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논문 기본 정보

자료유형
학술저널
저자정보
Thanh N. Nguyen (Boston Medical Center Boston University School of Medicine Boston MA USA) Muhammad M. Qureshi (Department of Radiology Boston Medical Center Boston University School of Medicine Boston MAUSA) Piers Klein (Department of Neurology Boston Medical Center Boston University School of Medicine Boston MAUSA) Hiroshi Yamagami (Department of Stroke Neurology National Hospital Organization Osaka National Hospital OsakaJapan) Mohamad Abdalkader (Department of Radiology Boston Medical Center Boston University School of Medicine Boston MAUSA) Robert Mikulik (Department of Neurology Masaryk University Brno Czech Republic) Anvitha Sathya (Boston Medical Center, Boston University School of Medicine, Boston, MA, USA) Ossama Yassin Mansour (Department of Neurology Alexandria University Alexandria Egypt) Anna Czlonkowska (2nd Department of Neurology Institute of Psychiatry and Neurology Warsaw Poland) Hannah Lo (Department of Neurology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA) Thalia S. Field (Division of Neurology Dept. Medicine University of British Columbia Vancouver BC Canada) Andreas Charidimou (Department of Neurology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA) Soma Banerjee (Department of Stroke Medicine, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK) Shadi Yaghi (Department of Neurology Rhode Island Hospital Brown University Providence RI USA) James E. Siegler (Department of Neurology Cooper University Camden NJ USA) Petra Sedova (Department of Neurology Masaryk University Brno Czech Republic) Joseph Kwan (Department of Stroke Medicine, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK) Diana Aguiar de Sousa (Department of Neurology, Hospital de Santa Maria, North Lisbon University Hospital Center (CHULN), Portugal) Jelle Demeestere (Neurology Department Leuven University Hospital Leuven Belgium) Violiza Inoa (Department of Neurology University of Tennessee Health Science Center Memphis TN USA) Setareh Salehi Omran (Department of Neurology University of Colorado School of Medicine Aurora CO USA) Liqun Zhang (Department of Neurology St George’s University Hospital London UK) Patrik Michel (Department of Neurosciences Lausanne University Hospital Lausanne Switzerland) Davide Strambo (Department of Neurosciences Lausanne University Hospital Lausanne Switzerland) João Pedro Marto (Department of Neurology Egas Moniz Hospital West Lisbon Hospital Center (CHLO) Lisbon Portugal) Raul G. Nogueira (Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중학회지 제24권 제2호
발행연도
2022.5
수록면
256 - 265 (10page)

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Background and Purpose Recent studies suggested an increased incidence of cerebral venous thrombosis (CVT) during the coronavirus disease 2019 (COVID-19) pandemic. We evaluated the volume of CVT hospitalization and in-hospital mortality during the 1st year of the COVID-19 pandemic compared to the preceding year. Methods We conducted a cross-sectional retrospective study of 171 stroke centers from 49 countries. We recorded COVID-19 admission volumes, CVT hospitalization, and CVT in-hospital mortality from January 1, 2019, to May 31, 2021. CVT diagnoses were identified by International Classification of Disease-10 (ICD-10) codes or stroke databases. We additionally sought to compare the same metrics in the first 5 months of 2021 compared to the corresponding months in 2019 and 2020 (ClinicalTrials.gov Identifier: NCT04934020). Results There were 2,313 CVT admissions across the 1-year pre-pandemic (2019) and pandemic year (2020); no differences in CVT volume or CVT mortality were observed. During the first 5 months of 2021, there was an increase in CVT volumes compared to 2019 (27.5%; 95% confidence interval [CI], 24.2 to 32.0; P<0.0001) and 2020 (41.4%; 95% CI, 37.0 to 46.0; P<0.0001). A COVID-19 diagnosis was present in 7.6% (132/1,738) of CVT hospitalizations. CVT was present in 0.04% (103/292,080) of COVID-19 hospitalizations. During the first pandemic year, CVT mortality was higher in patients who were COVID positive compared to COVID negative patients (8/53 [15.0%] vs. 41/910 [4.5%], P=0.004). There was an increase in CVT mortality during the first 5 months of pandemic years 2020 and 2021 compared to the first 5 months of the pre-pandemic year 2019 (2019 vs. 2020: 2.26% vs. 4.74%, P=0.05; 2019 vs. 2021: 2.26% vs. 4.99%, P=0.03). In the first 5 months of 2021, there were 26 cases of vaccine-induced immune thrombotic thrombocytopenia (VITT), resulting in six deaths. Conclusions During the 1st year of the COVID-19 pandemic, CVT hospitalization volume and CVT in-hospital mortality did not change compared to the prior year. COVID-19 diagnosis was associated with higher CVT in-hospital mortality. During the first 5 months of 2021, there was an increase in CVT hospitalization volume and increase in CVT-related mortality, partially attributable to VITT.
#COVID-19 #Cerebral venous thrombosis #Vaccine-induced immune thrombotic thrombocytopenia #Mortality #SARS-CoV-2 #Stroke

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