Article Figures & Data
Figures
- Figure 1
Map of the autonomous communities of Spain. Population density and COVID-19 incidence rate. The circles represent the incidence rate at the peak of the pandemic (per 100 000 inhabitants). Population density is shown beside the name of the community (inhabitants/km2). 1: Andalucía (96). 2: Aragón (28). 3: Principality of Asturias (96). 4: Balearic Islands (230). 5: Canary Islands (289). 6: Cantabria (109). 7: Castilla y León (25). 8: Castilla-La Mancha (26). 9: Cataluña (239). 10: Community of Valencia (215). 11: Extremadura (26). 12: Galicia (91). 13: La Rioja (63). 14: Community of Madrid (830). 15: Murcia region (132). 16: Chartered Community of Navarra (63). 17: Basque Country (305). 18: Autonomous City of Ceuta (7207). 19: Autonomous City of Melilla (4239).
Tables
- Table 1
Survey responses by autonomous community
Autonomous community Number of responses % of stroke units responding in the community % of total responses Andalucía 9 88.9 15.8 Aragón 2 100 3.5 Principality of Asturias 2 100 3.5 Balearic Islands 1 100 1.7 Canary Islands 2 100 3.5 Cantabria 1 100 1.7 Castilla y León 4 80 7 Castilla-La Mancha 2 66.7 3.5 Cataluña 8 66.7 14 Community of Valencia 4 66.7 7 Extremadura 2 100 3.5 Galicia 3 100 5.3 La Rioja * 0 0 0 Community of Madrid 11 91.7 19.3 Murcia region 2 100 3.5 Chartered Community of Navarra 2 100 3.5 Basque Country 3 75 5.3 Autonomous City of Ceuta † 0 0 0 Autonomous City of Melilla † 0 0 0 *La Rioja has one stroke unit.
†Ceuta and Melilla have no stroke units.
- Table 2
Stroke unit activity in Spanish hospitals during the peak of the pandemic and during the same period in 2019
Number of responses February 2019 February 2020 P March 2019 March 2020 P TIA 49 7 (4,12) 6 (3;10) 0.12 8 (4,12) 6 (3,8) 0.019 Ischaemic stroke 53 31 (23,43) 34 (24;47) 0.84 35 (20,48) 27 (18,37) 0.000 Cerebral haemorrhage 51 7 (4,10) 7 (4;11) 0.78 6 (4,10) 5 (3,10) 0.008 Stroke code activation 41 33 (19,51) 35 (20;59) 0.9 35 (16,53) 24 (13,43) 0.000 Intravenous thrombolysis 56 6 (4,8) 7 (4;11) 0.67 7 (4,11) 5 (3,9) 0.000 Thrombectomy 56 6 (3,11) 8 (2;12) 0.09 7 (2,13) 6 (2,12) 0.10 Data indicate the number of cases per month presented as: median (IQR).
TIA, transient ischaemic attack.
- Table 3
Percentage reduction in stroke unit activity during the peak of the pandemic (March 2020 compared with March 2019) according to the incidence rate
Total sample Incidence rate (cases/100 000 inhabitants) 50–100 100–200 200–300 >300 P TIA 19 (0,53) 17 (−22,56) 32 (0,62) 0 (0,50) 33 (−20,56) 0.75 Ischaemic stroke 21 (0,37) 15 (−6,32) 21 (6,31) 15 (0,27) 37 (23,46) 0.11 Cerebral haemorrhage 26 (0,50) 29 (−33,67) 21 (0,50) 7 (0,35) 29 (16,50) 0.37 Stroke code activation 28 (9,42) 33 (20,42) 21 (10,32) 12 (6,42) 37 (35,54) 0.26 Intravenous thrombolysis 25 (0,50) 42 (−12.5,48) 50 (0,75) 22 (0,52) 36 (0,54) 0.80 Thrombectomy 18 (0,43) 19 (−16,72) 12 (0,25) 26 (0,43) 19 (12.5,43) 0.78 Data are presented as median (IQR).
TIA, transient ischaemic attack.
- Table 4
Reported impact on stroke care during the pandemic according to the incidence rate
Total sample Incidence rate (cases/100,000 inhabitants) 50–100 100–200 200–300 >300 P Longer delay to hospital arrival 44 (77) 10 (77) 9 (75) 12 (71) 13 (86) 0.74 Longer delay to neurologist 8 (14) 2 (15) 1 (8) 1 (6) 4 (27) 0.35 Longer delay to diagnostic tests 31 (54) 6 (46) 5 (42) 7 (41) 13 (88) 0.035 Longer door-to-needle time 21 (37) 5 (38) 4 (33) 4 (23.5) 8 (53) 0.37 Longer door-to-puncture time 19 (33) 4 (31) 4 (33) 6 (35) 5 (33) 0.99 Data are presented as number (%) of affirmative responses in each group.
- Table 5
Impact on human resources
Total number per neurology department Number of reallocated % reallocated Number of contagions Number in quarantine % of medical leaves Staff neurologists 17 (7; 35) 4 (0; 14) 22 (0; 73) 2 (0; 12) 1.5 (0; 7) 18 (0; 57) Resident neurologists 6 (0; 16) 4 (0; 16) 51 (0; 100) 1 (0; 6) 1 (0; 3) 23 (0; 75) Data are presented as mean (range).
