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Frontiers in neurology · Jan 2020
Triage of Acute Ischemic Stroke in Confirmed COVID-19: Large Vessel Occlusion Associated With Coronavirus Infection.
- Pouria Moshayedi, Timothy E Ryan, Lucido Luciano Ponce Mejia, May Nour, and David S Liebeskind.
- Department of Neurology, University of California, Los Angeles, Los Angeles, CA, United States.
- Front Neurol. 2020 Jan 1; 11: 353.
AbstractThe outbreak of COVID-19 has posed a significant challenge to global healthcare. Acute stroke care requires rapid bedside attendance, imaging, and intervention. However, for acute stroke patients who have a diagnosis of or are under investigation for COVID-19, the concern for nosocomial transmission moderates operational procedures for acute stroke care. We present our experience with an in-hospital stroke code called on a COVID-19-positive patient with a left middle cerebral artery syndrome and the challenges faced for timely examination, imaging, and decision to intervene. The outlook for the ongoing COVID-19 pandemic necessitates the development of protocols to sustain timely and effective acute stroke care while mitigating healthcare-associated transmission.Copyright © 2020 Moshayedi, Ryan, Mejia, Nour and Liebeskind.
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