Risk of stroke in hospitalized SARS-CoV-2 infected patients: A multinational study.
Identifieur interne : 000258 ( Main/Exploration ); précédent : 000257; suivant : 000259Risk of stroke in hospitalized SARS-CoV-2 infected patients: A multinational study.
Auteurs : Shima Shahjouei [États-Unis] ; Soheil Naderi [Iran] ; Jiang Li [États-Unis] ; Ayesha Khan [États-Unis] ; Durgesh Chaudhary [États-Unis] ; Ghasem Farahmand [Iran] ; Shailesh Male [États-Unis] ; Christoph Griessenauer [États-Unis] ; Mirna Sabra [Liban] ; Stefania Mondello [Italie] ; Achille Cernigliaro [Italie] ; Faezeh Khodadadi [Inde] ; Apoorva Dev [Inde] ; Nitin Goyal [États-Unis] ; Sakineh Ranji-Burachaloo [Iran] ; Oluwaseyi Olulana [États-Unis] ; Venkatesh Avula [États-Unis] ; Seyed Amir Ebrahimzadeh [Iran] ; Orkhan Alizada [Turquie] ; Mehmet Murat Hanc [Turquie] ; Askar Ghorbani [Iran] ; Alaleh Vaghefi Far [Nouvelle-Zélande] ; Annemarei Ranta [Nouvelle-Zélande] ; Martin Punter [Nouvelle-Zélande] ; Mahtab Ramezani [Iran] ; Nima Ostadrahimi [Iran] ; Georgios Tsivgoulis [Grèce] ; Paraskevi C. Fragkou [Grèce] ; Peyman Nowrouzi-Sohrabi [Iran] ; Emmanouil Karofylakis [Grèce] ; Sotirios Tsiodras [Grèce] ; Saeideh Neshin Aghayari Sheikh [Iran] ; Alia Saberi [Iran] ; Mika Niemel [Finlande] ; Behnam Rezai Jahromi [Finlande] ; Ashkan Mowla [États-Unis] ; Mahsa Mashayekhi [Iran] ; Reza Bavarsad Shahripour [États-Unis] ; Seyed Aidin Sajedi [Iran] ; Mohammad Ghorbani [Iran] ; Arash Kia [États-Unis] ; Nasrin Rahimian [Iran] ; Vida Abedi [États-Unis] ; Ramin Zand [États-Unis]Source :
- EBioMedicine [ 2352-3964 ] ; 2020.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Accident vasculaire cérébral (diagnostic), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (isolement et purification), Centres de soins tertiaires (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Hospitalisation (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (diagnostic), Pneumopathie virale (virologie), Sujet âgé (MeSH).
- MESH :
- diagnostic : Accident vasculaire cérébral, Infections à coronavirus, Pneumopathie virale.
- isolement et purification : Betacoronavirus.
- virologie : Infections à coronavirus, Pneumopathie virale.
- complications : Accident vasculaire cérébral, Adulte, Adulte d'âge moyen, Centres de soins tertiaires, Facteurs de risque, Femelle, Hospitalisation, Humains, Infections à coronavirus, Mâle, Pandémies, Pneumopathie virale, Sujet âgé.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (isolation & purification), Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Coronavirus Infections (virology), Female (MeSH), Hospitalization (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pneumonia, Viral (virology), Risk Factors (MeSH), Stroke (complications), Stroke (diagnosis), Tertiary Care Centers (MeSH).
- MESH :
- complications : Coronavirus Infections, Pneumonia, Viral, Stroke.
- diagnosis : Coronavirus Infections, Pneumonia, Viral, Stroke.
- isolation & purification : Betacoronavirus.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Female, Hospitalization, Humans, Male, Middle Aged, Pandemics, Risk Factors, Tertiary Care Centers.
Abstract
BACKGROUND
There is an increased attention to stroke following SARS-CoV-2. The goal of this study was to better depict the short-term risk of stroke and its associated factors among SARS-CoV-2 hospitalized patients.
METHODS
This multicentre, multinational observational study includes hospitalized SARS-CoV-2 patients from North and South America (United States, Canada, and Brazil), Europe (Greece, Italy, Finland, and Turkey), Asia (Lebanon, Iran, and India), and Oceania (New Zealand). The outcome was the risk of subsequent stroke. Centres were included by non-probability sampling. The counts and clinical characteristics including laboratory findings and imaging of the patients with and without a subsequent stroke were recorded according to a predefined protocol. Quality, risk of bias, and heterogeneity assessments were conducted according to ROBINS-E and Cochrane Q-test. The risk of subsequent stroke was estimated through meta-analyses with random effect models. Bivariate logistic regression was used to determine the parameters with predictive outcome value. The study was reported according to the STROBE, MOOSE, and EQUATOR guidelines.
