History of Stroke Is Independently Associated With In-Hospital Death in Patients With COVID-19.
Identifieur interne : 000537 ( Main/Exploration ); précédent : 000536; suivant : 000538History of Stroke Is Independently Associated With In-Hospital Death in Patients With COVID-19.
Auteurs : Benjamin R. Kummer ; Eyal Klang ; Laura K. Stein ; Mandip S. Dhamoon ; Nathalie Jetté [États-Unis]Source :
- Stroke [ 1524-4628 ] ; 2020.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (épidémiologie), Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Betacoronavirus (MeSH), Cause de décès (MeSH), Comorbidité (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (mortalité), Modèles logistiques (MeSH), Mortalité hospitalière (MeSH), Mâle (MeSH), New York (ville) (épidémiologie), Pandémies (MeSH), Pneumopathie virale (mortalité), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
- MESH :
- mortalité : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Accident vasculaire cérébral, New York (ville).
- Adulte d'âge moyen, Analyse multifactorielle, Betacoronavirus, Cause de décès, Comorbidité, Femelle, Humains, Modèles logistiques, Mortalité hospitalière, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Cause of Death (MeSH), Comorbidity (MeSH), Coronavirus Infections (mortality), Female (MeSH), Hospital Mortality (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Multivariate Analysis (MeSH), New York City (epidemiology), Pandemics (MeSH), Pneumonia, Viral (mortality), Retrospective Studies (MeSH), Stroke (epidemiology).
- MESH :
- geographic , epidemiology : New York City.
- epidemiology : Stroke.
- mortality : Coronavirus Infections, Pneumonia, Viral.
- Aged, Aged, 80 and over, Betacoronavirus, Cause of Death, Comorbidity, Female, Hospital Mortality, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Pandemics, Retrospective Studies.
Abstract
BACKGROUND AND PURPOSE
In December 2019, an outbreak of severe acute respiratory syndrome coronavirus causing coronavirus disease 2019 (COVID-19) occurred in China, and evolved into a worldwide pandemic. It remains unclear whether the history of cerebrovascular disease is associated with in-hospital death in patients with COVID-19.
METHODS
We conducted a retrospective, multicenter cohort study at Mount Sinai Health System in New York City. Using our institutional data warehouse, we identified all adult patients who were admitted to the hospital between March 1, 2020 and May 1, 2020 and had a positive nasopharyngeal swab polymerase chain reaction test for severe acute respiratory syndrome coronavirus in the emergency department. Using our institutional electronic health record, we extracted clinical characteristics of the cohort, including age, sex, and comorbidities. Using multivariable logistic regression to control for medical comorbidities, we modeled the relationship between history of stroke and all-cause, in-hospital death.
RESULTS
We identified 3248 patients, of whom 387 (11.9%) had a history of stroke. Compared with patients without history of stroke, patients with a history of stroke were significantly older, and were significantly more likely to have a history of all medical comorbidities except for obesity, which was more prevalent in patients without a history of stroke. Compared with patients without history of stroke, patients with a history of stroke had higher in-hospital death rates during the study period (48.6% versus 31.7%,
CONCLUSIONS
We found that history of stroke was associated with in-hospital death among hospitalized patients with COVID-19. Further studies should confirm these results.
