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Characteristics and Comparison of 32 COVID-19 and Non-COVID-19 Ischemic Strokes and Historical Stroke Patients.
Akhtar, Naveed; Abid, Fatma Ben; Kamran, Saadat; Singh, Rajvir; Imam, Yahia; AlJerdi, Salman; AlMaslamani, Muna; Shuaib, Ashfaq.
  • Akhtar N; The Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar. Electronic address: nakhtar@hamad.qa.
  • Abid FB; Infectious Diseases Section, Medicine Department, Communicable Diseases Centre, HMC, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar. Electronic address: Fabid@hamad.qa.
  • Kamran S; The Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar. Electronic address: silyas@hamad.qa.
  • Singh R; Acute Care Surgery Department, Hamad Medical Corporation, Doha, Qatar. Electronic address: Rsingh@haamd.qa.
  • Imam Y; The Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar. Electronic address: Yimam@hamad.qa.
  • AlJerdi S; Weill Cornell Medicine, Doha, Qatar. Electronic address: ska2002@med.cornell.edu.
  • AlMaslamani M; Infectious Diseases Section, Medicine Department, Communicable Diseases Centre, HMC, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar. Electronic address: malmaslamani@hamad.qa.
  • Shuaib A; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. Electronic address: ashfaq.shuaib@ualberta.ca.
J Stroke Cerebrovasc Dis ; 30(1): 105435, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1023681
ABSTRACT

OBJECTIVES:

The presence of COVID-19 infection may increase the risk of thrombotic events including ischemic strokes. Whilst a number of recent reports suggest that COVID-19 associated stroke tends to be severe, there is limited data on the effects of COVID-19 in prospective registries. MATERIAL AND

METHODS:

To determine how COVID-19 infection may affect cerebrovascular disease, we evaluated the ischemic stroke sub-types, clinical course and outcomes prior to and during the pandemic in Qatar. The Hamad General Hospital (HGH) stroke database was interrogated for stroke admissions during the last 4 months of 2019 and January-May 2020.

RESULTS:

In Qatar the number of confirmed cases of COVID-19 increased from only 2 in February to 779 in March, 12,628 in April and 45,501 in May. Stroke admissions to HGH declined marginally from an average of 97/month for six pre-COVID months to 72/month in March-May. There were 32 strokes that were positive for COVID-19. When compared to non-COVID-19 stroke during the three months of the pandemic, COVID-19 patients were younger with significantly lower rates of hypertension, diabetes and dyslipidemia. COVID-19 positive patients had more cortical strokes (34.4% vs 5.6%; p = 0.001), severe disease (NIHSS >10 34.4% vs 16.7%; p = 0.001) prolonged hospitalization and fewer with good recovery (mRS 0-2 28.1% vs 51.9%; p = 0.001).

CONCLUSIONS:

When compared to six pre-COVID-19 months, the number of ischemic stroke admissions during the three months of the pandemic declined marginally. COVID-19 positive patients were more likely to have a large cortical stroke with severe symptoms and poor outcome.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Stroke / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Stroke / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2021 Document Type: Article