Global Impact of COVID-19 on Stroke Care and IV Thrombolysis

Detalhes bibliográficos
Autor(a) principal: Nogueira, RG
Data de Publicação: 2021
Outros Autores: Qureshi, MM, Abdalkader, M, Martins, SO, Yamagami, H, Qiu, Z, Mansour, OY, Sathya, A, Czlonkowska, A, Tsivgoulis, G, Aguiar de Sousa, D, Demeestere, J, Mikulik, R, Vanacker, P, Siegler, JE, Kõrv, J, Biller, J, Liang, CW, Sangha, NS, Zha, AM., Czap, AL, Holmstedt, CA, Turan, TN, Ntaios, G, Malhotra, K, Tayal, A, Loochtan, A, Ranta, A, Mistry, EA, Alexandrov, AW, Huang, DY, Yaghi, S, Raz, E, Sheth, SA, Mohammaden, MH, Frankel, M, Bila Lamou, EG, Aref, HM, Elbassiouny, A, Hassan, F, Menecie, T, Mustafa, W, Shokri, HM, Roushdy, T, Sarfo, FS, Alabi, TO, Arabambi, B, Nwazor, EO, Sunmonu, TA, Wahab, K, Yaria, J, Mohammed, HH, Adebayo, PB, Riahi, AD, Sassi, SB, Gwaunza, L, Ngwende, GW, Sahakyan, D, Rahman, A, Ai, Z, Bai, F, Duan, Z, Hao, Y, Huang, W, Li, G, Li, W, Liu, G, Luo, J, Shang, X, Sui, Y, Tian, L, Wen, H, Wu, B, Yan, Y, Yuan, Z, Zhang, H, Zhang, J, Zhao, W, Zi, W, Leung, TW, Chugh, C, Huded, V, Menon, B, Pandian, JD, Sylaja, PN, Usman, FS, Farhoudi, M, Hokmabadi, ES, Horev, A, Reznik, A, Sivan Hoffmann, R, Ohara, N, Sakai, N, Watanabe, D, Yamamoto, R, Doijiri, R, Tokuda, N, Yamada, T, Terasaki, T, Yazawa, Y, Uwatoko, T, Dembo, T, Shimizu, H, Sugiura, Y, Miyashita, F, Fukuda, H, Miyake, K, Shimbo, J, Sugimura, Y, Yagita, Y, Takenobu, Y, Matsumaru, Y, Yamada, S, Kono, R, Kanamaru, T, Yamazaki, H, Sakaguchi, M, Todo, K, Yamamoto, N, Sonoda, K, Yoshida, T, Hashimoto, H, Nakahara, I, Kondybayeva, A, Faizullina, K, Kamenova, S, Zhanuzakov, M, Baek, JH, Hwang, Y, Lee, JS, Lee, SB, Moon, J, Park, H, Seo, JH, Seo, KD, Sohn, SI, Young, CJ, Ahdab, R, Wan Zaidi, WA, Aziz, ZA, Basri, HB, Chung, LW, Ibrahim, AB, Ibrahim, KA, Looi, I, Tan, WY, Yahya, NW, Groppa, S, Leahu, P, Al Hashmi, AM, Imam, YZ, Akhtar, N, Pineda-Franks, MC, Co, CO, Kandyba, D, Alhazzani, A, Al-Jehani, H, Tham, CH, Mamauag, MJ, Venketasubramanian, N, Chen, CH, Tang, SC, Churojana, A, Akil, E, aykaç, O, Ozdemir, AO, Giray, S, Hussain, SI, John, S, Le Vu, H, Tran, AD, Nguyen, HH, Nhu Pham, T, Nguyen, TH, Nguyen, TQ, Gattringer, T, Enzinger, C, Killer-Oberpfalzer, M, Bellante, F, De Blauwe, S, Vanhooren, G, De Raedt, S, Dusart, A, Lemmens, R, Ligot, N, Pierre Rutgers, M, Yperzeele, L, Alexiev, F, Sakelarova, T, Bedeković, MR, Budincevic, H, Cindric, I, Hucika, Z, Ozretic, D, Saric, MS, Pfeifer, F, Karpowic, I, Cernik, D, Sramek, M, Skoda, M, Hlavacova, H, Klecka, L, Koutny, M, Vaclavik, D, Skoda, O, Fiksa, J, Hanelova, K, Nevsimalova, M, Rezek, R, Prochazka, P, Krejstova, G, Neumann, J, Vachova, M, Brzezanski, H, Hlinovsky, D, Tenora, D, Jura, R, Jurák, L, Novak, J, Novak, A, Topinka, Z, Fibrich, P, Sobolova, H, Volny, O, Krarup Christensen, H, Drenck, N, Klingenberg