Stroke care in Italy at the time of the COVID‐19 pandemic: a lesson to learn

September 20, 2020

Anna Bersano, Leonardo Pantoni

Journal of neurology

Time is a crucial common characteristic of stroke diagnosis and treatment. Unless people show health conditions alarming enough, they now wait longer than usual to seek medical attention. Even when they get it, today's chances are high that they receive a misdiagnosis of COVID-19. At the moment, the implementation of multiple strategies to redirect human, economic, and logistic resources towards patients infected with SARS-CoV-2 has left the neurologic field somehow divided. One side is overwhelmed with care for the respiratory disease that has proven cerebrovascular complications, and another in solitude towards the carefully synchronized care that stroke survivors require. This article highlights that the shift suffered in stroke management will result in more challenging recoveries for stroke patients. For the ones already in post-stroke therapies, left home alone, or in elderly homes, the intricate context might get a little bit more comfortable for the families with enough resources for telemedicine follow-up. In contrast, the rest will be left behind. Not to mention this kind of approach for patients that ended up disabled after the episode is not viable. As we keep moving forward in a future with social distancing, masks, and sanitizing products , it is a medical, political, and social responsibility to start looking beyond the crisis. We must face up-front all the collateral damage our (of course, well-intentioned) decisions caused to the different vulnerable groups that depend on their individual medical care to keep living their lives in the best conditions possible.

Bersano A, Pantoni L. Stroke care in Italy at the time of the COVID-19 pandemic: a lesson to learn [published online ahead of print, 2020 Sep 20]. J Neurol. 2020;10.1007/s00415-020-10200-2. doi:10.1007/s00415-020-10200-2

Partners