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논문 기본 정보

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학술저널
저자정보
Rohit bhatia (All India Institute of Medical Sciences) Radhakrishna Pedapati (Department of Neurology All India Institute of Medical Sciences New Delhi India) Snigdha Komakula (Department of Neurology All India Institute of Medical Sciences New Delhi India) M.V. Padma Srivastava (Department of Neurology All India Institute of Medical Sciences New Delhi India) Sreenivas Vishnubhatla (Department of Biostatistics All India Institute of Medical Sciences New Delhi India) Dheeraj Khurana (Department of Neurology Postgraduate Institute of Medical Education and Research Chandigarh India)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중학회지 제22권 제3호
발행연도
2020.1
수록면
324 - 335 (12page)

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Background and Purpose Various neurological findings including stroke in patients with coronavirus disease 2019 (COVID-19) have been described, although no clarity exists regarding the nature and pattern of this association. This systematic review aims to report the characteristics of stroke in patients with COVID-19. Methods Three authors independently searched Web of Science, Embase, Scopus, and PubMed starting from inception up to May 22, 2020. The data for individual patients was extracted where available from published reports including clinical and laboratory parameters and analysed for any significant associations between variables. Results We identified 30 relevant articles involving 115 patients with acute or subacute stroke with COVID-19. The mean±standard deviation age was 62.5±14.5 years. Stroke was ischemic in majority of the patients (101 [87.8%]). Hypertension (42 [42%]), dyslipidaemia (24 [26.1%]), and diabetes (23 [23.2%]) were the major vascular risk factors. Most of the patients (80 [85.1%]) had COVID-19 symptoms at the time of stroke with a median interval of 10 days to stroke from the diagnosis of COVID-19. Three-fourths (86 [74.8%]) of the patients were critically ill which frequently delayed the diagnosis of stroke. High levels of D-dimer, and ferritin were observed in these patients. Patients with COVID-19 and stroke had a high mortality (47.9%). Factors associated with mortality were intensive care unit admission, having two or more vascular risk factors, particularly smoking and high levels of D-dimer, C-reactive protein, and lactate dehydrogenase. Conclusions The association between stroke and COVID-19 is probably multifactorial including an amalgamation of traditional vascular risk factors, proinflammatory and a prothrombotic state. Prospectively collected data is required in the future to confirm this hypothesis.
#Stroke #COVID-19 #Severe acute respiratory syndrome coronavirus 2 #Clinical trial #Systematic review #Virus diseases

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참고문헌 (27)

참고문헌 신청
Oxford Centre for Evidence-based Medicine / Levels of Evidence google schola Beyrouti R / 2020 / Characteristics of ischaemic stroke associated with COVID-19 / J Neurol Neurosurg Psychiatry 91:889~891 google schola Viguier A / 2020 / Acute ischemic stroke complicating common carotid artery thrombosis during a severe COVID-19 infection / J Neuroradiol 47:393~394 google schola Avula A / 2020 / COVID-19 presenting as stroke / Brain Behav Immun 87:115~119 google schola Zhou B / 2020 / A case of coronavirus disease 2019 with concomitant acute cerebral infarction and deep vein thrombosis / Front Neurol 11:296 google schola

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