Clinical Characteristics and Outcomes of COVID-19 Patients With a History of Stroke in Wuhan, China.
Identifieur interne : 000211 ( Main/Corpus ); précédent : 000210; suivant : 000212Clinical Characteristics and Outcomes of COVID-19 Patients With a History of Stroke in Wuhan, China.
Auteurs : Chuan Qin ; Luoqi Zhou ; Ziwei Hu ; Sheng Yang ; Shuoqi Zhang ; Man Chen ; Haihan Yu ; Dai-Shi Tian ; Wei WangSource :
- Stroke [ 1524-4628 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (MeSH), Blood Cell Count (MeSH), China (epidemiology), Comorbidity (MeSH), Coronavirus Infections (epidemiology), Female (MeSH), Hospital Mortality (MeSH), Hospitals, University (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Procedures and Techniques Utilization (MeSH), Propensity Score (MeSH), Recurrence (MeSH), Respiration, Artificial (statistics & numerical data), Respiratory Distress Syndrome, Adult (etiology), Respiratory Distress Syndrome, Adult (therapy), Stroke (blood), Stroke (epidemiology), Stroke (therapy), Treatment Outcome (MeSH).
- MESH :
- geographic , epidemiology : China.
- blood : Stroke.
- epidemiology : Coronavirus Infections, Pneumonia, Viral, Stroke.
- etiology : Respiratory Distress Syndrome, Adult.
- statistics & numerical data : Hospitals, University, Respiration, Artificial.
- therapy : Respiratory Distress Syndrome, Adult, Stroke.
- Aged, Betacoronavirus, Blood Cell Count, Comorbidity, Female, Hospital Mortality, Humans, Male, Middle Aged, Pandemics, Procedures and Techniques Utilization, Propensity Score, Recurrence, Treatment Outcome.
Abstract
BACKGROUND AND PURPOSE
Information on stroke survivors infected with coronavirus disease 2019 (COVID-19) is limited. The aim of this study was to describe specific clinical characteristics and outcomes of patients with COVID-19 with a history of stroke.
METHODS
All the confirmed cases of COVID-19 at Tongji Hospital from January 27 to March 5, 2020, were included in our cohort study. Clinical data were analyzed and compared between patients with and without a history of stroke.
RESULTS
Of the included 1875 patients with COVID-19, 50 patients had a history of stroke. The COVID-19 patients with medical history of stroke were older with more comorbidities, had higher neutrophil count, and lower lymphocyte and platelet counts than those without history of stroke. The levels of D-dimers, cardiac troponin I, NT pro-brain natriuretic peptide, and interleukin-6 were also markedly higher in patients with history of stroke. Stroke survivors who underwent COVID-19 developed more acute respiratory distress syndrome and received more noninvasive mechanical ventilation. Data from propensity-matched analysis indicated a higher proportion of patients with COVD-19 with a history of stroke were admitted to the intensive care unit requiring mechanical ventilation and were more likely to be held in the unit or die, compared with non-stroke history COVID-19 patients.
CONCLUSIONS
Patients with COVID-19 with a history of stroke had more severe clinical symptoms and poorer outcomes compared with those without a history of stroke.
