• Yun-Gang Cao, Yan Li, Jie Shen, Meng-Meng Shao, Xian-Da Lin, Juan-Juan Zhu, Xiao-Yan Huang, Zi-Cheng Cheng, Jue-Yue Yan, and Ke-Yang Chen.
• Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, College West Road No. 109, Wenzhou, 325027, Zhejiang, China.
• Neurol. Sci. 2021 May 1; 42 (5): 1653-1659.

ObjectiveTo explore the activity changes in neurology clinical practice that have occurred in tertiary public hospitals during the COVID-19 pandemic.MethodsOutpatient and inpatient data from the neurology department were extracted from the electronic medical record system of three tertiary Grade A hospitals in Wenzhou. Data were analyzed across 5 months following the beginning of the pandemic (from January 13 to May 17) and compared with the same period in 2019. Data on reperfusion therapy for acute infarction stroke were extracted monthly from January to April.ResultsThe number of outpatients declined from 102,300 in 2019 to 75,154 in 2020 (26.54%), while the number of inpatients in the three tertiary Grade A hospitals decreased from 4641 to 3437 (25.94%). The latter trend showed a significant drop from the 3rd week to the 7th week. The number of patients in these hospitals decreased significantly, and a significant drop was seen in the neurology department. As usual, stroke was the most common disease observed; however, anxiety/depression and insomnia increased dramatically in the outpatient consultation department.ConclusionsThe results of our study revealed the effects of the COVID-19 pandemic in the clinical practice of neurology in Wenzhou during the outbreak. Understanding the pandemic's trends and impact on neurological patients and health systems will allow for better preparation of neurologists in the future.

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