Related Experiment Video
Updated: Jan 28, 2026

Dynamic Monitoring of Seroconversion using a Multianalyte Immunobead Assay for Covid-19
Published on: February 16, 2022
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.
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.
Background:
COVID-19 is associated with an increased stroke risk. Moreover, outcome at discharge was worse in patients with large-vessel occlusion stroke with concomitant COVID-19 receiving endovascular treatment (ET). We aimed to investigate the impact of concomitant COVID-19 on later functional outcome in patients with large-vessel occlusion stroke treated with ET.
Methods:
We analyzed patients from the GSR-ET (German Stroke Registry-Endovascular Treatment), an observational multicenter registry of patients with large-vessel occlusion stroke receiving ET. Baseline characteristics, procedural parameters, discharge parameters, and functional outcome at 90 days were compared between patients with concomitant COVID-19 and propensity score-matched controls (ratio, 1:4; matched for age, sex, prestroke modified Rankin Scale score, and stroke severity), and multivariable ordinal regression analysis was performed.
Results:
Among 4010 patients receiving ET between February 2020 and December 2021, 72 (1.8%) had concomitant COVID-19. Compared with 224 matched patients without COVID-19, they (n=56) were more severely affected, with a higher median National Institutes of Health Stroke Scale (NIHSS) score after 24 hours (NIHSS score, 14.5 [interquartile range {IQR}, 9-22] versus 12 [IQR, 6-18.75]; P=0.015), and NIHSS score and modified Rankin Scale score at discharge (NIHSS score, 12 [IQR, 6.75-16.75] versus 6 [IQR, 2-13]; P=0.001; and modified Rankin Scale score, 5 [IQR, 4-5] versus 4 [IQR, 2-5]; P=0.023), but functional outcome at 90-day follow-up was similar (modified Rankin Scale score, 4 [IQR, 4-6] versus 4 [IQR, 2-6]; P=0.34). After adjustment for prespecified confounders, COVID-19 was associated with worse functional outcome at discharge (common odds ratio [OR], 0.40 [95% CI, 0.19-0.80]; P=0.011), but not at 90-day follow-up (common OR, 0.72 [95% CI, 0.32-1.60]; P=0.43).
Conclusions:
COVID-19 affected short-term, but not 90-day, functional outcome in patients with large-vessel occlusion stroke treated with ET. Hence, ET should not be withheld in patients with concomitant COVID-19.
Related Concept Videos
Long-term Depression
Long-term Depression
Calcium Ion Concentration Mechanism
If over...
Predicting Reaction Outcomes
Outcomes of Glycolysis
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Reaction Mechanisms
For instance, the decomposition of ozone appears to follow a mechanism with two steps:
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

