Incidence and Features of Acute Ischemic Stroke in Patients Hospitalized with COVID-19: A Multi-center Study in Turkey.

Autor:	Atmaca MM; Sultan 2.Abdulhamid Khan Training and Research Hospital Neurology Clinic, Turkey., Bülbül NG; Sultan 2.Abdulhamid Khan Training and Research Hospital Neurology Clinic, Turkey., Ateş MF; Maltepe University, Faculty of Medicine, Department of Neurology, Turkey., Selbest B; Denizli State Hospital Neurology Clinic, Turkey., Eren F; Selçuk University, Faculty of Medicine, Department of Neurology, Turkey., Güler S; Trakya University, Faculty of Medicine, Department of Neurology, Turkey., Şimşek UB; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Yetkin MF; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Akcakoyunlu M; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Biçer EÖ; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Kılıç S; Kayseri City Hospital Neurology Clinic, Turkey., Yetkin NA; Kayseri City Hospital Chest Diseases Clinic, Turkey., Taş Ş; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Kocakaya Z; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Karasu K; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Yüksel U; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Kılıç AU; Erciyes University, Faculty of Medicine, Department of Infectious Diseases, Turkey., Yüce ZT; Erciyes University, Faculty of Medicine, Department of Infectious Diseases, Turkey., Tutar N; Erciyes University, Faculty of Medicine Department of Chest Diseases, Turkey., Ketencioğlu BB; Erciyes University, Faculty of Medicine Department of Chest Diseases, Turkey., Gündoğan K; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Temel Ş; Erciyes University, Faculty of Medicine, Department of Internal Medicine, Intensive Care Unit, Turkey., Hasan MA; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Benli Ş; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Eröz Ç; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey., Öztürk A; Erciyes University, Faculty of Medicine, Department of Biostatistics, Turkey., Erdoğan FF; Erciyes University, Faculty of Medicine, Department of Neurology, Turkey.
Jazyk:	angličtina
Zdroj:	Noro psikiyatri arsivi [Noro Psikiyatr Ars] 2024 Jul 24; Vol. 67 (3), pp. 241-247. Date of Electronic Publication: 2024 Jul 24 (Print Publication: 2024).
DOI:	10.29399/npa.28493
Abstrakt:	Introduction: Acute ischemic stroke (AIS) is a devastating complication of COVID-19 with high morbidity and mortality. In this study, we reported the frequency, characteristics, and outcome of AIS in patients with COVID-19. Methods: This multicenter and cross-sectional study was conducted between April 2020 and February 2021. Among the hospitalized patients with COVID-19, the detailed characteristics of those with and without AIS were recorded and compared. Results: Six hundred ninety-three patients were included in the study. Acute ischemic stroke was detected in 16 (2.31%) patients, the median age was 77 (range, 48-91) years, and 10 (62.5%) were female. The median NIHSS score at admission was 9 (range, 3-17). Total anterior circulation infarction (TACI) was the most common (37.5%) type and cardioembolism was the most common etiology (37.5%). Nine patients (56.25%) developed AIS within 24 hours of having COVID-19. COVID-19 severity was severe or critical in seven patients (43.75%). Eight patients died, and eight were discharged. Patients with AIS had a higher rate of hypertension, coronary artery disease, heart failure, a history of myocardial infarction, a history of cerebrovascular disease, severe and critical COVID-19, a higher mean age, and a longer ICU stay compared with those without AIS (p<0.001 for each). Conclusions: AIS can occur in patients with COVID-19 and is associated with mortality. Acute ischemic stroke is encountered at any stage of COVID-19, especially within the first 72 hours of the diagnosis, in older patients with comorbidities and severe COVID-19. There is an increased risk of AIS in patients with COVID-19 with a history of stroke. Competing Interests: Conflict of Interest: The authors declared that there is no conflict of interest. (Copyright: © 2024 Turkish Neuropsychiatric Society.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF