, P.C. Sanelli
American Journal of Neuroradiology Jun 2021, 42 (6) 1017-1022; DOI: 10.3174/ajnr.A7038
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