Iversen, H, Simonsen, CZ, Truelsen, TC, Wienecke, T, Vibo, R, Gross-Paju, K, Toomsoo, T, Antsov, K, Caparros, F, Cordonnier, C, Dan, M, Faucheux, JM, Mechtouff, L, Eker, O, Lesaine, E, Ondze, B, Peres, R, Pico, F, Piotin, M, Pop, R, Rouanet, F, Gubeladze, T, Khinikadze, M, Lobjanidze, N, Tsiskaridze, A, Nagel, S, Ringleb, PA, Rosenkranz, M, Schmidt, H, Sedghi, A, Siepmann, T, Szabo, K, Thomalla, G, Palaiodimou, L, Sagris, D, Kargiotis, O, Klivenyi, P, Szapary, L, Tarkanyi, G, Adami, A, Bandini, P, Calabresi, P, Frisullo, G, Renieri, L, Sangalli, D, Pirson, A, Uyttenboogaart, M, van den Wijngaard, I, Kristoffersen, ES, Brola, W, Fudala, M, Horoch-Lyszczarek, E, Karlinski, M, Kazmierski, R, Kram, P, Rogoziewicz, M, Kaczorowski, R, Luchowski, P, Sienkiewicz-Jarosz, H, Sobolewski, P, Fryze, W, Wisniewska, A, Wiszniewska, M, Ferreira, P, Fonseca, L, Marto, JP, Pinho e Melo, T, Nunes, AP, Rodrigues, M, Tedim Cruz, V, Falup-Pecurariu, C, Krastev, G, Mako, M, de Leciñana, MA, Arenillas, JF, Ayo-Martin, O, Cruz Culebras, A, Tejedor, ED, Montaner, J, Pérez-Sánchez, S, Tola Arribas, MA, Rodriguez Vasquez, A, Mayza, M, Bernava, G, Brehm, A, Machi, P, Fischer, U, Gralla, J, Michel, PL, Psychogios, MN, Strambo, D, Banerjee, S, Krishnan, K, Kwan, J, Butt, A, Catanese, L, Demchuk, AM, Field, T, Haynes, J, Hill, MD., Khosravani, H, Mackey, A, Pikula, A, Saposnik, G, Scott, CA, Shoamanesh, A, Shuaib, A, Yip, S, Barboza, MA, Barrientos, JD, Portillo Rivera, LI, Gongora-Rivera, F, Novarro-Escudero, N, Blanco, A, Abraham, M, Alsbrook, D, Altschul, D, Alvarado-Ortiz, AJ, Bach, I, Badruddin, A, Barazangi, N, Brereton, C, Castonguay, A, Chaturvedi, S, Chaudry, SA, Choe, H, Choi, JA, Dharmadhikari, S, Desai, K, Devlin, TG, Doss, VT, Edgell, R, Etherton, M, Farooqui, M, Frei, D, Gandhi, D, Grigoryan, M, Gupta, R, Hassan, AE, Helenius, J, Kaliaev, A, Kaushal, R, Khandelwal, P, Khawaja, AM, Khoury, NN, Kim, BS, Kleindorfer, DO, Koyfman, F, Lee, VH, Leung, LY, Linares, G, Linfante, I, Lutsep, HL, Macdougall, L, Male, S, Malik, AM, Masoud, H, McDermott, M, Mehta, BP, Min, J, Mittal, M, Morris, JG, Multani, SS, Nahab, F, Nalleballe, K, Nguyen, CB, Novakovic-White, R, Ortega-Gutierrez, S, Rahangdale, RH, Ramakrishnan, P, Romero, JR, Rost, N, Rothstein, A, Ruland, S, Shah, R, Sharma, M, Silver, B, Simmons, M, Singh, A, Starosciak, AK, Strasser, SL, Szeder, V, Teleb, M, Tsai, JP, Voetsch, B, Balaguera, O, Pujol Lereis, VA, Luraschi, A, Almeida, MS, Cardoso, FB, Conforto, A, De Deus Silva, L, Varrone Giacomini, L, Oliveira Lima, F, Longo, AL, Magalhães, PSC, Martins, RT, Mont'alverne, F, Mora Cuervo, DL, Costa Rebello, L, Valler, L, Zetola, VF, Lavados, PM, Navia, V, Olavarría, VV, Almeida Toro, JM, Amaya, PFR, Bayona, H, Corredor, A, Rivera Ordonez, CE, Mantilla Barbosa, DK, Lara, O, Patiño, MR, Diaz Escobar, LF, Dejesus Melgarejo Fariña, DE, Cardozo Villamayor, A, Zelaya Zarza, AJ, Barrientos Iman, DM, Rodriguez Kadota, L, Campbell, B, Hankey, GJ., Hair, C, Kleinig, T, Ma, A, Tomazini Martins, R, Sahathevan, R, Thijs, V, Salazar, D, Yuan-Hao Wu, T, Haussen, DC, Liebeskind, D, Yavagal, DR, Jovin, TG, Zaidat, OO, Nguyen, TN
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/4384
Resumo: Objective: To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.
