JNNP: Characteristics and prognostics of stroke patients infected with COVID-19: A UK multi-center case-control study

COVID-19 - is a viral pneumonia characterized by dry cough, high fever, shortness of breath, loss of taste and sense of smell.
, however, the virus that causes the disease, SARS-CoV-2, may affect the occurrence of isoemia stroke.
this conclusion is controversial.
the purpose of this paper is to explore which characteristics and prognosms of stroke are associated with the COVID-19 virus.
: The study included stroke patients admitted to 13 hospitals in England and Scotland between 9 March and 5 July 2020.
collected clinical data on 86 strokes (81 isohemia strokes and 5 cerebral hemorrhages) infected with COVID-19 at the time of the stroke.
compared them with 1,384 strokes (1,193 isohatic strokes and 191 cerebral hemorrhages) treated in the same period, who had no evidence of COVID-19 infection (control group).
all stroke admissions, including 37 other patients who developed COVID-19 after a stroke, were included in two logistic regression analyses to study which clinical characteristics were independently associated with COVID-19 status and inpatient mortality.
results: Asians had a higher rate of ischemic stroke than the ischemic control group (18.8% to 6.7%, p.lt;0.0002), a high risk of multiple large vascular thase (17.9% to 8.1%, p.lt;0.03), and a higher severity (National Institutes of Health stroke scale score of 8 cents For 5 points, p-lt;0.002), it was associated with a higher level of D-D-d.01, with a more severe disability upon discharge (improved Rankin score median 4 to 3, p.lt;0.0001) and inpatient deaths (19.8 percent to 6.9 percent, p.lt;0.0001).
recurrence of stroke in patients admitted to hospital was rare in both the case group and the control group (2.3 per cent to 1.0 per cent, NS).
: COVID-19 may be an important regulatory factor for the onset, characteristics and prognosis of acute ischemic stroke.
Perry RJ, Smith CJ, Roffe C, et al Features and outcomes of COVID-19 associated stroke: a UK multicentre case-control study Journal of Neurology, Neurosurgery and Psygy Published Online First: 05 November 2020. doi: 10.1136/jnnp-2020-324927MedSci Original Source: MedSci Original Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Mets Medicine and are not authorized to reproduce any media, website or person, "Source: Metz Medicine" shall be indicated at the time of authorization for reprint.
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