DOI: 10.1161/STROKEAHA.120.030685
PubMed: 32772679
PubMed Central: PMC7467043
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Kummer</name><affiliation><nlm:affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Clinical Informatics, Mount Sinai Health System, New York (B.R.K.).</nlm:affiliation><wicri:noCountry code="subField">New York (B.R.K.).</wicri:noCountry></affiliation></author><author><name sortKey="Klang, Eyal" sort="Klang, Eyal" uniqKey="Klang E" first="Eyal" last="Klang">Eyal Klang</name><affiliation><nlm:affiliation>Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York. (E.K., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Radiology, Sheba Medical Center, Ramat Gan, Israel (E.K.).</nlm:affiliation><wicri:noCountry code="subField">Israel (E.K.).</wicri:noCountry></affiliation></author><author><name sortKey="Stein, Laura K" sort="Stein, Laura K" uniqKey="Stein L" first="Laura K" last="Stein">Laura K. Stein</name><affiliation><nlm:affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation></author><author><name sortKey="Dhamoon, Mandip S" sort="Dhamoon, Mandip S" uniqKey="Dhamoon M" first="Mandip S" last="Dhamoon">Mandip S. Dhamoon</name><affiliation><nlm:affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation></author><author><name sortKey="Jette, Nathalie" sort="Jette, Nathalie" uniqKey="Jette N" first="Nathalie" last="Jetté">Nathalie Jetté</name><affiliation><nlm:affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York. (E.K., N.J.).</nlm:affiliation><wicri:noCountry code="subField">N.J.).</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of Health Outcomes and Knowledge Translation Research, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (N.J.).</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Health Outcomes and Knowledge Translation Research, Department of Neurology, Icahn School of Medicine at Mount Sinai</wicri:cityArea></affiliation></author></analytic><series><title level="j">Stroke</title><idno type="eISSN">1524-4628</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Cause of Death (MeSH)</term><term>Comorbidity (MeSH)</term><term>Coronavirus Infections (mortality)</term><term>Female (MeSH)</term><term>Hospital Mortality (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multivariate Analysis (MeSH)</term><term>New York City (epidemiology)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (mortality)</term><term>Retrospective Studies (MeSH)</term><term>Stroke (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (épidémiologie)</term><term>Adulte d'âge moyen (MeSH)</term><term>Analyse multifactorielle (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Cause de décès (MeSH)</term><term>Comorbidité (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (mortalité)</term><term>Modèles logistiques (MeSH)</term><term>Mortalité hospitalière (MeSH)</term><term>Mâle (MeSH)</term><term>New York (ville) (épidémiologie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (mortalité)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>New York City</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>New York (ville)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Cause of Death</term><term>Comorbidity</term><term>Female</term><term>Hospital Mortality</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Pandemics</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse multifactorielle</term><term>Betacoronavirus</term><term>Cause de décès</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Modèles logistiques</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>In December 2019, an outbreak of severe acute respiratory syndrome coronavirus causing coronavirus disease 2019 (COVID-19) occurred in China, and evolved into a worldwide pandemic. It remains unclear whether the history of cerebrovascular disease is associated with in-hospital death in patients with COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a retrospective, multicenter cohort study at Mount Sinai Health System in New York City. Using our institutional data warehouse, we identified all adult patients who were admitted to the hospital between March 1, 2020 and May 1, 2020 and had a positive nasopharyngeal swab polymerase chain reaction test for severe acute respiratory syndrome coronavirus in the emergency department. Using our institutional electronic health record, we extracted clinical characteristics of the cohort, including age, sex, and comorbidities. Using multivariable logistic regression to control for medical comorbidities, we modeled the relationship between history of stroke and all-cause, in-hospital death.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We identified 3248 patients, of whom 387 (11.9%) had a history of stroke. Compared with patients without history of stroke, patients with a history of stroke were significantly older, and were significantly more likely to have a history of all medical comorbidities except for obesity, which was more prevalent in patients without a history of stroke. Compared with patients without history of stroke, patients with a history of stroke had higher in-hospital death rates during the study period (48.6% versus 31.7%, </p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>We found that history of stroke was associated with in-hospital death among hospitalized patients with COVID-19. Further studies should confirm these results.