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spelling Global Impact of COVID-19 on Stroke Care and IV ThrombolysisCOVID-19StrokeThrombolysisHSJ NEUObjective: To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.American Academy NeurologyRepositório do Centro Hospitalar Universitário de Lisboa Central, EPENogueira, RGQureshi, MMAbdalkader, MMartins, SOYamagami, HQiu, ZMansour, OYSathya, ACzlonkowska, ATsivgoulis, GAguiar de Sousa, DDemeestere, JMikulik, RVanacker, PSiegler, JEKõrv, JBiller, JLiang, CWSangha, NSZha, AM.Czap, ALHolmstedt, CATuran, TNNtaios, GMalhotra, KTayal, ALoochtan, ARanta, AMistry, EAAlexandrov, AWHuang, DYYaghi, SRaz, ESheth, SAMohammaden, MHFrankel, MBila Lamou, EGAref, HMElbassiouny, AHassan, FMenecie, TMustafa, WShokri, HMRoushdy, TSarfo, FSAlabi, TOArabambi, BNwazor, EOSunmonu, TAWahab, KYaria, JMohammed, HHAdebayo, PBRiahi, ADSassi, SBGwaunza, LNgwende, GWSahakyan, DRahman, AAi, ZBai, FDuan, ZHao, YHuang, WLi, GLi, WLiu, GLuo, JShang, XSui, YTian, LWen, HWu, BYan, YYuan, ZZhang, HZhang, JZhao, WZi, WLeung, TWChugh, CHuded, VMenon, BPandian, JDSylaja, PNUsman, FSFarhoudi, MHokmabadi, ESHorev, AReznik, ASivan Hoffmann, ROhara, NSakai, NWatanabe, DYamamoto, RDoijiri, RTokuda, NYamada, TTerasaki, TYazawa, YUwatoko, TDembo, TShimizu, HSugiura, YMiyashita, FFukuda, HMiyake, KShimbo, JSugimura, YYagita, YTakenobu, YMatsumaru, YYamada, SKono, RKanamaru, TYamazaki, HSakaguchi, MTodo, KYamamoto, NSonoda, KYoshida, THashimoto, HNakahara, IKondybayeva, AFaizullina, KKamenova, SZhanuzakov, MBaek, JHHwang, YLee, JSLee, SBMoon, JPark, HSeo, JHSeo, KDSohn, SIYoung, CJAhdab, RWan Zaidi, WAAziz, ZABasri, HBChung, LWIbrahim, ABIbrahim, KALooi, ITan, WYYahya, NWGroppa, SLeahu, PAl Hashmi, AMImam, YZAkhtar, NPineda-Franks, MCCo, COKandyba, DAlhazzani, AAl-Jehani, HTham, CHMamauag, MJVenketasubramanian, NChen, CHTang, SCChurojana, AAkil, Eaykaç, OOzdemir, AOGiray, SHussain, SIJohn, SLe Vu, HTran, ADNguyen, HHNhu Pham, TNguyen, THNguyen, TQGattringer, TEnzinger, CKiller-Oberpfalzer, MBellante, FDe Blauwe, SVanhooren, GDe Raedt, SDusart, ALemmens, RLigot, NPierre Rutgers, MYperzeele, LAlexiev, FSakelarova, TBedeković, MRBudincevic, HCindric, IHucika, ZOzretic, DSaric, MSPfeifer, FKarpowic, ICernik, DSramek, MSkoda, MHlavacova, HKlecka, LKoutny, MVaclavik, DSkoda, OFiksa, JHanelova, KNevsimalova, MRezek, RProchazka, PKrejstova, GNeumann, JVachova, MBrzezanski, HHlinovsky, DTenora, DJura, RJurák, LNovak, JNovak, ATopinka, ZFibrich, PSobolova, HVolny, OKrarup Christensen, HDrenck, NKlingenberg Iversen, HSimonsen, CZTruelsen, TCWienecke, TVibo, RGross-Paju, KToomsoo, TAntsov, KCaparros, FCordonnier, CDan, MFaucheux, JMMechtouff, LEker, OLesaine, EOndze, BPeres, RPico, FPiotin, MPop, RRouanet, FGubeladze, TKhinikadze, MLobjanidze, NTsiskaridze, ANagel, SRingleb, PARosenkranz, MSchmidt, HSedghi, ASiepmann, TSzabo, KThomalla, GPalaiodimou, LSagris, DKargiotis, OKlivenyi, PSzapary, LTarkanyi, GAdami, ABandini, PCalabresi, PFrisullo, GRenieri, LSangalli, DPirson, AUyttenboogaart, Mvan den Wijngaard, IKristoffersen, ESBrola, WFudala, MHoroch-Lyszczarek, EKarlinski, MKazmierski, RKram, PRogoziewicz, MKaczorowski, RLuchowski, PSienkiewicz-Jarosz, HSobolewski, PFryze, WWisniewska, AWiszniewska, MFerreira, PFerreira, PFonseca, LMarto, JPPinho e Melo, TNunes, APRodrigues, MTedim Cruz, VFalup-Pecurariu, CKrastev, GMako, Mde Leciñana, MAArenillas, JFAyo-Martin, OCruz Culebras, ATejedor, EDMontaner, JPérez-Sánchez, STola Arribas, MARodriguez Vasquez, AMayza, MBernava, GBrehm, AMachi, PFischer, UGralla, JMichel, PLPsychogios, MNStrambo, DBanerjee, SKrishnan, KKwan, JButt, ACatanese, LDemchuk, AMField, THaynes, JHill, MD.Khosravani, HMackey, APikula, ASaposnik, GScott, CAShoamanesh, AShuaib, AYip, SBarboza, MABarrientos, JDPortillo