Volume 2, Issue 3 (Summer 2021)
J Vessel Circ 2021, 2(3): 137-144 |
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Mavandadi S, Mehrdel R, Seddighhi M, Mozhdehipanah H. The Epidemiologic Features of Patients With Acute Stroke During COVID-19 Pandemic in a COVID-19 Center in Qazvin City, Iran. J Vessel Circ 2021; 2 (3) :137-144
URL: http://jvessels.muq.ac.ir/article-1-125-en.html
URL: http://jvessels.muq.ac.ir/article-1-125-en.html
1- Department of Neurology, Bou-Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.
2- Department of Anesthesiology, Bou-Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.
2- Department of Anesthesiology, Bou-Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.
Abstract: (1156 Views)
Background and Aim: The novel coronavirus 2019 (COVID-19) disease is a global pandemic with different presentations ranging from mild respiratory problems to severe septic shock. Previous studies have established the association between acute stroke and COVID-19. Herein, we describe the characteristics of patients with stroke during the COVID-19 pandemic.
Materials and Methods: In this cross-sectional study, all patients with acute stroke referred to Bouali Hospital were enrolled from March to June 2020. The patients were categorized into two groups with and without COVID-19. Then, the demographic and clinical characteristics of stroke patients in both groups were evaluated. Eventually, SPSS software, version 22 was used to analyze the data.
Results: A total of 61 patients with acute stroke were identified, of which 22 patients were positive for COVID-19. Except for the in-hospital mortality (P=0.07) and type of hemorrhagic transformation (P=0.02), we did not find a significant difference in the demographic and clinical characteristics of patients in both groups. The majority of patients with COVID-19 were severely symptomatic. However, the severity of chest CT involvement was significantly correlated with the mean modified Rankin scale (P=0.05).
Conclusion: In this study, we revealed that acute stroke affected COVID-19 patients with traditional stroke risk factors at an age typically seen in non-COVID populations, which mainly constitute cryptogenic acute ischemic stroke. We also noted a higher in-hospital mortality rate in patients with COVID-19-associated stroke, which reflects a worse outcome of COVID-19. These results highlight the possible hypercoagulopathy state associated with COVID-19, which predisposes patients to develop stroke.
Materials and Methods: In this cross-sectional study, all patients with acute stroke referred to Bouali Hospital were enrolled from March to June 2020. The patients were categorized into two groups with and without COVID-19. Then, the demographic and clinical characteristics of stroke patients in both groups were evaluated. Eventually, SPSS software, version 22 was used to analyze the data.
Results: A total of 61 patients with acute stroke were identified, of which 22 patients were positive for COVID-19. Except for the in-hospital mortality (P=0.07) and type of hemorrhagic transformation (P=0.02), we did not find a significant difference in the demographic and clinical characteristics of patients in both groups. The majority of patients with COVID-19 were severely symptomatic. However, the severity of chest CT involvement was significantly correlated with the mean modified Rankin scale (P=0.05).
Conclusion: In this study, we revealed that acute stroke affected COVID-19 patients with traditional stroke risk factors at an age typically seen in non-COVID populations, which mainly constitute cryptogenic acute ischemic stroke. We also noted a higher in-hospital mortality rate in patients with COVID-19-associated stroke, which reflects a worse outcome of COVID-19. These results highlight the possible hypercoagulopathy state associated with COVID-19, which predisposes patients to develop stroke.
Type of Study: Research |
Subject:
vascular neurological diseases
Received: 2021/08/31 | Accepted: 2021/10/2 | Published: 2021/12/1
Received: 2021/08/31 | Accepted: 2021/10/2 | Published: 2021/12/1
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