Letter to the Editor
Mechanical thrombectomy in acute ischemic stroke, knowing our results
Trombectomía mecánica en el ictus isquémico agudo, conociendo nuestros resultados
F. Pino Sánchez
, A. Fernández Carmon, M.V. Muñoz Marina, E. Fernández Mondéja
Corresponding author
Unidad de Cuidados Intensivos Neurotraumatológica, Hospital Virgen de las Nieves, Granada, Spain
Read
5080
Timeswas read the article
2059
Total PDF
3021
Total HTML
Share statistics
array:24 [ "pii" => "S2173572719300220" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.07.010" "estado" => "S300" "fechaPublicacion" => "2019-04-01" "aid" => "1232" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:187-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 627 "formatos" => array:3 [ "EPUB" => 89 "HTML" => 350 "PDF" => 188 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569118301876" "issn" => "02105691" "doi" => "10.1016/j.medin.2018.07.001" "estado" => "S300" "fechaPublicacion" => "2019-04-01" "aid" => "1232" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:187-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1319 "formatos" => array:3 [ "EPUB" => 133 "HTML" => 805 "PDF" => 381 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Trombectomía mecánica en el ictus isquémico agudo, conociendo nuestros resultados" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "187" "paginaFinal" => "188" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Mechanical thrombectomy in acute ischemic stroke, knowing our results" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Pino Sánchez, A. Fernández Carmon, M.V. Muñoz Marina, E. Fernández Mondéjar" "autores" => array:4 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Pino Sánchez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Carmon" ] 2 => array:2 [ "nombre" => "M.V." "apellidos" => "Muñoz Marina" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Fernández Mondéjar" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572719300220" "doi" => "10.1016/j.medine.2018.07.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300220?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118301876?idApp=WMIE" "url" => "/02105691/0000004300000003/v1_201903230633/S0210569118301876/v1_201903230633/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572719300232" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.07.011" "estado" => "S300" "fechaPublicacion" => "2019-04-01" "aid" => "1264" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:188-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 425 "formatos" => array:3 [ "EPUB" => 101 "HTML" => 177 "PDF" => 147 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "In reply to “Mechanical thrombectomy in acute ischemic stroke, knowing our results”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "189" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En respuesta a «Trombectomía mecánica en el ictus isquémico agudo, conociendo nuestros resultados»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Viña Soria, D. Escudero Augusto, S. Calleja Puerta, P. Vega Valdés, L. López Amor, L. Martín Iglesias" "autores" => array:6 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Viña Soria" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Escudero Augusto" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Calleja Puerta" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Vega Valdés" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "López Amor" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Martín Iglesias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118302596" "doi" => "10.1016/j.medin.2018.07.020" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118302596?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300232?idApp=WMIE" "url" => "/21735727/0000004300000003/v1_201903300628/S2173572719300232/v1_201903300628/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173572719300141" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.05.015" "estado" => "S300" "fechaPublicacion" => "2019-04-01" "aid" => "1218" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:186-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 509 "formatos" => array:3 [ "EPUB" => 104 "HTML" => 255 "PDF" => 150 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to the letter “Airway management in intensive care units”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "186" "paginaFinal" => "187" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a la carta «Manejo de la vía aérea en las unidades de cuidados intensivos»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.G. Gómez-Prieto, I. Marmesat-Ríos, J. Garnacho-Montero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.G." "apellidos" => "Gómez-Prieto" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Marmesat-Ríos" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Garnacho-Montero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118301578" "doi" => "10.1016/j.medin.2018.05.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118301578?