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- Title
Incidence and Features of Acute Ischemic Stroke in Patients Hospitalized with COVID-19: A Multi-center Study in Turkey.
- Authors
ATMACA, Murat Mert; BÜLBÜL, Nazlı Gamze; FLORENTİNA ATEŞ, Miruna; SELBEST, Burcu; EREN, Fettah; GÜLER, Sibel; ŞİMŞEK, Uğur Burak; YETKİN, Mehmet Fatih; AKCAKOYUNLU, Merve; BİÇER, Elif Özge; KILIÇ, Soner; YETKİN, Nur Aleyna; TAŞ, Şazimet; KOCAKAYA, Zeynep; KARASU, Kevser; YÜKSEL, Ufuk; ULU KILIÇ, Ayşegül; TÜRE YÜCE, Zeynep; TUTAR, Nuri; BARAN KETENCİOĞLU, Burcu
- Abstract
Introduction: Acute ischemic stroke (AIS) is a devastating complication of COVID-19 with high morbidity and mortality. In this study, we reported the frequency, characteristics, and outcome of AIS in patients with COVID-19. Methods: This multicenter and cross-sectional study was conducted between April 2020 and February 2021. Among the hospitalized patients with COVID-19, the detailed characteristics of those with and without AIS were recorded and compared. Results: Six hundred ninety-three patients were included in the study. Acute ischemic stroke was detected in 16 (2.31%) patients, the median age was 77 (range, 48-91) years, and 10 (62.5%) were female. The median NIHSS score at admission was 9 (range, 3-17). Total anterior circulation infarction (TACI) was the most common (37.5%) type and cardioembolism was the most common etiology (37.5%). Nine patients (56.25%) developed AIS within 24 hours of having COVID-19. COVID-19 severity was severe or critical in seven patients (43.75%). Eight patients died, and eight were discharged. Patients with AIS had a higher rate of hypertension, coronary artery disease, heart failure, a history of myocardial infarction, a history of cerebrovascular disease, severe and critical COVID-19, a higher mean age, and a longer ICU stay compared with those without AIS (p<0.001 for each). Conclusions: AIS can occur in patients with COVID-19 and is associated with mortality. Acute ischemic stroke is encountered at any stage of COVID-19, especially within the first 72 hours of the diagnosis, in older patients with comorbidities and severe COVID-19. There is an increased risk of AIS in patients with COVID-19 with a history of stroke.
- Subjects
TURKEY; MYOCARDIAL infarction risk factors; HYPERTENSION risk factors; HEART failure risk factors; CROSS-sectional method; NIH Stroke Scale; HOSPITAL care; TREATMENT effectiveness; SEVERITY of illness index; HOSPITAL mortality; AGE distribution; ISCHEMIC stroke; RESEARCH; INTENSIVE care units; STROKE; CORONARY artery disease; LENGTH of stay in hospitals; COVID-19; BIOMARKERS; DISEASE risk factors; SYMPTOMS
- Publication
Archives of Neuropsychiatry / Nöropsikiyatri Arşivi, 2024, Vol 61, Issue 3, p241
- ISSN
1300-0667
- Publication type
Article
- DOI
10.29399/npa.28493