دورية أكاديمية

Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19: The Global COVID-19 Stroke Registry.

التفاصيل البيبلوغرافية
العنوان: Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19: The Global COVID-19 Stroke Registry.
المؤلفون: Marto, J.P., Strambo, D., Ntaios, G., Nguyen, T.N., Herzig, R., Czlonkowska, A., Demeestere, J., Mansour, O.Y., Salerno, A., Wegener, S., Baumgartner, P., Cereda, C.W., Bianco, G., Beyeler, M., Arnold, M., Carrera, E., Machi, P., Altersberger, V., Bonati, L., Gensicke, H., Bolognese, M., Peters, N., Wetzel, S., Magriço, M., Ramos, J.N., Sargento-Freitas, J., Machado, R., Maia, C., Machado, E., Nunes, A.P., Ferreira, P., Pinho E Melo, T., Dias, M.C., Paula, A., Correia, M.A., Castro, P., Azevedo, E., Albuquerque, L., Alves, J.N., Ferreira-Pinto, J., Meira, T., Pereira, L., Rodrigues, M., Araujo, A.P., Rocha, M., Pereira-Fonseca, Â., Ribeiro, L., Varela, R., Malheiro, S., Cappellari, M., Zivelonghi, C., Sajeva, G., Zini, A., Gentile, M., Forlivesi, S., Migliaccio, L., Sessa, M., La Gioia, S., Pezzini, A., Sangalli, D., Zedde, M., Pascarella, R., Ferrarese, C., Beretta, S., Diamanti, S., Schwarz, G., Frisullo, G., Marcheselli, S., Seners, P., Sabben, C., Escalard, S., Piotin, M., Maïer, B., Charbonnier, G., Vuillier, F., Legris, L., Cuisenier, P., Vodret, F.R., Marnat, G., Liegey, J.S., Sibon, I., Flottmann, F., Broocks, G., Gloyer, N.O., Bohmann, F.O., Schaefer, J.H., Nolte, C., Audebert, H.J., Siebert, E., Sykora, M., Lang, W., Ferrari, J., Mayer-Suess, L., Knoflach, M., Gizewski, E.R., Stolp, J., Stolze, L.J., Coutinho, J.M., Nederkoorn, P., van den Wijngaard, I., De Meris, J., Lemmens, R., De Raedt, S., Vandervorst, F., Rutgers, M.P., Guilmot, A., Dusart, A., Bellante, F., Calleja-Castaño, P., Ostos, F., González-Ortega, G., Martín-Jiménez, P., García-Madrona, S., Cruz-Culebras, A., Vera, R., Matute, M.C., Fuentes, B., Alonso-de-Leciñana, M., Rigual, R., Díez-Tejedor, E., Perez-Sanchez, S., Montaner, J., Díaz-Otero, F., Pérez-de-la-Ossa, N., Flores-Pina, B., Muñoz-Narbona, L., Chamorro, A., Rodríguez-Vázquez, A., Renú, A., Ayo-Martin, O., Hernández-Fernández, F., Segura, T., Tejada-Meza, H., Sagarra-Mur, D., Serrano-Ponz, M., Hlaing, T., See, I., Simister, R., Werring, D., Kristoffersen, E.S., Nordanstig, A., Jood, K., Rentzos, A., Šimůnek, L., Krajíčková, D., Krajina, A., Mikulik, R., Cviková, M., Vinklárek, J., Školoudík, D., Roubec, M., Hurtikova, E., Hrubý, R., Ostry, S., Skoda, O., Pernicka, M., Jurak, L., Eichlová, Z., Jíra, M., Kovar, M., Panský, M., Mencl, P., Palouskova, H., Tomek, A., Janský, P., Olšerová, A., Sramek, M., Havlicek, R., Malý, P., Trakal, L., Fiksa, J., Slovák, M., Karlinski, M.A., Nowak, M., Sienkiewicz-Jarosz, H., Bochynska, A., Wrona, P., Homa, T., Sawczynska, K., Slowik, A., Wlodarczyk, E., Wiacek, M., Tomaszewska-Lampart, I., Sieczkowski, B., Bartosik-Psujek, H., Bilik, M., Bandzarewicz, A., Dorobek, M., Zielinska-Turek, J., Nowakowska-Kotas, M., Obara, K., Urbanowski, P., Budrewicz, S., Guziński, M., Świtońska, M., Rutkowska, I., Sobieszak-Skura, P., Labuz-Roszak, B.M., Debiec, A., Staszewski, J., Stępień, A., Zwiernik, J., Wasilewski, G., Tiu, C., Terecoasă, E.O., Radu, R.A., Negrila, A., Dorobat, B., Panea, C., Tiu, V., Petrescu, S., Ozdemir, A., Mahmoud, M., El-Samahy, H., Abdelkhalek, H., Al-Hashel, J., Ismail, I.I., Salmeen, A., Ghoreishi, A., Sabetay, S.I., Gross, H., Klein, P., Abdalkader, M., Jabbour, P., El Naamani, K., Tjoumakaris, S., Abbas, R., Mohamed, G.A., Chebl, A., Min, J., Hovingh, M., Tsai, J.P., Khan, M., Nalleballe, K., Onteddu, S., Masoud, H., Michael, M., Kaur, N., Maali, L., Abraham, M.G., Khandelwal, P., Bach, I., Ong, M., Babici, D., Khawaja, A.M., Hakemi, M., Rajamani, K., Cano-Nigenda, V., Arauz, A., Amaya, P., Llanos, N., Arango, A., Vences, M.Á., Barrientos Guerra, J.D., Caetano, R., Martins, R.T., Scollo, S.D., Yalung, P.M., Nagendra, S., Gaikwad, A., Seo, K.D., Georgiopoulos, G., Nogueira, R.G., Michel, P.