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300141?idApp=WMIE" "url" => "/21735727/0000004300000003/v1_201903300628/S2173572719300141/v1_201903300628/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Mechanical thrombectomy in acute ischemic stroke, knowing our results" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "187" "paginaFinal" => "188" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Pino Sánchez, A. Fernández Carmon, M.V. Muñoz Marina, E. Fernández Mondéja" "autores" => array:4 [ 0 => array:4 [ "nombre" => "F." "apellidos" => "Pino Sánchez" "email" => array:1 [ 0 => "paquipin@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Carmon" ] 2 => array:2 [ "nombre" => "M.V." "apellidos" => "Muñoz Marina" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Fernández Mondéja" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cuidados Intensivos Neurotraumatológica, Hospital Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombectomía mecánica en el ictus isquémico agudo, conociendo nuestros resultados" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">After reading with interest the article recently published on Medicina Intensiva by Viña-Soria et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> “Results and functional outcomes of acute ischemic stroke patients who underwent mechanical thrombectomy” (“<span class="elsevierStyleItalic">Resultados y evolución funcional de pacientes críticos con ictus isquémico sometidos a trombectomía mecánica</span>” in Spanish), we would like to make a few contributions here.</p><p id="par0010" class="elsevierStylePara elsevierViewall">This paper shows the outcomes of a pioneering unit in Spain where they have been prescribing endovascular treatment (EVT) to treat acute ischemic stroke patients for quite a few years. This therapy that has recently proven superior to therapy with systemic fibrinolysis only.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Intensivists play a fundamental role in the management of neuro-critically ill patients and, in our opinion, they should be part of the management and decision-making process regarding therapy.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The series published by Viña-Soria et al. includes a one-year follow-up of 60 patients with stroke plus an indication for EVT admitted to our intensive care unit (ICU) from 2012 through 2014 (29% of the total number of patients treated according to the applicable criteria); patients in poor neurological condition and/or needing support therapy at the discretion of the treating neurologist. A priori this may seem like a limitation to extrapolate these outcomes to the clinical practice given the lack of a specific inclusion criterion.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The management of this condition is evolving rapidly with constant updates of clinical guidelines – the most recent ones published back in January 2018.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> The actual indication for EVT (up to 24<span class="elsevierStyleHsp" style=""></span>h after symptom onset) is significantly less strict than the one shown in this series. On the other hand, fibrinolysis should be prescribed as long as it has an indication and only if it does not delay the implementation of the EVT and without having to wait for the patient's clinical response. Recent studies suggest the benefits of combined therapy showing a higher percentage of good functional outcomes, fewer complications and lower mortality rates.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> As a matter of fact, the study conducted by Viña-Soria et al. shows a low rate of fibrinolysis compared to other studies published on this regard.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Our ICU provides care to all patients with strokes who are eligible for reperfusion. In a series analyzed from December 2016 through December 2017, 206 patients were admitted to the ICU: 42% (86 patients) received fibrinolysis, 23% (47 patients) combined therapy, and 35% (73 patients) underwent thrombectomy procedures only. As the outcomes published by Viña-Soria show, patients treated with EVT experience better clinical and functional improvement. In our series, functional improvement in the group of patients who received combined therapy was particularly remarkable compared to the group of patients who received thrombectomy only, mRS<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 of 52% in the former group versus 27% in the second group, and a lower mortality rate 4% versus 15%, respectively. These findings are consistent with the aforementioned studies.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In our opinion, the data published are valuable, especially including a one-year follow-up, yet they could be more useful if they showed the global outcomes of all patients treated with EVT and if these outcomes actually vary compared to patients treated according to the new recommendations. It would be interesting to conduct one multicenter study with a sample large enough to be able to draw conclusions on the managements and outcomes of strokes treated with EVT.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pino Sánchez F, Fernández Carmon A, Muñoz Marina MV, Fernández Mondéja E. Trombectomía mecánica en el ictus isquémico agudo, conociendo nuestros resultados. Med Intensiva. 2019;43:187–188.