FINDINGS
We received data from 26,175 hospitalized SARS-CoV-2 patients from 99 tertiary centres in 65 regions of 11 countries until May 1st, 2020. A total of 17,799 patients were included in meta-analyses. Among them, 156(0.9%) patients had a stroke-123(79%) ischaemic stroke, 27(17%) intracerebral/subarachnoid hemorrhage, and 6(4%) cerebral sinus thrombosis. Subsequent stroke risks calculated with meta-analyses, under low to moderate heterogeneity, were 0.5% among all centres in all countries, and 0.7% among countries with higher health expenditures. The need for mechanical ventilation (OR: 1.9, 95% CI:1.1-3.5, p = 0.03) and the presence of ischaemic heart disease (OR: 2.5, 95% CI:1.4-4.7, p = 0.006) were predictive of stroke.
INTERPRETATION
The results of this multi-national study on hospitalized patients with SARS-CoV-2 infection indicated an overall stroke risk of 0.5%(pooled risk: 0.9%). The need for mechanical ventilation and the history of ischaemic heart disease are the independent predictors of stroke among SARS-CoV-2 patients.
FUNDING
None.
DOI: 10.1016/j.ebiom.2020.102939
PubMed: 32818804
PubMed Central: PMC7429203
Affiliations:
- Finlande, Grèce, Inde, Iran, Italie, Liban, Nouvelle-Zélande, Turquie, États-Unis
- Attique (région), Californie, Caroline du Nord, Pennsylvanie, Tennessee, Virginie, État de New York
- Athènes, Los Angeles
- Université de Californie du Sud
Links toward previous steps (curation, corpus...)
Le document en format XML
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Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Olulana, Oluwaseyi" sort="Olulana, Oluwaseyi" uniqKey="Olulana O" first="Oluwaseyi" last="Olulana">Oluwaseyi Olulana</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Avula, Venkatesh" sort="Avula, Venkatesh" uniqKey="Avula V" first="Venkatesh" last="Avula">Venkatesh Avula</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Ebrahimzadeh, Seyed Amir" sort="Ebrahimzadeh, Seyed Amir" uniqKey="Ebrahimzadeh S" first="Seyed Amir" last="Ebrahimzadeh">Seyed Amir Ebrahimzadeh</name><affiliation wicri:level="1"><nlm:affiliation>Radiology Department, Yasrebi Hospital, Kashan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Radiology Department, Yasrebi Hospital, Kashan</wicri:regionArea><wicri:noRegion>Kashan</wicri:noRegion></affiliation></author><author><name sortKey="Alizada, Orkhan" sort="Alizada, Orkhan" uniqKey="Alizada O" first="Orkhan" last="Alizada">Orkhan Alizada</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Hanc, Mehmet Murat" sort="Hanc, Mehmet Murat" uniqKey="Hanc M" first="Mehmet Murat" last="Hanc">Mehmet Murat Hanc</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Ghorbani, Askar" sort="Ghorbani, Askar" uniqKey="Ghorbani A" first="Askar" last="Ghorbani">Askar Ghorbani</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Vaghefi Far, Alaleh" sort="Vaghefi Far, Alaleh" uniqKey="Vaghefi Far A" first="Alaleh" last="Vaghefi Far">Alaleh Vaghefi Far</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Ranta, Annemarei" sort="Ranta, Annemarei" uniqKey="Ranta A" first="Annemarei" last="Ranta">Annemarei Ranta</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Punter, Martin" sort="Punter, Martin" uniqKey="Punter M" first="Martin" last="Punter">Martin Punter</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Ramezani, Mahtab" sort="Ramezani, Mahtab" uniqKey="Ramezani M" first="Mahtab" last="Ramezani">Mahtab Ramezani</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ostadrahimi, Nima" sort="Ostadrahimi, Nima" uniqKey="Ostadrahimi N" first="Nima" last="Ostadrahimi">Nima Ostadrahimi</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurosurgery Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name><affiliation wicri:level="3"><nlm:affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA; Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA; Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Fragkou, Paraskevi C" sort="Fragkou, Paraskevi C" uniqKey="Fragkou P" first="Paraskevi C" last="Fragkou">Paraskevi C. Fragkou</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Nowrouzi Sohrabi, Peyman" sort="Nowrouzi Sohrabi, Peyman" uniqKey="Nowrouzi Sohrabi P" first="Peyman" last="Nowrouzi-Sohrabi">Peyman Nowrouzi-Sohrabi</name><affiliation wicri:level="1"><nlm:affiliation>Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Student Research Committee, Shiraz University of Medical Sciences, Shiraz</wicri:regionArea><wicri:noRegion>Shiraz</wicri:noRegion></affiliation></author><author><name sortKey="Karofylakis, Emmanouil" sort="Karofylakis, Emmanouil" uniqKey="Karofylakis E" first="Emmanouil" last="Karofylakis">Emmanouil Karofylakis</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Neshin Aghayari Sheikh, Saeideh" sort="Neshin Aghayari Sheikh, Saeideh" uniqKey="Neshin Aghayari Sheikh S" first="Saeideh" last="Neshin Aghayari Sheikh">Saeideh Neshin Aghayari Sheikh</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan</wicri:regionArea><wicri:noRegion>Guilan</wicri:noRegion></affiliation></author><author><name sortKey="Saberi, Alia" sort="Saberi, Alia" uniqKey="Saberi