المساهمون: Global COVID-19 Stroke Registry
المصدر: Neurology, vol. 100, no. 7, pp. e739-e750
سنة النشر: 2023
المجموعة: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
مصطلحات موضوعية: Humans, Ischemic Stroke/epidemiology, Ischemic Stroke/surgery, Fibrinolytic Agents/therapeutic use, Brain Ischemia/complications, Brain Ischemia/epidemiology, Brain Ischemia/surgery, Cohort Studies, Thrombolytic Therapy/adverse effects, Treatment Outcome, COVID-19/complications, Stroke/epidemiology, Stroke/therapy, Stroke/diagnosis, Intracranial Hemorrhages/etiology, Cerebral Hemorrhage/complications, Endovascular Procedures/adverse effects, Registries
الوصف: COVID-19-related inflammation, endothelial dysfunction, and coagulopathy may increase the bleeding risk and lower the efficacy of revascularization treatments in patients with acute ischemic stroke (AIS). We aimed to evaluate the safety and outcomes of revascularization treatments in patients with AIS and COVID-19. This was a retrospective multicenter cohort study of consecutive patients with AIS receiving intravenous thrombolysis (IVT) and/or endovascular treatment (EVT) between March 2020 and June 2021 tested for severe acute respiratory syndrome coronavirus 2 infection. With a doubly robust model combining propensity score weighting and multivariate regression, we studied the association of COVID-19 with intracranial bleeding complications and clinical outcomes. Subgroup analyses were performed according to treatment groups (IVT-only and EVT). Of a total of 15,128 included patients from 105 centers, 853 (5.6%) were diagnosed with COVID-19; of those, 5,848 (38.7%) patients received IVT-only and 9,280 (61.3%) EVT (with or without IVT). Patients with COVID-19 had a higher rate of symptomatic intracerebral hemorrhage (SICH) (adjusted OR 1.53; 95% CI 1.16-2.01), symptomatic subarachnoid hemorrhage (SSAH) (OR 1.80; 95% CI 1.20-2.69), SICH and/or SSAH combined (OR 1.56; 95% CI 1.23-1.99), 24-hour mortality (OR 2.47; 95% CI 1.58-3.86), and 3-month mortality (OR 1.88; 95% CI 1.52-2.33). Patients with COVID-19 also had an unfavorable shift in the distribution of the modified Rankin score at 3 months (OR 1.42; 95% CI 1.26-1.60). Patients with AIS and COVID-19 showed higher rates of intracranial bleeding complications and worse clinical outcomes after revascularization treatments than contemporaneous non-COVID-19 patients receiving treatment. Current available data do not allow direct conclusions to be drawn on the effectiveness of revascularization treatments in patients with COVID-19 or to establish different treatment recommendations in this subgroup of patients with ischemic stroke. Our findings can be taken into ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 0028-3878
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/36351814; info:eu-repo/semantics/altIdentifier/eissn/1526-632X; https://serval.unil.ch/notice/serval:BIB_680F16761F74Test; urn:issn:0028-3878; https://serval.unil.ch/resource/serval:BIB_680F16761F74.P001/REF.pdfTest
DOI: 10.1212/WNL.0000000000201537
الإتاحة: https://doi.org/10.1212/WNL.0000000000201537Test
https://serval.unil.ch/notice/serval:BIB_680F16761F74Test
https://serval.unil.ch/resource/serval:BIB_680F16761F74.P001/REF.pdfTest
حقوق: info:eu-repo/semantics/restrictedAccess ; Restricted: indefinite embargo ; Copying allowed only for non-profit organizations ; https://serval.unil.ch/disclaimerTest
رقم الانضمام: edsbas.15BE92B5
قاعدة البيانات: BASE
الوصف
تدمد:00283878
DOI:10.1212/WNL.0000000000201537