Scopus
YÖKSİS Eşleşti
Incidence and Features of Acute Ischemic Stroke in Patients Hospitalized with COVID-19: A Multi-center Study in Turkey
Noropsikiyatri Arsivi · Eylül 2024
YÖKSİS Kayıtları
INCIDENCE AND FEATURES OF ACUTE ISCHEMIC STROKE IN PATIENTS HOSPITALIZED WITH COVID-19: A MULTI-CENTER STUDY IN TURKEY
Archives of Neuropsychiatry · 2024 SCI-Expanded
DOÇENT FETTAH EREN →
Makale Bilgileri
DergiNoropsikiyatri Arsivi
Yayın TarihiEylül 2024
Cilt / Sayfa61 · 241-247
Scopus ID2-s2.0-85203066775
Özet
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.
Yazarlar (26)
1
Murat Mert Atmaca
ORCID: 0000-0003-2048-4930
2
Nazlı Gamze Bülbül
ORCID: 0000-0001-8560-0774
3
Miruna Florentina Ateş
ORCID: 0000-0001-5953-4240
4
Burcu Selbest
ORCID: 0000-0002-5031-4986
5
Fettah Eren
6
Sibel Güler
ORCID: 0000-0001-6375-6153
7
Uğur Burak Şimşek
ORCID: 0000-0003-4688-7658
8
Mehmet Fatih Yetkin
ORCID: 0000-0002-2541-7107
9
Merve Akçakoyunlu
ORCID: 0000-0003-3311-3602
10
Elif Özge Biçer
ORCID: 0000-0002-2345-8757
11
Soner Kiliç
ORCID: 0000-0003-4529-6944
12
Şazimet Taş
ORCID: 0009-0004-1646-9572
13
Zeynep Kocakaya
ORCID: 0009-0007-2924-5131
14
Kevser Karasu
ORCID: 0000-0002-3867-8592
15
Ufuk Yüksel
ORCID: 0009-0006-7160-8576
16
Ayşegül Ulukiliç
ORCID: 0000-0002-5105-1348
17
Zeynep Türe Yüce
ORCID: 0000-0001-6895-0318
18
Nuri Tutar
ORCID: 0000-0003-3097-4896
19
Burcu Baran Ketencioğlu
ORCID: 0000-0002-6757-3140
20
Kürşat Gündoğan
ORCID: 0000-0002-8433-3480
21
Şahin Temel
ORCID: 0000-0002-2766-4312
22
Murad Al Hasan
ORCID: 0000-0003-1626-1101
23
Şeyma Benli
ORCID: 0000-0001-5110-9768
24
Çağla Eröz
ORCID: 0000-0003-2254-3957
25
Ahmet Öztürk
ORCID: 0000-0002-7130-5624
26
Füsun Ferda Erdoğan
ORCID: 0000-0002-6315-7529
Anahtar Kelimeler
Acute ischemic stroke
COVID-19
incidence
mortality
outcome
stroke
Kurumlar
Erciyes University, Faculty of Medicine
Kayseri Turkey
Kayseri City Hospital
Kayseri Turkey
Selçuk Tip Fakültesi
Konya Turkey
Sultan 2.Abdulhamid Khan Training and Research Hospital Neurology Clinic
Turkey
T.C. Maltepe Universitesi Tip Fakültesi
Istanbul Turkey
T. C. Sağlık Bakanlığı, Denizli Devlet Hastanesi
Denizli Turkey
Trakya University, Faculty of Medicine
Edirne Turkey