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Abstract Details

Stroke Recoveries at Risk with COVID-19: A Systematic Review and Call to Action
Cerebrovascular Disease and Interventional Neurology
Cerebrovascular Disease and Interventional Neurology Posters (7:00 AM-5:00 PM)
027

The purpose of study is to review the current literature on concerns regarding a lack of access to post-stroke neurorehabilitation in current pandemic and its effects.
COVID-19 pandemic has not only had a direct impact on people's health but also has greatly influenced public access to acute and subacute therapy centers which may prevent stroke patients from receiving state-of-art rehabilitation therapy.
Systematic literature search on post-stroke rehabilitation limitations and its outcome due to COVID-19 pandemic. Database reviewed: PubMed, Medline, Scopus and Ovid.
We identified 18 articles meeting our criteria. A global study reports a lifetime risk of stroke is 24.9% with proportion of ischemic stroke being the highest at 87%. Rehabilitation is one of the key factors towards recovery and improving the quality of life. Recent data suggest there is inaccessibility towards neuro-rehabilitation services during the pandemic. Study in UK reported 39% of stroke survivors felt they did not receive enough therapies. 34% patients who had stroke prior to pandemic experienced better care as compared to now. Study in Ireland evidenced similar response with 59% survivors reported less support in pandemic. Mental health post-stroke has also taken a toll in the pandemic. A study done in Scotland reports 69% stroke survivors felt more anxious and depressed with more than 50% have had the therapy session cancelled. Similar study performed in Scotland reported 53% cancellation of rehab therapies with more than half of patients going without the necessary rehabilitation.
Current data suggest significant deterioration in post-stroke accessibility to rehab and therapy centers. Healthcare systems should prioritize increasing provision and access to meet the unmet need for post-stroke care. While incorporating tele-visits in this pandemic one should be mindful of patients with cognitive, communication and or those less digitally literate should not be disadvantaged.
Authors/Disclosures
Shivani Naik, MD (Cedar Sinai Medical Center)
PRESENTER 		Dr. Naik has nothing to disclose.
Sahil Naik, MD (Einstein Medical Center) Dr. Naik has nothing to disclose.
Naga Krishnakanth Madireddy, MD (Baptist Health Louisville) Dr. Madireddy has nothing to disclose.
No disclosure on file
Kerri S. Remmel, MD, PhD (Regional Brain Institute) Dr. Remmel has nothing to disclose.
Sahil Naik, MD (Einstein Medical Center) Dr. Naik has nothing to disclose.