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BMC Neurol ; 21(1): 43, 2021 Jan 30.
Article Dans Anglais | MEDLINE | ID: covidwho-1054807

Résumé

BACKGROUND AND PURPOSE: Coronavirus disease 2019 (COVID-19) is associated with a small but clinically significant risk of stroke, the cause of which is frequently cryptogenic. In a large multinational cohort of consecutive COVID-19 patients with stroke, we evaluated clinical predictors of cryptogenic stroke, short-term functional outcomes and in-hospital mortality among patients according to stroke etiology. METHODS: We explored clinical characteristics and short-term outcomes of consecutively evaluated patients 18 years of age or older with acute ischemic stroke (AIS) and laboratory-confirmed COVID-19 from 31 hospitals in 4 countries (3/1/20-6/16/20). RESULTS: Of the 14.483 laboratory-confirmed patients with COVID-19, 156 (1.1%) were diagnosed with AIS. Sixty-one (39.4%) were female, 84 (67.2%) white, and 88 (61.5%) were between 60 and 79 years of age. The most frequently reported etiology of AIS was cryptogenic (55/129, 42.6%), which was associated with significantly higher white blood cell count, c-reactive protein, and D-dimer levels than non-cryptogenic AIS patients (p

Sujets)
COVID-19/complications , Mortalité hospitalière , Accident vasculaire cérébral ischémique/virologie , Enregistrements , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Encéphalopathie ischémique , COVID-19/sang , COVID-19/imagerie diagnostique , COVID-19/mortalité , Études de cohortes , Angiographie par tomodensitométrie , Égypte/épidémiologie , Femelle , Produits de dégradation de la fibrine et du fibrinogène/métabolisme , Humains , Accident vasculaire cérébral ischémique/sang , Accident vasculaire cérébral ischémique/imagerie diagnostique , Accident vasculaire cérébral ischémique/mortalité , Imagerie par résonance magnétique , Mâle , Adulte d'âge moyen , Études rétrospectives , Facteurs de risque , SARS-CoV-2 , Espagne/épidémiologie , Accident vasculaire cérébral , États-Unis/épidémiologie
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