id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-283236-vko7qdqp	Paliwal, Prakash R.	Impact of the COVID-19 pandemic on hyperacute stroke treatment: experience from a comprehensive stroke centre in Singapore	2020-07-13		.txt	text/plain	3674	175	51	Amongst AIS patients that received acute recanalization therapy, early neurological outcomes in terms of change in median NIHSS at 24 h (-4 versus -4, p = 0.685) were largely similar between the preand during DORSCON orange periods. (1) The number of stroke activations showed significant decline during DORSCON orange and there was a negative linear correlation with exponential increase in COVID-19 cases in Singapore; (2) The proportion undergoing acute recanalization therapy remains stable; (3) A slight delay in door-to-activation and door-to-neurologist review time during DORSCON Orange period was observed which can be attributed to the additional time from screening potential COVID-19 suspects and donning of PPE, both of which are necessary infection control measures; (4) Other process efficiency timings and early neurological outcome measures remained similar. Similarly, our study reports a decline in number of stroke activations as the severity of the COVID-19 pandemic worsened in Singapore, however the proportion of patients receiving hyperacute interventions including EVT remained similar.	./cache/cord-283236-vko7qdqp.txt	./txt/cord-283236-vko7qdqp.txt