A" first="Alia" last="Saberi">Alia Saberi</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan</wicri:regionArea><wicri:noRegion>Guilan</wicri:noRegion></affiliation></author><author><name sortKey="Niemel, Mika" sort="Niemel, Mika" uniqKey="Niemel M" first="Mika" last="Niemel">Mika Niemel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Neurosurgery, Helsinki University Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Rezai Jahromi, Behnam" sort="Rezai Jahromi, Behnam" uniqKey="Rezai Jahromi B" first="Behnam" last="Rezai Jahromi">Behnam Rezai Jahromi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Neurosurgery, Helsinki University Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Mowla, Ashkan" sort="Mowla, Ashkan" uniqKey="Mowla A" first="Ashkan" last="Mowla">Ashkan Mowla</name><affiliation wicri:level="4"><nlm:affiliation>Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, California</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Los Angeles</settlement></placeName><orgName type="university">Université de Californie du Sud</orgName></affiliation></author><author><name sortKey="Mashayekhi, Mahsa" sort="Mashayekhi, Mahsa" uniqKey="Mashayekhi M" first="Mahsa" last="Mashayekhi">Mahsa Mashayekhi</name><affiliation wicri:level="1"><nlm:affiliation>Internal medicine Department, Tabriz University of medical sciences, Tabriz, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Internal medicine Department, Tabriz University of medical sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Bavarsad Shahripour, Reza" sort="Bavarsad Shahripour, Reza" uniqKey="Bavarsad Shahripour R" first="Reza" last="Bavarsad Shahripour">Reza Bavarsad Shahripour</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, University of Tennessee Health Science Center, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Sajedi, Seyed Aidin" sort="Sajedi, Seyed Aidin" uniqKey="Sajedi S" first="Seyed Aidin" last="Sajedi">Seyed Aidin Sajedi</name><affiliation wicri:level="1"><nlm:affiliation>Neuroscience Research Center, Department of Neurology, Golestan University of Medical Sciences, Gorgan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neuroscience Research Center, Department of Neurology, Golestan University of Medical Sciences, Gorgan</wicri:regionArea><wicri:noRegion>Gorgan</wicri:noRegion></affiliation></author><author><name sortKey="Ghorbani, Mohammad" sort="Ghorbani, Mohammad" uniqKey="Ghorbani M" first="Mohammad" last="Ghorbani">Mohammad Ghorbani</name><affiliation wicri:level="1"><nlm:affiliation>Divisions of Vascular and Endovascular Neurosurgery and Neurology, Firoozgar Hospital and Rasoul-Akram hospital, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Divisions of Vascular and Endovascular Neurosurgery and Neurology, Firoozgar Hospital and Rasoul-Akram hospital, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Kia, Arash" sort="Kia, Arash" uniqKey="Kia A" first="Arash" last="Kia">Arash Kia</name><affiliation wicri:level="2"><nlm:affiliation>Icahn school of medicine at Mount Sinai, Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, New York, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Icahn school of medicine at Mount Sinai, Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rahimian, Nasrin" sort="Rahimian, Nasrin" uniqKey="Rahimian N" first="Nasrin" last="Rahimian">Nasrin Rahimian</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Yasrebi Hospital, Kashan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Yasrebi Hospital, Kashan</wicri:regionArea><wicri:noRegion>Kashan</wicri:noRegion></affiliation></author><author><name sortKey="Abedi, Vida" sort="Abedi, Vida" uniqKey="Abedi V" first="Vida" last="Abedi">Vida Abedi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA; Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA; Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Zand, Ramin" sort="Zand, Ramin" uniqKey="Zand R" first="Ramin" last="Zand">Ramin Zand</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurology Department, University of Tennessee Health Science Center, Tennessee, USA. Electronic address: rzand@geisinger.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurology Department, University of Tennessee Health Science Center, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32818804</idno><idno type="pmid">32818804</idno><idno type="doi">10.1016/j.ebiom.2020.102939</idno><idno type="pmc">PMC7429203</idno><idno type="wicri:Area/Main/Corpus">000552</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000552</idno><idno type="wicri:Area/Main/Curation">000552</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000552</idno><idno type="wicri:Area/Main/Exploration">000552</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk of stroke in hospitalized SARS-CoV-2 infected patients: A multinational study.