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Clinical Characteristics of Inpatients with Coronavirus Disease 2019 and Acute Ischemic Stroke: From Epidemiology to Outcomes.
Chen, Shiling; Pan, Chao; Zhang, Ping; Tang, Yingxin; Tang, Zhouping.
  • Chen S; Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Pan C; Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Zhang P; Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Tang Y; Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Tang Z; Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Curr Neurovasc Res ; 17(5): 760-764, 2020.
Article in English | MEDLINE | ID: covidwho-921111
ABSTRACT
Acute Ischemic Stroke (AIS) is currently the most frequently reported neurological complication of Coronavirus disease 2019 (COVID-19). This article will elaborate the clinical features of inpatients with COVID-19 and AIS and the pathophysiological mechanism of AIS under the background of COVID-19. Through a detailed search of relevant studies, we found that the incidence of AIS among COVID-19 patients varied from 0.9% to 4.6%, and AIS has been observed in many people without an underlying disease and cardiovascular risk factors as well as young people. The National Institute of Health Stroke Scale (NIHSS) score of COVID-19 patients with AIS was higher than historical AIS patients, and the proportion of large vessel occlusion (LVO) was about 64.2%. COVID-19 patients with AIS generally have high levels of D-D dimer, fibrinogen, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR), suggesting systemic hyperinflammatory and hypercoagulable state. The pooled mortality of COVID-19 patients with AIS was 38% and the mortality of LVO patients is higher (45.9%). Compared with COVID-19-negative AIS patients in the same period in 2020 and 2019, COVID-19 patients with AIS had a worse prognosis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Ischemic Stroke / COVID-19 / Hospitalization Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Curr Neurovasc Res Journal subject: Vascular Diseases / Neurology Year: 2020 Document Type: Article Affiliation country: 1567202617999201110200410

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Ischemic Stroke / COVID-19 / Hospitalization Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Curr Neurovasc Res Journal subject: Vascular Diseases / Neurology Year: 2020 Document Type: Article Affiliation country: 1567202617999201110200410