Rivera, LIGongora-Rivera, FNovarro-Escudero, NBlanco, AAbraham, MAlsbrook, DAltschul, DAlvarado-Ortiz, AJBach, IBadruddin, ABarazangi, NBrereton, CCastonguay, AChaturvedi, SChaudry, SAChoe, HChoi, JADharmadhikari, SDesai, KDevlin, TGDoss, VTEdgell, REtherton, MFarooqui, MFrei, DGandhi, DGrigoryan, MGupta, RHassan, AEHelenius, JKaliaev, AKaushal, RKhandelwal, PKhawaja, AMKhoury, NNKim, BSKleindorfer, DOKoyfman, FLee, VHLeung, LYLinares, GLinfante, ILutsep, HLMacdougall, LMale, SMalik, AMMasoud, HMcDermott, MMehta, BPMin, JMittal, MMorris, JGMultani, SSNahab, FNalleballe, KNguyen, CBNovakovic-White, ROrtega-Gutierrez, SRahangdale, RHRamakrishnan, PRomero, JRRost, NRothstein, ARuland, SShah, RSharma, MSilver, BSimmons, MSingh, AStarosciak, AKStrasser, SLSzeder, VTeleb, MTsai, JPVoetsch, BBalaguera, OPujol Lereis, VALuraschi, AAlmeida, MSCardoso, FBConforto, ADe Deus Silva, LVarrone Giacomini, LOliveira Lima, FLongo, ALMagalhães, PSCMartins, RTMont'alverne, FMora Cuervo, DLCosta Rebello, LValler, LZetola, VFLavados, PMNavia, VOlavarría, VVAlmeida Toro, JMAmaya, PFRBayona, HCorredor, ARivera Ordonez, CEMantilla Barbosa, DKLara, OPatiño, MRDiaz Escobar, LFDejesus Melgarejo Fariña, DECardozo Villamayor, AZelaya Zarza, AJBarrientos Iman, DMRodriguez Kadota, LCampbell, BHankey, GJ.Hair, CKleinig, TMa, ATomazini Martins, RSahathevan, RThijs, VSalazar, DYuan-Hao Wu, THaussen, DCLiebeskind, DYavagal, DRJovin, TGZaidat, OONguyen, TN2023-02-08T15:21:41Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4384engNeurology . 2021 Jun 8;96(23):e2824-e283810.1212/WNL.0000000000011885info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:46:19Zoai:repositorio.chlc.min-saude.pt:10400.17/4384Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:43.875630Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
title Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
spellingShingle Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
Nogueira, RG
COVID-19
Stroke
Thrombolysis
HSJ NEU
title_short Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
title_full Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
title_fullStr Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
title_full_unstemmed Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
title_sort Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
author Nogueira, RG
author_facet Nogueira, RG
Qureshi, MM
Abdalkader, M
Martins, SO
Yamagami, H
Qiu, Z
Mansour, OY
Sathya, A
Czlonkowska, A
Tsivgoulis, G
Aguiar de Sousa, D
Demeestere, J
Mikulik, R
Vanacker, P
Siegler, JE
Kõrv, J
Biller, J
Liang, CW
Sangha, NS
Zha, AM.
Czap, AL
Holmstedt, CA
Turan, TN
Ntaios, G
Malhotra, K
Tayal, A
Loochtan, A
Ranta, A
Mistry, EA
Alexandrov, AW
Huang, DY
Yaghi, S
Raz, E
Sheth, SA
Mohammaden, MH
Frankel, M
Bila Lamou, EG
Aref, HM
Elbassiouny, A
Hassan, F
Menecie, T
Mustafa, W
Shokri, HM
Roushdy, T
Sarfo, FS
Alabi, TO
Arabambi, B
Nwazor, EO
Sunmonu, TA
Wahab, K
Yaria, J
Mohammed, HH
Adebayo, PB
Riahi, AD
Sassi, SB
Gwaunza, L
Ngwende, GW
Sahakyan, D
Rahman, A
Ai, Z
Bai, F
Duan, Z
Hao, Y
Huang, W
Li, G
Li, W
Liu, G
Luo, J
Shang, X
Sui, Y
Tian, L
Wen, H
Wu, B
Yan, Y
Yuan, Z
Zhang, H
Zhang, J
Zhao, W
Zi, W
Leung, TW
Chugh, C
Huded, V
Menon, B
Pandian, JD
Sylaja, PN
Usman, FS
Farhoudi, M
Hokmabadi, ES
Horev, A
Reznik, A
Sivan Hoffmann, R
Ohara, N
Sakai, N
Watanabe, D
Yamamoto, R
Doijiri, R
Tokuda, N
Yamada, T
Terasaki, T
Yazawa, Y
Uwatoko, T
Dembo, T
Shimizu, H
Sugiura, Y
Miyashita, F
Fukuda, H
Miyake, K
Shimbo, J
Sugimura, Y
Yagita, Y
Takenobu, Y
Matsumaru, Y
Yamada, S
Kono, R
Kanamaru, T
Yamazaki, H
Sakaguchi, M
Todo, K
Yamamoto, N
Sonoda, K
Yoshida, T
Hashimoto, H
Nakahara, I
Kondybayeva, A
Faizullina, K
Kamenova, S
Zhanuzakov, M
Baek, JH
Hwang, Y
Lee, JS
Lee, SB
Moon, J
Park, H
Seo, JH
Seo, KD