</title><author><name sortKey="Shahjouei, Shima" sort="Shahjouei, Shima" uniqKey="Shahjouei S" first="Shima" last="Shahjouei">Shima Shahjouei</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Naderi, Soheil" sort="Naderi, Soheil" uniqKey="Naderi S" first="Soheil" last="Naderi">Soheil Naderi</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurosurgery Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Li, Jiang" sort="Li, Jiang" uniqKey="Li J" first="Jiang" last="Li">Jiang Li</name><affiliation wicri:level="2"><nlm:affiliation>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Khan, Ayesha" sort="Khan, Ayesha" uniqKey="Khan A" first="Ayesha" last="Khan">Ayesha Khan</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Chaudhary, Durgesh" sort="Chaudhary, Durgesh" uniqKey="Chaudhary D" first="Durgesh" last="Chaudhary">Durgesh Chaudhary</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Farahmand, Ghasem" sort="Farahmand, Ghasem" uniqKey="Farahmand G" first="Ghasem" last="Farahmand">Ghasem Farahmand</name><affiliation wicri:level="1"><nlm:affiliation>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Male, Shailesh" sort="Male, Shailesh" uniqKey="Male S" first="Shailesh" last="Male">Shailesh Male</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Vidant Medical Center, Greenville, NC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Vidant Medical Center, Greenville, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Griessenauer, Christoph" sort="Griessenauer, Christoph" uniqKey="Griessenauer C" first="Christoph" last="Griessenauer">Christoph Griessenauer</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Sabra, Mirna" sort="Sabra, Mirna" uniqKey="Sabra M" first="Mirna" last="Sabra">Mirna Sabra</name><affiliation wicri:level="1"><nlm:affiliation>Neurosciences Research Center (NRC), Lebanese University/ Medical School, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Neurosciences Research Center (NRC), Lebanese University/ Medical School, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Mondello, Stefania" sort="Mondello, Stefania" uniqKey="Mondello S" first="Stefania" last="Mondello">Stefania Mondello</name><affiliation wicri:level="1"><nlm:affiliation>Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Cernigliaro, Achille" sort="Cernigliaro, Achille" uniqKey="Cernigliaro A" first="Achille" last="Cernigliaro">Achille Cernigliaro</name><affiliation wicri:level="1"><nlm:affiliation>Regional Health Authority of Sicily, Palermo, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Regional Health Authority of Sicily, Palermo</wicri:regionArea><wicri:noRegion>Palermo</wicri:noRegion></affiliation></author><author><name sortKey="Khodadadi, Faezeh" sort="Khodadadi, Faezeh" uniqKey="Khodadadi F" first="Faezeh" last="Khodadadi">Faezeh Khodadadi</name><affiliation wicri:level="1"><nlm:affiliation>PES University, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>PES University, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Dev, Apoorva" sort="Dev, Apoorva" uniqKey="Dev A" first="Apoorva" last="Dev">Apoorva Dev</name><affiliation wicri:level="1"><nlm:affiliation>PES University, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>PES University, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Goyal, Nitin" sort="Goyal, Nitin" uniqKey="Goyal N" first="Nitin" last="Goyal">Nitin Goyal</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, University of Tennessee Health Science Center, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Ranji Burachaloo, Sakineh" sort="Ranji Burachaloo, Sakineh" uniqKey="Ranji Burachaloo S" first="Sakineh" last="Ranji-Burachaloo">Sakineh Ranji-Burachaloo</name><affiliation wicri:level="1"><nlm:affiliation>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Olulana, Oluwaseyi" sort="Olulana, Oluwaseyi" uniqKey="Olulana O" first="Oluwaseyi" last="Olulana">Oluwaseyi Olulana</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Avula, Venkatesh" sort="Avula, Venkatesh" uniqKey="Avula V" first="Venkatesh" last="Avula">Venkatesh Avula</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Ebrahimzadeh, Seyed Amir" sort="Ebrahimzadeh, Seyed Amir" uniqKey="Ebrahimzadeh S" first="Seyed Amir" last="Ebrahimzadeh">Seyed Amir Ebrahimzadeh</name><affiliation wicri:level="1"><nlm:affiliation>Radiology Department, Yasrebi Hospital, Kashan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Radiology Department, Yasrebi Hospital, Kashan</wicri:regionArea><wicri:noRegion>Kashan</wicri:noRegion></affiliation></author><author><name sortKey="Alizada, Orkhan" sort="Alizada, Orkhan" uniqKey="Alizada O" first="Orkhan" last="Alizada">Orkhan Alizada</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Hanc, Mehmet Murat" sort="Hanc, Mehmet Murat" uniqKey="Hanc M" first="Mehmet Murat" last="Hanc">Mehmet Murat Hanc</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Ghorbani, Askar" sort="Ghorbani, Askar" uniqKey="Ghorbani A" first="Askar" last="Ghorbani">Askar Ghorbani</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Vaghefi Far, Alaleh" sort="Vaghefi Far, Alaleh" uniqKey="Vaghefi Far A" first="Alaleh" last="Vaghefi Far">Alaleh Vaghefi Far</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Ranta, Annemarei" sort="Ranta, Annemarei" uniqKey="Ranta A" first="Annemarei" last="Ranta">Annemarei Ranta</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Punter, Martin" sort="Punter, Martin" uniqKey="Punter