Aneurismal subarachnoid hemorrhage during the COVID-19 outbreak in a Hub and Spoke system: observational multicenter cohort study in Lombardy, Italy.
Alessandro FiorindiMarika VezzoliFrancesco DogliettoLuca ZaninGiorgio SaracenoEdoardo AgostiAntonio BarbieriSilvio BellocchiClaudio BernucciDaniele BongettaAndrea CardiaEmanuele CostiMarcello EgidiAntonio FioravantiRoberto GasparottiCarlo GiussaniGianluca GrimodNicola LatronicoDavide LocatelliDikran MardighianGiovanni NodariJacopo Carlo PoliFrank RasuloElena RocaGiovanni Marco SicuriGiannantonio SpenaRoberto StefiniOscar VivaldiCesare ZoiaStefano CalzaMarco Maria FontanellaMarco CenzatoPublished in: Acta neurochirurgica (2021)
We documented a significantly increased "diagnostic delay" for subarachnoid hemorrhages during the first COVID-19 outbreak in Lombardy. However, despite the dramatic situation that the healthcare system was experiencing, the Lombardy regional reorganization model, which allowed centralization of neurosurgical emergencies such as SAHs, avoided a "therapeutic delay" and led to results overall comparable to the control period.