DOI: 10.1161/STROKEAHA.120.030365
PubMed: 32466735
PubMed Central: PMC7282412
Links to Exploration step
pubmed:32466735Le document en format XML
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<author><name sortKey="Yang, Sheng" sort="Yang, Sheng" uniqKey="Yang S" first="Sheng" last="Yang">Sheng Yang</name>
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<author><name sortKey="Chen, Man" sort="Chen, Man" uniqKey="Chen M" first="Man" last="Chen">Man Chen</name>
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<author><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name>
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<term>Blood Cell Count (MeSH)</term>
<term>China (epidemiology)</term>
<term>Comorbidity (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Female (MeSH)</term>
<term>Hospital Mortality (MeSH)</term>
<term>Hospitals, University (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Procedures and Techniques Utilization (MeSH)</term>
<term>Propensity Score (MeSH)</term>
<term>Recurrence (MeSH)</term>
<term>Respiration, Artificial (statistics & numerical data)</term>
<term>Respiratory Distress Syndrome, Adult (etiology)</term>
<term>Respiratory Distress Syndrome, Adult (therapy)</term>
<term>Stroke (blood)</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (therapy)</term>
<term>Treatment Outcome (MeSH)</term>
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</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term>
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<term>Respiration, Artificial</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Betacoronavirus</term>
<term>Blood Cell Count</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Hospital Mortality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b>
</p>
<p>Information on stroke survivors infected with coronavirus disease 2019 (COVID-19) is limited. The aim of this study was to describe specific clinical characteristics and outcomes of patients with COVID-19 with a history of stroke.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>All the confirmed cases of COVID-19 at Tongji Hospital from January 27 to March 5, 2020, were included in our cohort study. Clinical data were analyzed and compared between patients with and without a history of stroke.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of the included 1875 patients with COVID-19, 50 patients had a history of stroke. The COVID-19 patients with medical history of stroke were older with more comorbidities, had higher neutrophil count, and lower lymphocyte and platelet counts than those without history of stroke. The levels of D-dimers, cardiac troponin I, NT pro-brain natriuretic peptide, and interleukin-6 were also markedly higher in patients with history of stroke. Stroke survivors who underwent COVID-19 developed more acute respiratory distress syndrome and received more noninvasive mechanical ventilation. Data from propensity-matched analysis indicated a higher proportion of patients with COVD-19 with a history of stroke were admitted to the intensive care unit requiring mechanical ventilation and were more likely to be held in the unit or die, compared with non-stroke history COVID-19 patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Patients with COVID-19 with a history of stroke had more severe clinical symptoms and poorer outcomes compared with those without a history of stroke.</p>
</div>
</front>
</TEI>
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<Title>Stroke</Title>
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<ArticleTitle>Clinical Characteristics and Outcomes of COVID-19 Patients With a History of Stroke in Wuhan, China.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.030365</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE">Information on stroke survivors infected with coronavirus disease 2019 (COVID-19) is limited. The aim of this study was to describe specific clinical characteristics and outcomes of patients with COVID-19 with a history of stroke.</AbstractText>
<AbstractText Label="METHODS">All the confirmed cases of COVID-19 at Tongji Hospital from January 27 to March 5, 2020, were included in our cohort study. Clinical data were analyzed and compared between patients with and without a history of stroke.</AbstractText>
<AbstractText Label="RESULTS">Of the included 1875 patients with COVID-19, 50 patients had a history of stroke. The COVID-19 patients with medical history of stroke were older with more comorbidities, had higher neutrophil count, and lower lymphocyte and platelet counts than those without history of stroke. The levels of D-dimers, cardiac troponin I, NT pro-brain natriuretic peptide, and interleukin-6 were also markedly higher in patients with history of stroke. Stroke survivors who underwent COVID-19 developed more acute respiratory distress syndrome and received more noninvasive mechanical ventilation. Data from propensity-matched analysis indicated a higher proportion of patients with COVD-19 with a history of stroke were admitted to the intensive care unit requiring mechanical ventilation and were more likely to be held in the unit or die, compared with non-stroke history COVID-19 patients.</AbstractText>
<AbstractText Label="CONCLUSIONS">Patients with COVID-19 with a history of stroke had more severe clinical symptoms and poorer outcomes compared with those without a history of stroke.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Qin</LastName>
<ForeName>Chuan</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (C.Q., L.Z., Z.H., S.Y., M.C., H.Y., D.-S.T., W.W.).</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y" EqualContrib="Y"><LastName>Zhou</LastName>
<ForeName>Luoqi</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (C.Q., L.Z., Z.H., S.Y., M.C., H.Y., D.-S.T., W.W.).</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Wang</LastName>
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<AffiliationInfo><Affiliation>Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (C.Q., L.Z., Z.H., S.Y., M.C., H.Y., D.-S.T., W.W.).</Affiliation>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Stroke. 2020 Jul;51(7):1924-1926</RefSource>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword>
<Keyword MajorTopicYN="Y">cardiovascular disease</Keyword>
<Keyword MajorTopicYN="Y">comorbidity</Keyword>
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<ArticleId IdType="doi">10.1161/STROKEAHA.120.030365</ArticleId>
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