M" first="Martin" last="Punter">Martin Punter</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Ramezani, Mahtab" sort="Ramezani, Mahtab" uniqKey="Ramezani M" first="Mahtab" last="Ramezani">Mahtab Ramezani</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ostadrahimi, Nima" sort="Ostadrahimi, Nima" uniqKey="Ostadrahimi N" first="Nima" last="Ostadrahimi">Nima Ostadrahimi</name><affiliation wicri:level="1"><nlm:affiliation>Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurosurgery Department, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name><affiliation wicri:level="3"><nlm:affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA; Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA; Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Fragkou, Paraskevi C" sort="Fragkou, Paraskevi C" uniqKey="Fragkou P" first="Paraskevi C" last="Fragkou">Paraskevi C. Fragkou</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Nowrouzi Sohrabi, Peyman" sort="Nowrouzi Sohrabi, Peyman" uniqKey="Nowrouzi Sohrabi P" first="Peyman" last="Nowrouzi-Sohrabi">Peyman Nowrouzi-Sohrabi</name><affiliation wicri:level="1"><nlm:affiliation>Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Student Research Committee, Shiraz University of Medical Sciences, Shiraz</wicri:regionArea><wicri:noRegion>Shiraz</wicri:noRegion></affiliation></author><author><name sortKey="Karofylakis, Emmanouil" sort="Karofylakis, Emmanouil" uniqKey="Karofylakis E" first="Emmanouil" last="Karofylakis">Emmanouil Karofylakis</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name><affiliation wicri:level="3"><nlm:affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Neshin Aghayari Sheikh, Saeideh" sort="Neshin Aghayari Sheikh, Saeideh" uniqKey="Neshin Aghayari Sheikh S" first="Saeideh" last="Neshin Aghayari Sheikh">Saeideh Neshin Aghayari Sheikh</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan</wicri:regionArea><wicri:noRegion>Guilan</wicri:noRegion></affiliation></author><author><name sortKey="Saberi, Alia" sort="Saberi, Alia" uniqKey="Saberi A" first="Alia" last="Saberi">Alia Saberi</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan</wicri:regionArea><wicri:noRegion>Guilan</wicri:noRegion></affiliation></author><author><name sortKey="Niemel, Mika" sort="Niemel, Mika" uniqKey="Niemel M" first="Mika" last="Niemel">Mika Niemel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Neurosurgery, Helsinki University Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Rezai Jahromi, Behnam" sort="Rezai Jahromi, Behnam" uniqKey="Rezai Jahromi B" first="Behnam" last="Rezai Jahromi">Behnam Rezai Jahromi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Neurosurgery, Helsinki University Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Mowla, Ashkan" sort="Mowla, Ashkan" uniqKey="Mowla A" first="Ashkan" last="Mowla">Ashkan Mowla</name><affiliation wicri:level="4"><nlm:affiliation>Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, California</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Los Angeles</settlement></placeName><orgName type="university">Université de Californie du Sud</orgName></affiliation></author><author><name sortKey="Mashayekhi, Mahsa" sort="Mashayekhi, Mahsa" uniqKey="Mashayekhi M" first="Mahsa" last="Mashayekhi">Mahsa Mashayekhi</name><affiliation wicri:level="1"><nlm:affiliation>Internal medicine Department, Tabriz University of medical sciences, Tabriz, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Internal medicine Department, Tabriz University of medical sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Bavarsad Shahripour, Reza" sort="Bavarsad Shahripour, Reza" uniqKey="Bavarsad Shahripour R" first="Reza" last="Bavarsad Shahripour">Reza Bavarsad Shahripour</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, University of Tennessee Health Science Center, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Sajedi, Seyed Aidin" sort="Sajedi, Seyed Aidin" uniqKey="Sajedi S" first="Seyed Aidin" last="Sajedi">Seyed Aidin Sajedi</name><affiliation wicri:level="1"><nlm:affiliation>Neuroscience Research Center, Department of Neurology, Golestan University of Medical Sciences, Gorgan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neuroscience Research Center, Department of Neurology, Golestan University of Medical Sciences, Gorgan</wicri:regionArea><wicri:noRegion>Gorgan</wicri:noRegion></affiliation></author><author><name sortKey="Ghorbani, Mohammad" sort="Ghorbani, Mohammad" uniqKey="Ghorbani M" first="Mohammad" last="Ghorbani">Mohammad Ghorbani</name><affiliation wicri:level="1"><nlm:affiliation>Divisions of Vascular and Endovascular Neurosurgery and Neurology, Firoozgar Hospital and Rasoul-Akram hospital, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Divisions of Vascular and Endovascular Neurosurgery and Neurology, Firoozgar Hospital and Rasoul-Akram hospital, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Kia, Arash" sort="Kia, Arash" uniqKey="Kia A" first="Arash" last="Kia">Arash Kia</name><affiliation wicri:level="2"><nlm:affiliation>Icahn school of medicine at Mount Sinai, Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, New York, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Icahn school of medicine at Mount Sinai, Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rahimian, Nasrin" sort="Rahimian, Nasrin" uniqKey="Rahimian N" first="Nasrin" last="Rahimian">Nasrin Rahimian</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Department, Yasrebi Hospital, Kashan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Neurology Department, Yasrebi Hospital, Kashan</wicri:regionArea><wicri:noRegion>Kashan</wicri:noRegion></affiliation></author><author><name sortKey="Abedi, Vida" sort="Abedi, Vida" uniqKey="Abedi V" first="Vida" last="Abedi">Vida Abedi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA; Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA; Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Zand, Ramin" sort="Zand, Ramin" uniqKey="Zand R" first="Ramin" last="Zand">Ramin Zand</name><affiliation wicri:level="2"><nlm:affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurology Department, University of Tennessee Health Science Center, Tennessee, USA. Electronic address: rzand@geisinger.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurology Department, University of Tennessee Health Science Center, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j">EBioMedicine</title><idno type="eISSN">2352-3964</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Betacoronavirus (isolation & purification)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (virology)</term><term>Female (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (virology)</term><term>Risk Factors (MeSH)</term><term>Stroke (complications)</term><term>Stroke (diagnosis)</term><term>Tertiary Care Centers (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term><term>Accident vasculaire cérébral (diagnostic)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (isolement et purification)</term><term>Centres de soins tertiaires (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (virologie)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (diagnostic)</term><term>Pneumopathie virale (virologie)</term><term>Sujet âgé (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Hospitalization</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Risk Factors</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Centres de soins tertiaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Infections à coronavirus</term><term>Mâle</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>There is an increased attention to stroke following SARS-CoV-2. The goal of this study was to better depict the short-term risk of stroke and its associated factors among SARS-CoV-2 hospitalized patients.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This multicentre, multinational observational study includes hospitalized SARS-CoV-2 patients from North and South America (United States, Canada, and Brazil), Europe (Greece, Italy, Finland, and Turkey), Asia (Lebanon, Iran, and India), and Oceania (New Zealand). The outcome was the risk of subsequent stroke. Centres were included by non-probability sampling. The counts and clinical characteristics including laboratory findings and imaging of the patients with and without a subsequent stroke were recorded according to a predefined protocol. Quality, risk of bias, and heterogeneity assessments were conducted according to ROBINS-E and Cochrane Q-test. The risk of subsequent stroke was estimated through meta-analyses with random effect models. Bivariate logistic regression was used to determine the parameters with predictive outcome value. The study was reported according to the STROBE, MOOSE, and EQUATOR guidelines.</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>We received data from 26,175 hospitalized SARS-CoV-2 patients from 99 tertiary centres in 65 regions of 11 countries until May 1st, 2020. A total of 17,799 patients were included in meta-analyses. Among them, 156(0.9%) patients had a stroke-123(79%) ischaemic stroke, 27(17%) intracerebral/subarachnoid hemorrhage, and 6(4%) cerebral sinus thrombosis. Subsequent stroke risks calculated with meta-analyses, under low to moderate heterogeneity, were 0.5% among all centres in all countries, and 0.7% among countries with higher health expenditures. The need for mechanical ventilation (OR: 1.9, 95% CI:1.1-3.5, p = 0.03) and the presence of ischaemic heart disease (OR: 2.5, 95% CI:1.4-4.7, p = 0.006) were predictive of stroke.</p></div><div type="abstract" xml:lang="en"><p><b>INTERPRETATION</b></p><p>The results of this multi-national study on hospitalized patients with SARS-CoV-2 infection indicated an overall stroke risk of 0.5%(pooled risk: 0.9%). The need for mechanical ventilation and the history of ischaemic heart disease are the independent predictors of stroke among SARS-CoV-2 patients.</p></div><div type="abstract" xml:lang="en"><p><b>FUNDING</b></p><p>None.