CovidSeniorV1, Main, Exploration, bibRecord, 000615

Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.

Identifieur interne : 000615 ( Main/Exploration ); précédent : 000614; suivant : 000616

Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.

Auteurs : Shahram Majidi [États-Unis] ; Johanna T. Fifi [États-Unis] ; Travis R. Ladner [États-Unis] ; Jacques Lara-Reyna [États-Unis] ; Kurt A. Yaeger [États-Unis] ; Benjamin Yim [États-Unis] ; Neha Dangayach [États-Unis] ; Thomas J. Oxley [États-Unis] ; Tomoyoshi Shigematsu [États-Unis] ; Benjamin R. Kummer [États-Unis] ; Laura K. Stein [États-Unis] ; Jesse Weinberger [États-Unis] ; Michael G. Fara [États-Unis] ; Reade De Leacy [États-Unis] ; Mandip S. Dhamoon [États-Unis] ; Stanley Tuhrim [États-Unis] ; J. Mocco [États-Unis]

Source :

Stroke [ 1524-4628 ] ; 2020.

RBID : pubmed:32755349

Descripteurs français

English descriptors

KwdEn :
- African Continental Ancestry Group (statistics & numerical data), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Arterial Occlusive Diseases (complications), Arterial Occlusive Diseases (epidemiology), Brain Ischemia (complications), Brain Ischemia (epidemiology), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Electronic Health Records (MeSH), European Continental Ancestry Group (statistics & numerical data), Female (MeSH), Hospitalization (MeSH), Humans (MeSH), Incidence (MeSH), Male (MeSH), Middle Aged (MeSH), New York City (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Retrospective Studies (MeSH), Risk Factors (MeSH), Sex Factors (MeSH), Stroke (complications), Stroke (epidemiology).
MESH :
- geographic : New York City.
- complications : Arterial Occlusive Diseases, Brain Ischemia, Coronavirus Infections, Pneumonia, Viral, Stroke.
- epidemiology : Arterial Occlusive Diseases, Brain Ischemia, Coronavirus Infections, Pneumonia, Viral, Stroke.
- statistics & numerical data : African Continental Ancestry Group, European Continental Ancestry Group.
- Age Factors, Aged, Aged, 80 and over, Electronic Health Records, Female, Hospitalization, Humans, Incidence, Male, Middle Aged, Pandemics, Retrospective Studies, Risk Factors, Sex Factors.

Abstract

BACKGROUND AND PURPOSE

The 2019 novel coronavirus outbreak and its associated disease (coronavirus disease 2019 [COVID-19]) have created a worldwide pandemic. Early data suggest higher rate of ischemic stroke in severe COVID-19 infection. We evaluated whether a relationship exists between emergent large vessel occlusion (ELVO) and the ongoing COVID-19 outbreak.

METHODS

This is a retrospective, observational case series. Data were collected from all patients who presented with ELVO to the Mount Sinai Health System Hospitals across New York City during the peak 3 weeks of hospitalization and death from COVID-19. Patients' demographic, comorbid conditions, cardiovascular risk factors, COVID-19 disease status, and clinical presentation were extracted from the electronic medical record. Comparison was made between COVID-19 positive and negative cohorts. The incidence of ELVO stroke was compared with the pre-COVID period.

RESULTS

Forty-five consecutive ELVO patients presented during the observation period. Fifty-three percent of patients tested positive for COVID-19. Total patients' mean (±SD) age was 66 (±17). Patients with COVID-19 were significantly younger than patients without COVID-19, 59±13 versus 74±17 (odds ratio [95% CI], 0.94 [0.81-0.98];

CONCLUSIONS

More than half of the ELVO stroke patients during the peak time of the New York City's COVID-19 outbreak were COVID-19 positive, and those patients with COVID-19 were younger, more likely to be male, and less likely to be White. Our findings also suggest an increase in the incidence of ELVO stroke during the peak of the COVID-19 outbreak.

