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Characteristics, Management, and Case-Fatality of Patients Hospitalized for Stroke with a Diagnosis of COVID-19 in France.
Gabet, Amélie; Grave, Clémence; Chatignoux, Edouard; Tuppin, Philippe; Béjot, Yannick; Olié, Valérie.
  • Gabet A; Department of Non-Communicable Diseases, Cardiovascular Diseases and Stroke Program, Santé Publique France, Saint-Maurice, France.
  • Grave C; Department of Non-Communicable Diseases, Cardiovascular Diseases and Stroke Program, Santé Publique France, Saint-Maurice, France.
  • Chatignoux E; Department of Non-Communicable Diseases, Cardiovascular Diseases and Stroke Program, Santé Publique France, Saint-Maurice, France.
  • Tuppin P; Department of strategy and statistical studies, Caisse Nationale d'Assurance Maladie, Paris, France.
  • Béjot Y; Neurology Department, Dijon University Hospital, Dijon, France.
  • Olié V; Department of Non-Communicable Diseases, Cardiovascular Diseases and Stroke Program, Santé Publique France, Saint-Maurice, France.
Neuroepidemiology ; 55(4): 323-330, 2021.
Article in English | MEDLINE | ID: covidwho-1282176
ABSTRACT

INTRODUCTION:

COVID-19 was found to be associated with an increased risk of stroke. This study aimed to compare characteristics, management, and outcomes of hospitalized stroke patients with or without a hospital diagnosis of CO-VID-19 at a nationwide scale.

METHODS:

This is a cross-sectional study on all French hospitals covering the entire French population using the French national hospital discharge databases (Programme de Médicalisation des Systèmes d'Information, included in the Système National des Données de Santé). All patients hospitalized for stroke between 1 January and 14 June 2020 in France were selected. A diagnosis of COVID-19 was searched for during the index hospitalization for stroke or in a prior hospitalization that had occurred after 1 January 2020.

RESULTS:

Among the 56,195 patients hospitalized for stroke, 800 (1.4%) had a concomitant COVID-19 diagnosis. Inhospital case-fatality rates were higher in stroke patients with COVID-19, particularly for patients with a primary diagnosis of COVID-19 (33.2%), as compared to patients hospitalized for stroke without CO-VID-19 diagnosis (14.1%). Similar findings were observed for 3-month case-fatality rates adjusted for age and sex that reached 41.7% in patients hospitalized for stroke with a concomitant primary diagnosis of COVID-19 versus 20.0% in strokes without COVID-19.

CONCLUSION:

Patients hospitalized for stroke with a concomitant COVID-19 diagnosis had a higher inhospital and 3 months case-fatality rates compared to patients hospitalized for stroke without a COVID-19 diagnosis. Further research is needed to better understand the excess of mortality related to these cases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 / Hospitalization / Inpatients Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Neuroepidemiology Year: 2021 Document Type: Article Affiliation country: 000516670

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 / Hospitalization / Inpatients Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Neuroepidemiology Year: 2021 Document Type: Article Affiliation country: 000516670