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "[in English, Spanish]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Results and functional outcomes of acute ischemic stroke patients who underwent mechanical thrombectomy admitted to intensive care unit" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Viña Soria" 1 => "L. Martín Iglesias" 2 => "L. López Amor" 3 => "I. Astola Hidalgo" 4 => "R. Rodríguez García" 5 => "L. Forcelledo Espina" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Intensiva" "fecha" => "2018" "volumen" => "42" "paginaInicial" => "274" "paginaFinal" => "282" "itemHostRev" => array:3 [ "pii" => "S0140673617310462" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "American Heart Association Stroke Council" "etal" => true "autores" => array:6 [ 0 => "W.J. Powers" 1 => "C.P. Derdeyn" 2 => "J. Biller" 3 => "C.S. Coffey" 4 => "B.L. Hoh" 5 => "E.C. Jauch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Stroke" "fecha" => "2015" "volumen" => "46" "paginaInicial" => "3020" "paginaFinal" => "3035" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "American Heart Association Stroke Council" "etal" => true "autores" => array:6 [ 0 => "W.J. Powers" 1 => "A.A. Rabinstein" 2 => "T. Ackerson" 3 => "O.M. Adeoye" 4 => "N.C. Bambakidis" 5 => "K. Becker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/STR.0000000000000158" "Revista" => array:6 [ "tituloSerie" => "Stroke" "fecha" => "2018" "volumen" => "49" "paginaInicial" => "e46" "paginaFinal" => "e110" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29367334" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mechanical thrombectomy outcomes with and without intravenous thrombolysis in stroke patients: a meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.A. Mistry" 1 => "A.M. Mistry" 2 => "M.O. Nakawah" 3 => "R.V. Chitale" 4 => "R.F. James" 5 => "J.J. Volpi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/STROKEAHA.117.017320" "Revista" => array:6 [ "tituloSerie" => "Stroke" "fecha" => "2017" "volumen" => "48" "paginaInicial" => "2450" "paginaFinal" => "2456" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28747462" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio comparativo de pacientes ingresados en Cuidados Intensivos Neurotraumatológicos con ictus isquémico agudo según el tratamiento de reperfusión recibido" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. García Huertas" 1 => "F.I. Pino Sánchez" 2 => "E. García Bautista" 3 => "I. Cruz Valero" 4 => "A. Pérez Bailón" 5 => "F. Guerrero López" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Intensiva" "fecha" => "2018" "volumen" => "42" "paginaInicial" => "30" "paginaFinal" => "31" "itemHostRev" => array:3 [ "pii" => "S1470204515700768" "estado" => "S300" "issn" => "14702045" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000003/v1_201903300628/S2173572719300220/v1_201903300628/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000003/v1_201903300628/S2173572719300220/v1_201903300628/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300220?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 11 | 18 |
| 2024 October | 32 | 39 | 71 |
| 2024 September | 45 | 28 | 73 |
| 2024 August | 50 | 38 | 88 |
| 2024 July | 43 | 34 | 77 |
| 2024 June | 49 | 58 | 107 |
| 2024 May | 38 | 37 | 75 |
| 2024 April | 50 | 30 | 80 |
| 2024 March | 43 | 32 | 75 |
| 2024 February | 28 | 38 | 66 |
| 2024 January | 41 | 35 | 76 |
| 2023 December | 29 | 37 | 66 |
| 2023 November | 36 | 41 | 77 |
| 2023 October | 23 | 38 | 61 |
| 2023 September | 20 | 41 | 61 |
| 2023 August | 18 | 20 | 38 |
| 2023 July | 21 | 32 | 53 |
| 2023 June | 25 | 22 | 47 |
| 2023 May | 47 | 36 | 83 |
| 2023 April | 28 | 25 | 53 |
| 2023 March | 29 | 32 | 61 |
| 2023 February | 39 | 38 | 77 |
| 2023 January | 21 | 23 | 44 |
| 2022 December | 39 | 49 | 88 |
| 2022 November | 47 | 44 | 91 |
| 2022 October | 56 | 36 | 92 |
| 2022 September | 27 | 36 | 63 |
| 2022 August | 29 | 32 | 61 |
| 2022 July | 36 | 37 | 73 |
| 2022 June | 21 | 28 | 49 |
| 2022 May | 34 | 42 | 76 |
| 2022 April | 31 | 39 | 70 |
| 2022 March | 38 | 47 | 85 |
| 2022 February | 32 | 31 | 63 |
| 2022 January | 31 | 37 | 68 |
| 2021 December | 51 | 37 | 88 |
| 2021 November | 41 | 28 | 69 |
| 2021 October | 72 | 65 | 137 |
| 2021 September | 32 | 25 | 57 |
| 2021 August | 24 | 42 | 66 |
| 2021 July | 58 | 27 | 85 |
| 2021 June | 25 | 19 | 44 |
| 2021 May | 41 | 42 | 83 |
| 2021 April | 125 | 80 | 205 |
| 2021 March | 125 | 31 | 156 |
| 2021 February | 84 | 23 | 107 |
| 2021 January | 83 | 15 | 98 |
| 2020 December | 90 | 29 | 119 |
| 2020 November | 59 | 16 | 75 |
| 2020 October | 60 | 27 | 87 |
| 2020 September | 56 | 15 | 71 |
| 2020 August | 70 | 23 | 93 |
| 2020 July | 116 | 21 | 137 |
| 2020 June | 41 | 15 | 56 |
| 2020 May | 61 | 12 | 73 |
| 2020 April | 74 | 16 | 90 |
| 2020 March | 58 | 17 | 75 |
| 2020 February | 93 | 64 | 157 |
| 2020 January | 69 | 17 | 86 |
| 2019 December | 61 | 18 | 79 |
| 2019 November | 32 | 22 | 54 |
| 2019 October | 50 | 17 | 67 |
| 2019 September | 47 | 22 | 69 |
| 2019 August | 32 | 19 | 51 |
| 2019 July | 7 | 10 | 17 |
| 2019 June | 0 | 0 | 0 |
| 2019 May | 0 | 1 | 1 |
| 2019 April | 1 | 12 | 13 |
| 2019 March | 0 | 8 | 8 |
| 2019 February | 0 | 1 | 1 |
Show all