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32818804</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>30</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2352-3964</ISSN><JournalIssue CitedMedium="Internet"><Volume>59</Volume><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>EBioMedicine</Title><ISOAbbreviation>EBioMedicine</ISOAbbreviation></Journal><ArticleTitle>Risk of stroke in hospitalized SARS-CoV-2 infected patients: A multinational study.</ArticleTitle><Pagination><MedlinePgn>102939</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S2352-3964(20)30315-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ebiom.2020.102939</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is an increased attention to stroke following SARS-CoV-2. The goal of this study was to better depict the short-term risk of stroke and its associated factors among SARS-CoV-2 hospitalized patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This multicentre, multinational observational study includes hospitalized SARS-CoV-2 patients from North and South America (United States, Canada, and Brazil), Europe (Greece, Italy, Finland, and Turkey), Asia (Lebanon, Iran, and India), and Oceania (New Zealand). The outcome was the risk of subsequent stroke. Centres were included by non-probability sampling. The counts and clinical characteristics including laboratory findings and imaging of the patients with and without a subsequent stroke were recorded according to a predefined protocol. Quality, risk of bias, and heterogeneity assessments were conducted according to ROBINS-E and Cochrane Q-test. The risk of subsequent stroke was estimated through meta-analyses with random effect models. Bivariate logistic regression was used to determine the parameters with predictive outcome value. The study was reported according to the STROBE, MOOSE, and EQUATOR guidelines.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">We received data from 26,175 hospitalized SARS-CoV-2 patients from 99 tertiary centres in 65 regions of 11 countries until May 1st, 2020. A total of 17,799 patients were included in meta-analyses. Among them, 156(0.9%) patients had a stroke-123(79%) ischaemic stroke, 27(17%) intracerebral/subarachnoid hemorrhage, and 6(4%) cerebral sinus thrombosis. Subsequent stroke risks calculated with meta-analyses, under low to moderate heterogeneity, were 0.5% among all centres in all countries, and 0.7% among countries with higher health expenditures. The need for mechanical ventilation (OR: 1.9, 95% CI:1.1-3.5, p = 0.03) and the presence of ischaemic heart disease (OR: 2.5, 95% CI:1.4-4.7, p = 0.006) were predictive of stroke.</AbstractText><AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">The results of this multi-national study on hospitalized patients with SARS-CoV-2 infection indicated an overall stroke risk of 0.5%(pooled risk: 0.9%). The need for mechanical ventilation and the history of ischaemic heart disease are the independent predictors of stroke among SARS-CoV-2 patients.</AbstractText><AbstractText Label="FUNDING" NlmCategory="BACKGROUND">None.</AbstractText><CopyrightInformation>Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shahjouei</LastName><ForeName>Shima</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naderi</LastName><ForeName>Soheil</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Jiang</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Ayesha</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaudhary</LastName><ForeName>Durgesh</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Farahmand</LastName><ForeName>Ghasem</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Male</LastName><ForeName>Shailesh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Neurology Department, Vidant Medical Center, Greenville, NC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Griessenauer</LastName><ForeName>Christoph</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sabra</LastName><ForeName>Mirna</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neurosciences Research Center (NRC), Lebanese University/ Medical School, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mondello</LastName><ForeName>Stefania</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cernigliaro</LastName><ForeName>Achille</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Regional Health Authority of Sicily, Palermo, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khodadadi</LastName><ForeName>Faezeh</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>PES University, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dev</LastName><ForeName>Apoorva</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>PES University, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goyal</LastName><ForeName>Nitin</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ranji-Burachaloo</LastName><ForeName>Sakineh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Olulana</LastName><ForeName>Oluwaseyi</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Avula</LastName><ForeName>Venkatesh</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ebrahimzadeh</LastName><ForeName>Seyed Amir</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Radiology Department, Yasrebi