オオヤマ ナオキ   Naoki Oyama
  大山 直紀
   所属   川崎医科大学  医学部 臨床医学 脳卒中医学
   職種   准教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Impact of the COVID-19 Pandemic on Acute Stroke Rehabilitation in Japanese Primary Stroke Centers: A Nationwide Cross-Sectional Study Using a Web-based Questionnaire Survey.
掲載誌名 正式名:European neurology
略  称:Eur Neurol
ISSNコード:14219913/00143022
掲載区分国外
著者・共著者 Naoki Oyama, Koichi Oki, Makoto Nakajima, Koichi Matsumoto, Tomohiro Omori, Makoto Hayase, Tsuyoshi Ohta, Masatoshi Koga, Tetsuo Koyama, Shigeru Fujimoto, Yasuyuki Iguchi, Wataru Kakuda, Kuniaki Ogasawara,
担当区分 筆頭著者,責任著者
発行年月 2024/07
概要 INTRODUCTION:Acute stroke rehabilitation is crucial for achieving good functional recovery, even during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to clarify the impact of the COVID-19 pandemic on acute stroke rehabilitation and identify which components in the acute stroke rehabilitation provision system were susceptible to the pandemic.METHODS:A web-based questionnaire survey was conducted in all primary stroke centers (PSCs) in Japan between February 7 and April 21, 2022. The survey included questions about the current status of acute stroke rehabilitation and the influence of the pandemic. We classified the influences and investigated the relationship between the influence of the pandemic and the provision of rehabilitation. Additionally, we investigated a group of prefectures divided according to the grade of the pandemic.RESULTS:The survey response rate was 67% (639 of 959 PSCs). Among them, 387 PSCs (61%) reported that the COVID-19 pandemic affected acute stroke rehabilitation. In PSCs affected by the pandemic, more rehabilitation-related staff were working, and the proportion of weekend/holiday rehabilitation implementation was higher compared to those unaffected. In PSCs from highly infected prefectures, no significant relationship was observed between the influence of the pandemic and the rehabilitation provision system.CONCLUSIONS:PSCs that provide denser acute stroke rehabilitation may be affected to a greater extent by the pandemic. We conclude that stroke hospitals should formulate infection control procedures for acute stroke rehabilitation in advance, depending on the conditions of the region and facility.
DOI 10.1159/000540231
PMID 39084198