biostudies-literatureLesaine EAlliance Tous unis contre le viruse061025https://www.ebi.ac.uk/biostudies/studies/S-EPMC9494013biostudies-literatureUnknown12(9)<h4>Objective</h4>To assess the impact of changes in use of care and implementation of hospital reorganisations spurred by the COVID-19 pandemic (first wave) on the acute management times of patients who had a stroke and ST-segment elevation myocardial infarction (STEMI).<h4>Design</h4>Two cohorts of patients who had an STEMI and stroke in the Aquitaine Cardio-Neuro-Vascular (CNV) registry.<h4>Setting</h4>6 emergency medical services, 30 emergency units (EUs), 14 hospitalisation units and 11 cathlabs in the Aquitaine region.<h4>Participants</h4>This study involved 9218 patients (6436 patients who had a stroke and 2782 patients who had an STEMI) in the CNV Registry from January 2019 to August 2020.<h4>Method</h4>Hospital reorganisations, retrieved in a scoping review, were collected from heBMJ openEffects of healthcare system transformations spurred by the COVID-19 pandemic on management of stroke and STEMI: a registry-based cohort study in France.PMC949401300107870Peron JBartou CLefevre BMostefai YTrogoff BLorendeau JPDarraillans DVerhoeven LFrancis-Oliviero FFabre JDemasles SMaisonnave VLaplace GHassan ALeyral HClaveries PLucas LChartroule VBannier SMiganeh-Hadi SSeignolles GDelarche NSibon IFort PAAnsart EAVICOVID groupPy EOndze BLesaine ELeca Radu EScouarnec CMarnat GSenis FCetran LMaillard LLarnaudie BDan MMartinez MTidahy EBakpa DOrcival FPerron JMEllie ELiepa MPBijon MGoze-Dupuy CTouchard PBanos JLTahon BFournier PCasenave PDomecq SKarsenty BSaillour-Glenisson FNgounou Fogue CWong So LDelonglee VArgacha ICoustere JBEclancher AHeydel VCombes XPradeau CNocon CHostyn VHigue DChazalon CMokni TBidian SPapin JBernady PBerge JJarnier PMarque NFerraton LSevin FLhuaire QBaha LCasteigt FGoulois NBordier PRouanet FLacrouts MWong-So LCherhabil NBataille BLeymarie JLFaucheux JMHubrecht RLavocat HCoste PfalseEffects of healthcare system transformations spurred by the COVID-19 pandemic on management of stroke and STEMI: a registry-based cohort study in France.<h4>Objective</h4>To assess the impact of changes in use of care and implementation of hospital reorganisations spurred by the COVID-19 pandemic (first wave) on the acute management times of patients who had a stroke and ST-segment elevation myocardial infarction (STEMI).<h4>Design</h4>Two cohorts of patients who had an STEMI and stroke in the Aquitaine Cardio-Neuro-Vascular (CNV) registry.<h4>Setting</h4>6 emergency medical services, 30 emergency units (EUs), 14 hospitalisation units and 11 cathlabs in the Aquitaine region.<h4>Participants</h4>This study involved 9218 patients (6436 patients who had a stroke and 2782 patients who had an STEMI) in the CNV Registry from January 2019 to August 2020.<h4>Method</h4>Hospital reorganisations, retrieved in a scoping review, were collected from he2022-01-01T00:00:00Z2022 Sep2026-06-01T02:24:45.075Z2025-04-04T11:55:53.792ZS-EPMC94940133613074110.1136/bmjopen-2022-061025