TABLE 2.
Treatment, Workflow Times and Outcomes
| During the Pandemic (n=21) | Control (n=42) | |
|---|---|---|
| Mode of anesthesia | ||
| GA | 13 (61.9) | 33 (78.6) |
| MAC | 8 (38.1) | 9 (21.4) |
| Pretreatment intubation | 0 (0.0) | 1 (2.4) |
| Airway management* † | ||
| Intubation | 11/13 (84.6) | 14/33 (42.4) |
| LMA | 2/13 (15.3) | 19/33 (57.6) |
| Delayed extubation† | 9/13 (69.2) | 15/33 (45.5) |
| Conversion from MAC to GA | 1 (4.8) | 3 (7.1) |
| Site of occlusion | ||
| Anterior circulation | 17 (81.0) | 37 (88.1) |
| Posterior circulation | 4 (19.0) | 5 (11.9) |
| Workflow times (min) | ||
| Symptom onset to door | 260 (185-1039) | 210 (120-361) |
| Emergency door to groin puncture | 252 (120-276) | 228 (150-312) |
| Symptom onset to recanalization* | 672 (516-1796) | 540 (450-734) |
| Procedure duration | 121 (68-173) | 107 (77-170) |
| Recanalization (mTICI 2b-3) | 17 (81.0) | 32 (76.2) |
| Outcomes | ||
| NIHSS at discharge | 7 (3-11) | 7 (5-14) |
| In-hospital mortality | 1 (4.8) | 1 (2.4) |
| Health-economics | ||
| NICU length of stay (d)* | 10 (7-24) | 7 (4-13) |
| Hospitalization cost, (thousand CNY) | 123.9 (79.1-165.4) | 95.2 (66.0-124.2) |
Data presented as median (interquartile range) or number (%).
†
Thirteen cases during the pandemic and 33 cases in 2019 who received GA.
CNY indicates Chinese Yuan; GA, general anesthesia; LMA, laryngeal mask airway; MAC, monitored anesthesia care; mTICI, modified treatment in cerebral infarction; NICU, neurointensive care unit; NIHSS, National Institutes of Health Stroke Scale.
*
Between-group P<0.05.