Sohn, SI
Young, CJ
Ahdab, R
Wan Zaidi, WA
Aziz, ZA
Basri, HB
Chung, LW
Ibrahim, AB
Ibrahim, KA
Looi, I
Tan, WY
Yahya, NW
Groppa, S
Leahu, P
Al Hashmi, AM
Imam, YZ
Akhtar, N
Pineda-Franks, MC
Co, CO
Kandyba, D
Alhazzani, A
Al-Jehani, H
Tham, CH
Mamauag, MJ
Venketasubramanian, N
Chen, CH
Tang, SC
Churojana, A
Akil, E
aykaç, O
Ozdemir, AO
Giray, S
Hussain, SI
John, S
Le Vu, H
Tran, AD
Nguyen, HH
Nhu Pham, T
Nguyen, TH
Nguyen, TQ
Gattringer, T
Enzinger, C
Killer-Oberpfalzer, M
Bellante, F
De Blauwe, S
Vanhooren, G
De Raedt, S
Dusart, A
Lemmens, R
Ligot, N
Pierre Rutgers, M
Yperzeele, L
Alexiev, F
Sakelarova, T
Bedeković, MR
Budincevic, H
Cindric, I
Hucika, Z
Ozretic, D
Saric, MS
Pfeifer, F
Karpowic, I
Cernik, D
Sramek, M
Skoda, M
Hlavacova, H
Klecka, L
Koutny, M
Vaclavik, D
Skoda, O
Fiksa, J
Hanelova, K
Nevsimalova, M
Rezek, R
Prochazka, P
Krejstova, G
Neumann, J
Vachova, M
Brzezanski, H
Hlinovsky, D
Tenora, D
Jura, R
Jurák, L
Novak, J
Novak, A
Topinka, Z
Fibrich, P
Sobolova, H
Volny, O
Krarup Christensen, H
Drenck, N
Klingenberg Iversen, H
Simonsen, CZ
Truelsen, TC
Wienecke, T
Vibo, R
Gross-Paju, K
Toomsoo, T
Antsov, K
Caparros, F
Cordonnier, C
Dan, M
Faucheux, JM
Mechtouff, L
Eker, O
Lesaine, E
Ondze, B
Peres, R
Pico, F
Piotin, M
Pop, R
Rouanet, F
Gubeladze, T
Khinikadze, M
Lobjanidze, N
Tsiskaridze, A
Nagel, S
Ringleb, PA
Rosenkranz, M
Schmidt, H
Sedghi, A
Siepmann, T
Szabo, K
Thomalla, G
Palaiodimou, L
Sagris, D
Kargiotis, O
Klivenyi, P
Szapary, L
Tarkanyi, G
Adami, A
Bandini, P
Calabresi, P
Frisullo, G
Renieri, L
Sangalli, D
Pirson, A
Uyttenboogaart, M
van den Wijngaard, I
Kristoffersen, ES
Brola, W
Fudala, M
Horoch-Lyszczarek, E
Karlinski, M
Kazmierski, R
Kram, P
Rogoziewicz, M
Kaczorowski, R
Luchowski, P
Sienkiewicz-Jarosz, H
Sobolewski, P
Fryze, W
Wisniewska, A
Wiszniewska, M
Ferreira, P
Fonseca, L
Marto, JP
Pinho e Melo, T
Nunes, AP
Rodrigues, M
Tedim Cruz, V
Falup-Pecurariu, C
Krastev, G
Mako, M
de Leciñana, MA
Arenillas, JF
Ayo-Martin, O
Cruz Culebras, A
Tejedor, ED
Montaner, J
Pérez-Sánchez, S
Tola Arribas, MA
Rodriguez Vasquez, A
Mayza, M
Bernava, G
Brehm, A
Machi, P
Fischer, U
Gralla, J
Michel, PL
Psychogios, MN
Strambo, D
Banerjee, S
Krishnan, K
Kwan, J
Butt, A
Catanese, L
Demchuk, AM
Field, T
Haynes, J
Hill, MD.
Khosravani, H
Mackey, A
Pikula, A
Saposnik, G
Scott, CA
Shoamanesh, A
Shuaib, A
Yip, S
Barboza, MA
Barrientos, JD
Portillo Rivera, LI
Gongora-Rivera, F
Novarro-Escudero, N
Blanco, A
Abraham, M
Alsbrook, D
Altschul, D
Alvarado-Ortiz, AJ
Bach, I
Badruddin, A
Barazangi, N
Brereton, C
Castonguay, A
Chaturvedi, S
Chaudry, SA
Choe, H
Choi, JA
Dharmadhikari, S
Desai, K
Devlin, TG
Doss, VT
Edgell, R
Etherton, M
Farooqui, M
Frei, D
Gandhi, D
Grigoryan, M
Gupta, R
Hassan, AE
Helenius, J
Kaliaev, A
Kaushal, R
Khandelwal, P
Khawaja, AM
Khoury, NN
Kim, BS
Kleindorfer, DO
Koyfman, F
Lee, VH
Leung, LY
Linares, G
Linfante, I
Lutsep, HL
Macdougall, L
Male, S
Malik, AM
Masoud, H
McDermott, M
Mehta, BP
Min, J
Mittal, M
Morris, JG
Multani, SS
Nahab, F
Nalleballe, K
Nguyen, CB
Novakovic-White, R
Ortega-Gutierrez, S
Rahangdale, RH
Ramakrishnan, P
Romero, JR
Rost, N
Rothstein, A
Ruland, S
Shah, R
Sharma, M
Silver, B
Simmons, M
Singh, A
Starosciak, AK
Strasser, SL
Szeder, V
Teleb, M
Tsai, JP
Voetsch, B
Balaguera, O
Pujol Lereis, VA
Luraschi, A
Almeida, MS
Cardoso, FB
Conforto, A
De Deus Silva, L
Varrone Giacomini, L
Oliveira Lima, F
Longo, AL
Magalhães, PSC
Martins, RT
Mont'alverne, F
Mora Cuervo, DL
Costa Rebello, L
Valler, L
Zetola, VF
Lavados, PM
Navia, V
Olavarría, VV
Almeida Toro, JM
Amaya, PFR
Bayona, H
Corredor, A
Rivera Ordonez, CE
Mantilla Barbosa, DK
Lara, O
Patiño, MR
Diaz Escobar, LF
Dejesus Melgarejo Fariña, DE
Cardozo Villamayor, A
Zelaya Zarza, AJ
Barrientos Iman, DM
Rodriguez Kadota, L
Campbell, B
Hankey, GJ.
