| Autor: |
Akhtar, Naveed, Abid, Fatma, Singh, Rajvir, Kamran, Saadat, Imam, Yahia, Al-Jerdi, Salman, Salamah, Sarah, Al Attar, Rand, Yasir, Muhammad, Shabir, Hammad, Morgan, Deborah, Joseph, Sujatha, AlMaslamani, Muna, Shuaib, Ashfaq |
| Předmět: |
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| Zdroj: |
PLoS ONE; 6/24/2022, Vol. 17 Issue 6, p1-8, 8p |
| Abstrakt: |
Background and purpose: Understanding the relationship of COVID-19 to stroke is important. We compare characteristics of pre-pandemic historical stroke (Pre-C), cases in acute COVID infection (Active-C) and in patients who have recovered from COVID-19 infection (Post-C). Methods: We interrogated the Qatar stroke database for all stroke admissions between Jan 2019 and Feb 2020 (Pre-C) to Active-C (Feb2020-Feb2021) and Post-C to determine how COVID-19 affected ischemic stroke sub-types, clinical course, and outcomes prior to, during and post-pandemic peak. We used the modified Rankin Scale (mRS) to measure outcome at 90-days (mRS 0–2 good recovery and mRS 3–6 as poor recovery). For the current analysis, we compared the clinical features and prognosis in patients with confirmed acute ischemic stroke. Results: There were 1413 cases admitted (pre-pandemic: 1324, stroke in COVID-19: 46 and recovered COVID-19 stroke: 43). Patients with Active-C were significantly younger, had more severe symptoms, fever on presentation, more ICU admissions and poor stroke recovery at discharge when compared to Pre-C and Post-C. Large vessel disease and cardioembolic disease was significantly more frequent in Active-C compared to PRE-C or post-C. Conclusions: Stroke in Post-C has characteristics similar to Pre-C with no evidence of lasting effects of the virus on the short-term. However, Active-C is a more serious disease and tends to be more severe and have a poor prognosis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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