DOI: 10.1161/STROKEAHA.120.030397
PubMed: 32755349
PubMed Central: PMC7434004

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000821
to stream Main, to step Curation: 000821

Le document en format XML

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<author><name sortKey="Dangayach, Neha" sort="Dangayach, Neha" uniqKey="Dangayach N" first="Neha" last="Dangayach">Neha Dangayach</name>
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<author><name sortKey="Kummer, Benjamin R" sort="Kummer, Benjamin R" uniqKey="Kummer B" first="Benjamin R" last="Kummer">Benjamin R. Kummer</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Stein, Laura K" sort="Stein, Laura K" uniqKey="Stein L" first="Laura K" last="Stein">Laura K. Stein</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Weinberger, Jesse" sort="Weinberger, Jesse" uniqKey="Weinberger J" first="Jesse" last="Weinberger">Jesse Weinberger</name>
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<country xml:lang="fr">États-Unis</country>
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</placeName>
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<author><name sortKey="Fara, Michael G" sort="Fara, Michael G" uniqKey="Fara M" first="Michael G" last="Fara">Michael G. Fara</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="De Leacy, Reade" sort="De Leacy, Reade" uniqKey="De Leacy R" first="Reade" last="De Leacy">Reade De Leacy</name>
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<country xml:lang="fr">États-Unis</country>
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</placeName>
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<author><name sortKey="Dhamoon, Mandip S" sort="Dhamoon, Mandip S" uniqKey="Dhamoon M" first="Mandip S" last="Dhamoon">Mandip S. Dhamoon</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
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<author><name sortKey="Tuhrim, Stanley" sort="Tuhrim, Stanley" uniqKey="Tuhrim S" first="Stanley" last="Tuhrim">Stanley Tuhrim</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Mocco, J" sort="Mocco, J" uniqKey="Mocco J" first="J" last="Mocco">J. Mocco</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.</title>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
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<author><name sortKey="Fifi, Johanna T" sort="Fifi, Johanna T" uniqKey="Fifi J" first="Johanna T" last="Fifi">Johanna T. Fifi</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
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<author><name sortKey="Ladner, Travis R" sort="Ladner, Travis R" uniqKey="Ladner T" first="Travis R" last="Ladner">Travis R. Ladner</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
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<author><name sortKey="Lara Reyna, Jacques" sort="Lara Reyna, Jacques" uniqKey="Lara Reyna J" first="Jacques" last="Lara-Reyna">Jacques Lara-Reyna</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Yaeger, Kurt A" sort="Yaeger, Kurt A" uniqKey="Yaeger K" first="Kurt A" last="Yaeger">Kurt A. Yaeger</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Yim, Benjamin" sort="Yim, Benjamin" uniqKey="Yim B" first="Benjamin" last="Yim">Benjamin Yim</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Dangayach, Neha" sort="Dangayach, Neha" uniqKey="Dangayach N" first="Neha" last="Dangayach">Neha Dangayach</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Oxley, Thomas J" sort="Oxley, Thomas J" uniqKey="Oxley T" first="Thomas J" last="Oxley">Thomas J. Oxley</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Shigematsu, Tomoyoshi" sort="Shigematsu, Tomoyoshi" uniqKey="Shigematsu T" first="Tomoyoshi" last="Shigematsu">Tomoyoshi Shigematsu</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kummer, Benjamin R" sort="Kummer, Benjamin R" uniqKey="Kummer B" first="Benjamin R" last="Kummer">Benjamin R. Kummer</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Weinberger, Jesse" sort="Weinberger, Jesse" uniqKey="Weinberger J" first="Jesse" last="Weinberger">Jesse Weinberger</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Fara, Michael G" sort="Fara, Michael G" uniqKey="Fara M" first="Michael G" last="Fara">Michael G. Fara</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="De Leacy, Reade" sort="De Leacy, Reade" uniqKey="De Leacy R" first="Reade" last="De Leacy">Reade De Leacy</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Tuhrim, Stanley" sort="Tuhrim, Stanley" uniqKey="Tuhrim S" first="Stanley" last="Tuhrim">Stanley Tuhrim</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Mocco, J" sort="Mocco, J" uniqKey="Mocco J" first="J" last="Mocco">J. Mocco</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York</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>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Continental Ancestry Group (statistics & numerical data)</term>
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Arterial Occlusive Diseases (complications)</term>
<term>Arterial Occlusive Diseases (epidemiology)</term>
<term>Brain Ischemia (complications)</term>
<term>Brain Ischemia (epidemiology)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Electronic Health Records (MeSH)</term>
