Poor Outcomes Common With COVID-19, Acute Ischemic Stroke
FRIDAY, Feb. 18, 2022 (HealthDay News) -- About half of patients with COVID-19 with acute ischemic stroke (AIS) have poor outcomes, with 38.8 percent mortality, according to a study recently published in the Journal of Neurology, Neurosurgery & Psychiatry.
Adam A. Dmytriw, M.D., M.P.H., from Massachusetts General Hospital in Boston, and colleagues examined the clinical characteristics of COVID-19 with AIS in a multicenter study involving patients who presented between March 14 and Aug. 30, 2020. Poor functional outcome, defined as a modified Rankin Scale of 5 or 6 at discharge was assessed as the primary end point. Data were included for 230 COVID-19 patients with AIS: 67 and 33 percent were older and younger than 60 years, respectively.
The researchers found that about 50.2 percent of the patients had poor outcomes, with a 38.8 percent observed mortality rate. At presentation, the median National Institutes of Health Stroke Scale (NIHSS) was 12.0, and 42.8 percent of the patients presented with large vessel occlusion (LVO). Factors significantly associated with poor functional outcome included age older than 60 years, diabetes mellitus, increased NIHSS at admission, LVO, and no intravenous tissue plasminogen activator (adjusted odds ratios, 4.60, 2.53, 1.10, 3.02, and 2.76, respectively).
"There is an interaction that is still unknown between COVID respiratory disease and stroke, because the rate of poor outcomes or mortality is clearly greater than it would be in someone who had just an acute respiratory distress syndrome or COVID pneumonia, and also worse than someone who would have an equivalently large stroke in the pre-COVID era," Dmytriw said in a statement.
Related Posts
FDA Advisors OK Approval of First Over-the-Counter Birth Control Pill
WEDNESDAY, May 10, 2023 (HealthDay News) -- In a unanimous vote, a panel of...
Risk for Mental Disorders Increased With Exposure to Civil Violence
THURSDAY, June 22, 2023 (HealthDay News) -- Exposure to civil violence is...
La fibrilación auricular podría aumentar las probabilidades de demencia
LUNES, 13 de marzo de 2023 (HealthDay News) -- El latido cardiaco irregular...
Women Surgeons Remain Underrepresented in Surgeon-Scientists
FRIDAY, March 24, 2023 (HealthDay News) -- Despite earlier success in receiving...