COVID-19 Vaccination Is Associated with a Better Outcome in Acute Ischemic Stroke Patients: A Retrospective Observational Study.

Autor: Rizzo PA; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Bellavia S; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Scala I; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Colò F; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Broccolini A; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy.; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Antonica R; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Vitali F; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Angeloni BM; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Brunetti V; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy., Di Iorio R; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Monforte M; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Della Marca G; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy.; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Calabresi P; UOC Neurology, Catholic University of Sacred Heart, 00168 Rome, Italy.; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Luigetti M; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy., Frisullo G; UOC Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Nov 22; Vol. 11 (23). Date of Electronic Publication: 2022 Nov 22.
DOI: 10.3390/jcm11236878
Abstrakt: Background: It is unclear whether and how COVID-19 vaccination may affect the outcome of patients with acute ischemic stroke (AIS). We investigated this potential association in a retrospective study by comparing previously vaccinated (VAX) versus unvaccinated (NoVAX) stroke patients. Methods: We collected clinical reports for all consecutive AIS patients admitted to our hospital and evaluated the outcome predictors in VAX and NoVAX groups. Adjustments were made for possible confounders in multivariable logistic regression analysis, and adjusted hazard ratios were calculated. Results: A total of 466 AIS patients (287 VAX and 179 NoVAX) were included in this study. The NIHSS score at discharge and mRS score at a 3-month follow-up visit were significantly lower in VAX patients compared to NoVAX patients (p < 0.001). Good outcomes (mRS 0−2) were significantly associated with COVID-19 vaccination before AIS (adjusted hazard ratio, 0.400 [95% CI = 0.216−0.741]). Conclusions: The observation that COVID-19 vaccination can influence the outcome of AIS provides support for further studies investigating the role of immunity in ischemic brain damage.
Databáze: MEDLINE
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