COVID-19 Affects Short-Term, But Not 90-Day, Outcome in Patients With Stroke Treated With Mechanical Thrombectomy

Niklas M Beckonert1,2, Felix J Bode1, Franziska Dorn3

  • 1Division of Vascular Neurology Department of Neurology University Hospital Bonn Bonn Germany.

Stroke (Hoboken, N.J.)
|January 26, 2026
PubMed

Insights

COVID-19 negatively impacts short-term stroke recovery in patients undergoing endovascular treatment (ET). However, long-term functional outcomes at 90 days remain similar, suggesting ET should not be withheld.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Cardiovascular Research

Background:

  • COVID-19 is linked to increased stroke incidence and poorer outcomes.
  • Patients with large-vessel occlusion stroke and COVID-19 receiving endovascular treatment (ET) experienced worse discharge outcomes.
  • The long-term functional impact of COVID-19 in these patients requires further investigation.

Purpose of the Study:

  • To assess the effect of COVID-19 on 90-day functional outcomes in patients with large-vessel occlusion stroke treated with ET.
  • To compare outcomes between patients with and without concomitant COVID-19.

Main Methods:

  • Analysis of the German Stroke Registry-Endovascular Treatment (GSR-ET) database.
  • Propensity score matching (1:4) of patients with and without COVID-19.
  • Multivariable ordinal regression analysis to evaluate functional outcomes at 90 days.

Main Results:

  • 72 (1.8%) of 4010 patients had COVID-19 during ET.
  • COVID-19 patients showed higher NIHSS scores at 24 hours and worse discharge scores (NIHSS and mRS).
  • Despite short-term deficits, 90-day functional outcomes (mRS) were similar between groups (P=0.34).

Conclusions:

  • COVID-19 adversely affects short-term functional outcomes post-ET for large-vessel occlusion stroke.
  • Long-term (90-day) functional outcomes are not significantly impacted by COVID-19.
  • Endovascular treatment should be considered for eligible patients irrespective of COVID-19 status.
Abstract

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