Hair, C
Kleinig, T
Ma, A
Tomazini Martins, R
Sahathevan, R
Thijs, V
Salazar, D
Yuan-Hao Wu, T
Haussen, DC
Liebeskind, D
Yavagal, DR
Jovin, TG
Zaidat, OO
Nguyen, TN
author_role author
author2 Qureshi, MM
Abdalkader, M
Martins, SO
Yamagami, H
Qiu, Z
Mansour, OY
Sathya, A
Czlonkowska, A
Tsivgoulis, G
Aguiar de Sousa, D
Demeestere, J
Mikulik, R
Vanacker, P
Siegler, JE
Kõrv, J
Biller, J
Liang, CW
Sangha, NS
Zha, AM.
Czap, AL
Holmstedt, CA
Turan, TN
Ntaios, G
Malhotra, K
Tayal, A
Loochtan, A
Ranta, A
Mistry, EA
Alexandrov, AW
Huang, DY
Yaghi, S
Raz, E
Sheth, SA
Mohammaden, MH
Frankel, M
Bila Lamou, EG
Aref, HM
Elbassiouny, A
Hassan, F
Menecie, T
Mustafa, W
Shokri, HM
Roushdy, T
Sarfo, FS
Alabi, TO
Arabambi, B
Nwazor, EO
Sunmonu, TA
Wahab, K
Yaria, J
Mohammed, HH
Adebayo, PB
Riahi, AD
Sassi, SB
Gwaunza, L
Ngwende, GW
Sahakyan, D
Rahman, A
Ai, Z
Bai, F
Duan, Z
Hao, Y
Huang, W
Li, G
Li, W
Liu, G
Luo, J
Shang, X
Sui, Y
Tian, L
Wen, H
Wu, B
Yan, Y
Yuan, Z
Zhang, H
Zhang, J
Zhao, W
Zi, W
Leung, TW
Chugh, C
Huded, V
Menon, B
Pandian, JD
Sylaja, PN
Usman, FS
Farhoudi, M
Hokmabadi, ES
Horev, A
Reznik, A
Sivan Hoffmann, R
Ohara, N
Sakai, N
Watanabe, D
Yamamoto, R
Doijiri, R
Tokuda, N
Yamada, T
Terasaki, T
Yazawa, Y
Uwatoko, T
Dembo, T
Shimizu, H
Sugiura, Y
Miyashita, F
Fukuda, H
Miyake, K
Shimbo, J
Sugimura, Y
Yagita, Y
Takenobu, Y
Matsumaru, Y
Yamada, S
Kono, R
Kanamaru, T
Yamazaki, H
Sakaguchi, M
Todo, K
Yamamoto, N
Sonoda, K
Yoshida, T
Hashimoto, H
Nakahara, I
Kondybayeva, A
Faizullina, K
Kamenova, S
Zhanuzakov, M
Baek, JH
Hwang, Y
Lee, JS
Lee, SB
Moon, J
Park, H
Seo, JH
Seo, KD
Sohn, SI
Young, CJ
Ahdab, R
Wan Zaidi, WA
Aziz, ZA
Basri, HB
Chung, LW
Ibrahim, AB
Ibrahim, KA
Looi, I
Tan, WY
Yahya, NW
Groppa, S
Leahu, P
Al Hashmi, AM
Imam, YZ
Akhtar, N
Pineda-Franks, MC
Co, CO
Kandyba, D
Alhazzani, A
Al-Jehani, H
Tham, CH
Mamauag, MJ
Venketasubramanian, N
Chen, CH
Tang, SC
Churojana, A
Akil, E
aykaç, O
Ozdemir, AO
Giray, S
Hussain, SI
John, S
Le Vu, H
Tran, AD
Nguyen, HH
Nhu Pham, T
Nguyen, TH
Nguyen, TQ
Gattringer, T
Enzinger, C
Killer-Oberpfalzer, M
Bellante, F
De Blauwe, S
Vanhooren, G
De Raedt, S
Dusart, A
Lemmens, R
Ligot, N
Pierre Rutgers, M
Yperzeele, L
Alexiev, F
Sakelarova, T
Bedeković, MR
Budincevic, H
Cindric, I
Hucika, Z
Ozretic, D
Saric, MS
Pfeifer, F
Karpowic, I
Cernik, D
Sramek, M
Skoda, M
Hlavacova, H
Klecka, L
Koutny, M
Vaclavik, D
Skoda, O
Fiksa, J
Hanelova, K
Nevsimalova, M
Rezek, R
Prochazka, P
Krejstova, G
Neumann, J
Vachova, M
Brzezanski, H
Hlinovsky, D
Tenora, D
Jura, R
Jurák, L
Novak, J
Novak, A
Topinka, Z
Fibrich, P
Sobolova, H
Volny, O
Krarup Christensen, H
Drenck, N
Klingenberg Iversen, H
Simonsen, CZ
Truelsen, TC
Wienecke, T
Vibo, R
Gross-Paju, K
Toomsoo, T
Antsov, K
Caparros, F
Cordonnier, C
Dan, M
Faucheux, JM
Mechtouff, L
Eker, O
Lesaine, E
Ondze, B
Peres, R
Pico, F
Piotin, M
Pop, R
Rouanet, F
Gubeladze, T
Khinikadze, M
Lobjanidze, N
Tsiskaridze, A
Nagel, S
Ringleb, PA
Rosenkranz, M
