Table 3

(A) Endovascular coiling admissions overall, monthly volumes before and during the COVID-19 pandemic, and (B) surgical clipping admissions overall and monthly volumes before and during the COVID-19 pandemic

(A)
NOverall volumeMonthly volume*
n1n2ChangeP vaueNBefore
COVID-19
During
COVID-19
P value
% (95% CI)Adjusted mean (SE)
Overall15234643374−2.6 (−3.2 to −2.1)0.2761662.06 (0.44)2.02 (0.43)0.518
Hospital endovascular coiling volume stratified by prepandemic aSAH volume††
 Low4218323126.2 (20.4 to 33.1)0.019470.35 (0.09)0.45 (0.10)0.058
 Int.54842813−3.4 (−4.9 to −2.4)0.476561.28 (0.15)1.26 (0.15)0.783
 High5022402135−4.7 (−5.7 to −3.9)0.112554.13 (0.82)3.97 (0.81)0.269
Hospital endovascular coiling volume stratified by hospital COVID-19 volume‡‡
 Low458518702.2 (1.4 to 3.5)0.647491.44 (0.46)1.48 (0.45)0.729
 Int.427988283.8 (2.7 to 5.3)0.457451.35 (0.45)1.41 (0.44)0.495
 High441047990−5.4 (−7.0 to −4.2)0.207482.12 (0.78)2.0 (0.78)0.273
(B)
NOverall volumeMonthly volume*
n1n2ChangeP valueNBefore
COVID-19
During
COVID-19
P value
% (95% CI)Adjusted mean (SE)
Overall14018481676−9.3 (−10.7 to −8.1)0.0041511.29 (0.42)1.18 (0.43)0.067
Hospital clipping volume stratified by prepandemic aSAH volume§§
 Low409110111.0 (6.1 to 19.1)0.471450.13 (0.05)0.14 (0.06)0.616
 Int.503503685.1 (3.3 to 8.0)0.502510.61 (0.11)0.63 (0.12)0.826
 High4713921202−13.6 (−15.6 to −12.0)0.0002512.65 (0.90)2.32 (0.93)0.034
Hospital clipping volume stratified by hospital COVID-19 volume ¶¶
 Low456506723.4 (2.2 to 5.1)0.545470.40 (0.68)0.44 (0.72)0.655
 Int37411387−5.8 (−8.5 to −4.0)0.396410.68 (0.46)0.63 (0.48)0.308
 High42519401−22.7 (−26.5 to −19.3)0.0001441.16 (0.29)0.89 (0.23)0.102
  • *The monthly volume analysis is adjusted for the date of peak COVID-19 volume for each country, the start date of the second wave, and the continent.

  • †P value: low versus int.=N/A, low versus high=N/A, int. versus high=0.115.

  • ‡P value: low versus int.=0.056, low versus high=N/A, int. versus high=N/A.

  • §P value: low versus int.=0.040, low versus high=N/A, int. versus high=N/A.

  • ¶P value: low versus int.=N/A, low versus high=N/A, int. versus high≤0.0001.

  • aSAH, aneurysmal subarachnoid haemorrhage; int., intermediate; n1, number of admissions during 12 months before COVID-19 pandemic; n2, number of admissions during 12 months of COVID-19 pandemic; N/A, not applicable; n, number of hospitals; SAH, subarachnoid haemorrhage.