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32772679</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN><JournalIssue CitedMedium="Internet"><Volume>51</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>10</Month></PubDate></JournalIssue><Title>Stroke</Title><ISOAbbreviation>Stroke</ISOAbbreviation></Journal><ArticleTitle>History of Stroke Is Independently Associated With In-Hospital Death in Patients With COVID-19.</ArticleTitle><Pagination><MedlinePgn>3112-3114</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.030685</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE">In December 2019, an outbreak of severe acute respiratory syndrome coronavirus causing coronavirus disease 2019 (COVID-19) occurred in China, and evolved into a worldwide pandemic. It remains unclear whether the history of cerebrovascular disease is associated with in-hospital death in patients with COVID-19.</AbstractText><AbstractText Label="METHODS">We conducted a retrospective, multicenter cohort study at Mount Sinai Health System in New York City. Using our institutional data warehouse, we identified all adult patients who were admitted to the hospital between March 1, 2020 and May 1, 2020 and had a positive nasopharyngeal swab polymerase chain reaction test for severe acute respiratory syndrome coronavirus in the emergency department. Using our institutional electronic health record, we extracted clinical characteristics of the cohort, including age, sex, and comorbidities. Using multivariable logistic regression to control for medical comorbidities, we modeled the relationship between history of stroke and all-cause, in-hospital death.</AbstractText><AbstractText Label="RESULTS">We identified 3248 patients, of whom 387 (11.9%) had a history of stroke. Compared with patients without history of stroke, patients with a history of stroke were significantly older, and were significantly more likely to have a history of all medical comorbidities except for obesity, which was more prevalent in patients without a history of stroke. Compared with patients without history of stroke, patients with a history of stroke had higher in-hospital death rates during the study period (48.6% versus 31.7%, <i>P</i><0.001). In the multivariable analysis, history of stroke (adjusted odds ratio, 1.28 [95% CI, 1.01-1.63]) was significantly associated with in-hospital death.</AbstractText><AbstractText Label="CONCLUSIONS">We found that history of stroke was associated with in-hospital death among hospitalized patients with COVID-19. Further studies should confirm these results.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kummer</LastName><ForeName>Benjamin R</ForeName><Initials>BR</Initials><AffiliationInfo><Affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical Informatics, Mount Sinai Health System, New York (B.R.K.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klang</LastName><ForeName>Eyal</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York. (E.K., N.J.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Radiology, Sheba Medical Center, Ramat Gan, Israel (E.K.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stein</LastName><ForeName>Laura K</ForeName><Initials>LK</Initials><AffiliationInfo><Affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dhamoon</LastName><ForeName>Mandip S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jetté</LastName><ForeName>Nathalie</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (B.R.K., L.K.S., M.S.D., N.J.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York. (E.K., N.J.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Health Outcomes and Knowledge Translation Research, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York. (N.J.).</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Stroke</MedlineTA><NlmUniqueID>0235266</NlmUniqueID><ISSNLinking>0039-2499</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="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002423" MajorTopicYN="N">Cause of Death</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017052" MajorTopicYN="Y">Hospital Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009519" MajorTopicYN="N" Type="Geographic">New York City</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">cerebrovascular disorders</Keyword><Keyword MajorTopicYN="Y">hospitalization</Keyword><Keyword MajorTopicYN="Y">pandemic</Keyword><Keyword MajorTopicYN="Y">stroke</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32772679</ArticleId><ArticleId IdType="doi">10.1161/STROKEAHA.120.030685</ArticleId><ArticleId IdType="pmc">PMC7467043</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><noCountry><name sortKey="Dhamoon, Mandip S" sort="Dhamoon, Mandip S" uniqKey="Dhamoon M" first="Mandip S" last="Dhamoon">Mandip S. Dhamoon</name><name sortKey="Klang, Eyal" sort="Klang, Eyal" uniqKey="Klang E" first="Eyal" last="Klang">Eyal Klang</name><name sortKey="Kummer, Benjamin R" sort="Kummer, Benjamin R" uniqKey="Kummer B" first="Benjamin R" last="Kummer">Benjamin R. Kummer</name><name sortKey="Stein, Laura K" sort="Stein, Laura K" uniqKey="Stein L" first="Laura K" last="Stein">Laura K. Stein</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Jette, Nathalie" sort="Jette, Nathalie" uniqKey="Jette N" first="Nathalie" last="Jetté">Nathalie Jetté</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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