Stroke Incidence and Outcome in a Population With COVID-19

Moayd M Alkhalifah1, Ramzi Banda1, Shukri Alqudihy2

  • 1Neurology Unit, Neurosciences Institute, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.

The Neurohospitalist
|April 11, 2022
PubMed

Insights

The 30-day stroke incidence in hospitalized COVID-19 patients was low at 0.2%. This study evaluated stroke occurrence and outcomes in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Cardiology

Background:

  • COVID-19 is linked to systemic thromboembolism, including stroke.
  • Understanding stroke risk in SARS-CoV-2 positive patients is crucial.

Purpose of the Study:

  • To evaluate the 30-day stroke incidence in patients with a positive SARS-CoV-2 PCR test.
  • To describe the outcomes of COVID-19 patients who experienced stroke.

Main Methods:

  • Retrospective study of hospitalized patients with positive SARS-CoV-2 PCR tests.
  • Inclusion criteria: positive SARS-CoV-2 PCR, hospitalization, and stroke within 30 days of testing.

Main Results:

  • 4301 patients tested positive for SARS-CoV-2; 1786 were hospitalized.
  • 4 hospitalized patients developed stroke within 30 days (0.09% overall, 0.2% hospitalized).
  • Stroke patients were older (mean age 78), had ischemic strokes, and comorbidities; 2 deaths occurred.

Conclusions:

  • The 30-day incidence of stroke among COVID-19 patients is low.
  • COVID-19 patients experiencing stroke had specific demographic and clinical characteristics.
Abstract

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