tetano
Editor, Senior Moderator
PLoS One
. 2023 Mar 2;18(3):e0282045.
doi: 10.1371/journal.pone.0282045. eCollection 2023.
The impact of SARS-CoV-2 infection on the outcome of acute ischemic stroke-A retrospective cohort study
Tímea Tünde Takács[SUP] 1 2 [/SUP], Ádám József Berki[SUP] 1 2 [/SUP], Péter Pál Böjti[SUP] 1 2 3 [/SUP], Rita Stang[SUP] 1 2 [/SUP], Pablo Antonio Fritz-Reunes[SUP] 1 [/SUP], Luiz Schnekenberg[SUP] 4 [/SUP], Timo Siepmann[SUP] 4 5 [/SUP], Alexandra Pintér[SUP] 5 6 [/SUP], Szabolcs Szatmári[SUP] 1 7 [/SUP], Dániel Bereczki[SUP] 1 7 8 [/SUP], Bence Gunda[SUP] 1 2 [/SUP]
Affiliations
Abstract
Background: Acute ischemic stroke (AIS) is a common complication of severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection (COVID-19), but the prognosis of these patients is poorly understood.
Purpose: To explore the impact of COVID-19 on neurological outcomes in AIS patients.
Methods: A comparative retrospective cohort study was conducted in 32 consecutive AIS patients with and 51 without COVID-19 between the 1st of March 2020 and 1st of May 2021. The evaluation was based on a detailed chart review for demographic data, medical history, stroke severity, cranial and vessel imaging results, laboratory parameters, COVID-19 severity, hospitalization time, in-hospital mortality, and functional deficits at discharge (modified Rankin Scale, mRS).
Results: COVID-19 AIS patients showed tendency to worse initial neurological deficit (NIHSS 9 (3-13) vs. 4 (2-10); p = 0.06), higher rate of large vessel occlusion (LVO; 13/32 vs. 14/51; p = 0.21), had prolonged hospitalization (19.4 ± 17.7 vs. 9.7 ± 7 days; p = 0.003), had lower chance of functional independence (mRS≤2) (12/32 vs. 32/51; p = 0.02) and showed higher in-hospital mortality (10/32 vs. 6/51; p = 0.02). In COVID-19 AIS patients, LVO was more common with COVID-19 pneumonia than without (55.6% vs. 23.1%; p = 0.139).
Conclusion: COVID-19-related AIS carries a worse prognosis. COVID-19 with pneumonia seems to be associated with a higher rate of LVO.
. 2023 Mar 2;18(3):e0282045.
doi: 10.1371/journal.pone.0282045. eCollection 2023.
The impact of SARS-CoV-2 infection on the outcome of acute ischemic stroke-A retrospective cohort study
Tímea Tünde Takács[SUP] 1 2 [/SUP], Ádám József Berki[SUP] 1 2 [/SUP], Péter Pál Böjti[SUP] 1 2 3 [/SUP], Rita Stang[SUP] 1 2 [/SUP], Pablo Antonio Fritz-Reunes[SUP] 1 [/SUP], Luiz Schnekenberg[SUP] 4 [/SUP], Timo Siepmann[SUP] 4 5 [/SUP], Alexandra Pintér[SUP] 5 6 [/SUP], Szabolcs Szatmári[SUP] 1 7 [/SUP], Dániel Bereczki[SUP] 1 7 8 [/SUP], Bence Gunda[SUP] 1 2 [/SUP]
Affiliations
- PMID: 36862706
- DOI: 10.1371/journal.pone.0282045
Abstract
Background: Acute ischemic stroke (AIS) is a common complication of severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection (COVID-19), but the prognosis of these patients is poorly understood.
Purpose: To explore the impact of COVID-19 on neurological outcomes in AIS patients.
Methods: A comparative retrospective cohort study was conducted in 32 consecutive AIS patients with and 51 without COVID-19 between the 1st of March 2020 and 1st of May 2021. The evaluation was based on a detailed chart review for demographic data, medical history, stroke severity, cranial and vessel imaging results, laboratory parameters, COVID-19 severity, hospitalization time, in-hospital mortality, and functional deficits at discharge (modified Rankin Scale, mRS).
Results: COVID-19 AIS patients showed tendency to worse initial neurological deficit (NIHSS 9 (3-13) vs. 4 (2-10); p = 0.06), higher rate of large vessel occlusion (LVO; 13/32 vs. 14/51; p = 0.21), had prolonged hospitalization (19.4 ± 17.7 vs. 9.7 ± 7 days; p = 0.003), had lower chance of functional independence (mRS≤2) (12/32 vs. 32/51; p = 0.02) and showed higher in-hospital mortality (10/32 vs. 6/51; p = 0.02). In COVID-19 AIS patients, LVO was more common with COVID-19 pneumonia than without (55.6% vs. 23.1%; p = 0.139).
Conclusion: COVID-19-related AIS carries a worse prognosis. COVID-19 with pneumonia seems to be associated with a higher rate of LVO.