Hospital, Kashan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alizada</LastName><ForeName>Orkhan</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hancı</LastName><ForeName>Mehmet Murat</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Neurosurgery Department, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghorbani</LastName><ForeName>Askar</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Neurology Department, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaghefi Far</LastName><ForeName>Alaleh</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ranta</LastName><ForeName>Annemarei</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Punter</LastName><ForeName>Martin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Neurology, Wellington Hospital, Wellington, New Zealand; Department of Medicine, University of Otago, Wellington, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ramezani</LastName><ForeName>Mahtab</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ostadrahimi</LastName><ForeName>Nima</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tsivgoulis</LastName><ForeName>Georgios</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA; Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fragkou</LastName><ForeName>Paraskevi C</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nowrouzi-Sohrabi</LastName><ForeName>Peyman</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Karofylakis</LastName><ForeName>Emmanouil</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tsiodras</LastName><ForeName>Sotirios</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Fourth Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neshin Aghayari Sheikh</LastName><ForeName>Saeideh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saberi</LastName><ForeName>Alia</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Niemelä</LastName><ForeName>Mika</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rezai Jahromi</LastName><ForeName>Behnam</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mowla</LastName><ForeName>Ashkan</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mashayekhi</LastName><ForeName>Mahsa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Internal medicine Department, Tabriz University of medical sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bavarsad Shahripour</LastName><ForeName>Reza</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Neurology Department, University of Tennessee Health Science Center, Tennessee, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sajedi</LastName><ForeName>Seyed Aidin</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Neuroscience Research Center, Department of Neurology, Golestan University of Medical Sciences, Gorgan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghorbani</LastName><ForeName>Mohammad</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Divisions of Vascular and Endovascular Neurosurgery and Neurology, Firoozgar Hospital and Rasoul-Akram hospital, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kia</LastName><ForeName>Arash</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Icahn school of medicine at Mount Sinai, Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, New York, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rahimian</LastName><ForeName>Nasrin</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Neurology Department, Yasrebi Hospital, Kashan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abedi</LastName><ForeName>Vida</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA; Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zand</LastName><ForeName>Ramin</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Neurology Department, Neuroscience Institute, Geisinger Health System, Danville, PA, USA; Neurology Department, University of Tennessee Health Science Center, Tennessee, USA. Electronic address: rzand@geisinger.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>EBioMedicine</MedlineTA><NlmUniqueID>101647039</NlmUniqueID><ISSNLinking>2352-3964</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Cerebrovascular disorders</Keyword><Keyword MajorTopicYN="N">Intracranial haemorrhage</Keyword><Keyword MajorTopicYN="N">Neurological complications</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword><Keyword MajorTopicYN="N">Stroke</Keyword><Keyword MajorTopicYN="N">Venous thrombosis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>07</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Fragkou</name><name sortKey="Karofylakis, Emmanouil" sort="Karofylakis, Emmanouil" uniqKey="Karofylakis E" first="Emmanouil" last="Karofylakis">Emmanouil Karofylakis</name><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name></country><country name="Finlande"><noRegion><name sortKey="Niemel, Mika" sort="Niemel, Mika" uniqKey="Niemel M" first="Mika" last="Niemel">Mika Niemel</name></noRegion><name sortKey="Rezai Jahromi, Behnam" sort="Rezai Jahromi, Behnam" uniqKey="Rezai Jahromi B" first="Behnam" last="Rezai Jahromi">Behnam Rezai Jahromi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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