Schmidt, H
Sedghi, A
Siepmann, T
Szabo, K
Thomalla, G
Palaiodimou, L
Sagris, D
Kargiotis, O
Klivenyi, P
Szapary, L
Tarkanyi, G
Adami, A
Bandini, P
Calabresi, P
Frisullo, G
Renieri, L
Sangalli, D
Pirson, A
Uyttenboogaart, M
van den Wijngaard, I
Kristoffersen, ES
Brola, W
Fudala, M
Horoch-Lyszczarek, E
Karlinski, M
Kazmierski, R
Kram, P
Rogoziewicz, M
Kaczorowski, R
Luchowski, P
Sienkiewicz-Jarosz, H
Sobolewski, P
Fryze, W
Wisniewska, A
Wiszniewska, M
Ferreira, P
Fonseca, L
Marto, JP
Pinho e Melo, T
Nunes, AP
Rodrigues, M
Tedim Cruz, V
Falup-Pecurariu, C
Krastev, G
Mako, M
de Leciñana, MA
Arenillas, JF
Ayo-Martin, O
Cruz Culebras, A
Tejedor, ED
Montaner, J
Pérez-Sánchez, S
Tola Arribas, MA
Rodriguez Vasquez, A
Mayza, M
Bernava, G
Brehm, A
Machi, P
Fischer, U
Gralla, J
Michel, PL
Psychogios, MN
Strambo, D
Banerjee, S
Krishnan, K
Kwan, J
Butt, A
Catanese, L
Demchuk, AM
Field, T
Haynes, J
Hill, MD.
Khosravani, H
Mackey, A
Pikula, A
Saposnik, G
Scott, CA
Shoamanesh, A
Shuaib, A
Yip, S
Barboza, MA
Barrientos, JD
Portillo Rivera, LI
Gongora-Rivera, F
Novarro-Escudero, N
Blanco, A
Abraham, M
Alsbrook, D
Altschul, D
Alvarado-Ortiz, AJ
Bach, I
Badruddin, A
Barazangi, N
Brereton, C
Castonguay, A
Chaturvedi, S
Chaudry, SA
Choe, H
Choi, JA
Dharmadhikari, S
Desai, K
Devlin, TG
Doss, VT
Edgell, R
Etherton, M
Farooqui, M
Frei, D
Gandhi, D
Grigoryan, M
Gupta, R
Hassan, AE
Helenius, J
Kaliaev, A
Kaushal, R
Khandelwal, P
Khawaja, AM
Khoury, NN
Kim, BS
Kleindorfer, DO
Koyfman, F
Lee, VH
Leung, LY
Linares, G
Linfante, I
Lutsep, HL
Macdougall, L
Male, S
Malik, AM
Masoud, H
McDermott, M
Mehta, BP
Min, J
Mittal, M
Morris, JG
Multani, SS
Nahab, F
Nalleballe, K
Nguyen, CB
Novakovic-White, R
Ortega-Gutierrez, S
Rahangdale, RH
Ramakrishnan, P
Romero, JR
Rost, N
Rothstein, A
Ruland, S
Shah, R
Sharma, M
Silver, B
Simmons, M
Singh, A
Starosciak, AK
Strasser, SL
Szeder, V
Teleb, M
Tsai, JP
Voetsch, B
Balaguera, O
Pujol Lereis, VA
Luraschi, A
Almeida, MS
Cardoso, FB
Conforto, A
De Deus Silva, L
Varrone Giacomini, L
Oliveira Lima, F
Longo, AL
Magalhães, PSC
Martins, RT
Mont'alverne, F
Mora Cuervo, DL
Costa Rebello, L
Valler, L
Zetola, VF
Lavados, PM
Navia, V
Olavarría, VV
Almeida Toro, JM
Amaya, PFR
Bayona, H
Corredor, A
Rivera Ordonez, CE
Mantilla Barbosa, DK
Lara, O
Patiño, MR
Diaz Escobar, LF
Dejesus Melgarejo Fariña, DE
Cardozo Villamayor, A
Zelaya Zarza, AJ
Barrientos Iman, DM
Rodriguez Kadota, L
Campbell, B
Hankey, GJ.
Hair, C
Kleinig, T
Ma, A
Tomazini Martins, R
Sahathevan, R
Thijs, V
Salazar, D
Yuan-Hao Wu, T
Haussen, DC
Liebeskind, D
Yavagal, DR
Jovin, TG
Zaidat, OO
Nguyen, TN
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dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Nogueira, RG
Qureshi, MM
Abdalkader, M
Martins, SO
Yamagami, H
Qiu, Z
Mansour, OY
Sathya, A
Czlonkowska, A
Tsivgoulis, G
Aguiar de Sousa, D
Demeestere, J
Mikulik, R
Vanacker, P
Siegler, JE
Kõrv, J
Biller, J
Liang, CW
Sangha, NS
Zha, AM.
Czap, AL
Holmstedt, CA
Turan, TN
Ntaios, G
Malhotra, K
Tayal, A
Loochtan, A
Ranta, A
Mistry, EA
Alexandrov, AW
Huang, DY
Yaghi, S
Raz, E
Sheth, SA
Mohammaden, MH
Frankel, M
Bila Lamou, EG
Aref, HM
Elbassiouny, A
Hassan, F
Menecie, T
Mustafa, W
Shokri, HM
Roushdy, T
Sarfo, FS
Alabi, TO
Arabambi, B
Nwazor, EO
Sunmonu, TA
Wahab, K
Yaria, J
Mohammed, HH
Adebayo, PB
Riahi, AD
Sassi, SB
Gwaunza, L
Ngwende, GW
Sahakyan, D
Rahman, A
Ai, Z
Bai, F
Duan, Z
Hao, Y
Huang, W
Li, G
Li, W
Liu, G
Luo, J
Shang, X
Sui, Y
Tian, L
Wen, H
Wu, B
Yan, Y
Yuan, Z
Zhang, H
Zhang, J
Zhao, W
Zi, W
Leung, TW
Chugh, C
Huded, V
Menon, B
Pandian, JD
Sylaja, PN
Usman, FS
Farhoudi, M
Hokmabadi, ES
Horev, A
Reznik, A
Sivan Hoffmann, R
Ohara, N
Sakai, N
Watanabe, D
Yamamoto, R
Doijiri, R
Tokuda, N
Yamada, T
Terasaki, T
Yazawa, Y
Uwatoko, T
Dembo, T
Shimizu, H
Sugiura, Y
Miyashita, F
Fukuda, H
Miyake, K
Shimbo, J
Sugimura, Y
Yagita, Y
Takenobu, Y
Matsumaru, Y
Yamada, S
Kono, R
Kanamaru, T
Yamazaki, H
Sakaguchi, M
Todo, K
Yamamoto, N
Sonoda, K
Yoshida, T
Hashimoto, H
Nakahara, I
Kondybayeva, A
Faizullina, K
Kamenova, S
Zhanuzakov, M
Baek, JH
Hwang, Y
Lee, JS
Lee, SB
Moon, J
Park, H
Seo, JH
Seo, KD
Sohn, SI
Young, CJ
Ahdab, R
Wan Zaidi, WA
Aziz, ZA
Basri, HB
Chung, LW
Ibrahim, AB
Ibrahim, KA
Looi, I
Tan, WY
Yahya, NW
Groppa, S
Leahu, P
Al Hashmi, AM
Imam, YZ
Akhtar, N
Pineda-Franks, MC
Co, CO
Kandyba, D
Alhazzani, A
Al-Jehani, H
Tham, CH
Mamauag, MJ
Venketasubramanian, N
Chen, CH
Tang, SC
Churojana, A
Akil, E
aykaç, O
Ozdemir, AO
Giray, S
Hussain, SI
John, S
Le Vu, H
Tran, AD
Nguyen, HH
Nhu Pham, T
Nguyen, TH
Nguyen, TQ
Gattringer, T
Enzinger, C
Killer-Oberpfalzer, M
Bellante, F
De Blauwe, S
Vanhooren, G
De Raedt, S
Dusart, A
Lemmens, R
Ligot, N
Pierre Rutgers, M
Yperzeele, L
Alexiev, F
Sakelarova, T
Bedeković, MR
Budincevic, H
Cindric, I
Hucika, Z
Ozretic, D
Saric, MS
Pfeifer, F
Karpowic, I
Cernik, D
Sramek, M
Skoda, M
Hlavacova, H
Klecka, L
Koutny, M
Vaclavik, D
Skoda, O
Fiksa, J
Hanelova, K
Nevsimalova, M
Rezek, R
Prochazka, P
Krejstova, G
Neumann, J
Vachova, M
Brzezanski, H
Hlinovsky, D
Tenora, D
Jura, R
Jurák, L
Novak, J
Novak, A
Topinka, Z
Fibrich, P
Sobolova, H
Volny, O
Krarup Christensen, H
Drenck, N
Klingenberg Iversen, H
Simonsen, CZ
Truelsen, TC
Wienecke, T
Vibo, R
Gross-Paju, K
Toomsoo, T
Antsov, K
Caparros, F
Cordonnier, C
Dan, M
Faucheux, JM
Mechtouff, L
Eker, O
Lesaine, E
Ondze, B
Peres, R
Pico, F
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Tedim Cruz, V
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de Leciñana, MA
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Dejesus Melgarejo Fariña, DE
Cardozo Villamayor, A
Zelaya Zarza, AJ
Barrientos Iman, DM
Rodriguez Kadota, L
Campbell, B
Hankey, GJ.
Hair, C
Kleinig, T
Ma, A
Tomazini Martins, R
Sahathevan, R
Thijs, V
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Yuan-Hao Wu, T
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Liebeskind, D
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dc.subject.por.fl_str_mv COVID-19
Stroke
Thrombolysis
HSJ NEU
topic COVID-19
Stroke
Thrombolysis
HSJ NEU
description Objective: To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01T00:00:00Z
2023-02-08T15:21:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/4384
url http://hdl.handle.net/10400.17/4384
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Neurology . 2021 Jun 8;96(23):e2824-e2838
10.1212/WNL.0000000000011885
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv American Academy Neurology
publisher.none.fl_str_mv American Academy Neurology
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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