<term>European Continental Ancestry Group (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>New York City (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Sex Factors (MeSH)</term>
<term>Stroke (complications)</term>
<term>Stroke (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term>
<term>Accident vasculaire cérébral (épidémiologie)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Artériopathies oblitérantes (complications)</term>
<term>Artériopathies oblitérantes (épidémiologie)</term>
<term>Dossiers médicaux électroniques (MeSH)</term>
<term>Encéphalopathie ischémique (complications)</term>
<term>Encéphalopathie ischémique (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>New York (ville) (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Population d'origine africaine (statistiques et données numériques)</term>
<term>Population d'origine européenne (statistiques et données numériques)</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" xml:lang="en"><term>New York City</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arterial Occlusive Diseases</term>
<term>Brain Ischemia</term>
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arterial Occlusive Diseases</term>
<term>Brain Ischemia</term>
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>African Continental Ancestry Group</term>
<term>European Continental Ancestry Group</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Artériopathies oblitérantes</term>
<term>Encéphalopathie ischémique</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Electronic Health Records</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Adulte d'âge moyen</term>
<term>Artériopathies oblitérantes</term>
<term>Dossiers médicaux électroniques</term>
<term>Encéphalopathie ischémique</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Incidence</term>
<term>Infections à coronavirus</term>
<term>Mâle</term>
<term>New York (ville)</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études rétrospectives</term>
</keywords>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b>
</p>
<p>The 2019 novel coronavirus outbreak and its associated disease (coronavirus disease 2019 [COVID-19]) have created a worldwide pandemic. Early data suggest higher rate of ischemic stroke in severe COVID-19 infection. We evaluated whether a relationship exists between emergent large vessel occlusion (ELVO) and the ongoing COVID-19 outbreak.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This is a retrospective, observational case series. Data were collected from all patients who presented with ELVO to the Mount Sinai Health System Hospitals across New York City during the peak 3 weeks of hospitalization and death from COVID-19. Patients' demographic, comorbid conditions, cardiovascular risk factors, COVID-19 disease status, and clinical presentation were extracted from the electronic medical record. Comparison was made between COVID-19 positive and negative cohorts. The incidence of ELVO stroke was compared with the pre-COVID period.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Forty-five consecutive ELVO patients presented during the observation period. Fifty-three percent of patients tested positive for COVID-19. Total patients' mean (±SD) age was 66 (±17). Patients with COVID-19 were significantly younger than patients without COVID-19, 59±13 versus 74±17 (odds ratio [95% CI], 0.94 [0.81-0.98]; </p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>More than half of the ELVO stroke patients during the peak time of the New York City's COVID-19 outbreak were COVID-19 positive, and those patients with COVID-19 were younger, more likely to be male, and less likely to be White. Our findings also suggest an increase in the incidence of ELVO stroke during the peak of the COVID-19 outbreak.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32755349</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>51</Volume>
<Issue>9</Issue>
<PubDate><Year>2020</Year>
<Month>09</Month>
</PubDate>
</JournalIssue>
<Title>Stroke</Title>
<ISOAbbreviation>Stroke</ISOAbbreviation>
</Journal>
<ArticleTitle>Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.</ArticleTitle>
<Pagination><MedlinePgn>2656-2663</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.030397</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE">The 2019 novel coronavirus outbreak and its associated disease (coronavirus disease 2019 [COVID-19]) have created a worldwide pandemic. Early data suggest higher rate of ischemic stroke in severe COVID-19 infection. We evaluated whether a relationship exists between emergent large vessel occlusion (ELVO) and the ongoing COVID-19 outbreak.</AbstractText>
<AbstractText Label="METHODS">This is a retrospective, observational case series. Data were collected from all patients who presented with ELVO to the Mount Sinai Health System Hospitals across New York City during the peak 3 weeks of hospitalization and death from COVID-19. Patients' demographic, comorbid conditions, cardiovascular risk factors, COVID-19 disease status, and clinical presentation were extracted from the electronic medical record. Comparison was made between COVID-19 positive and negative cohorts. The incidence of ELVO stroke was compared with the pre-COVID period.</AbstractText>
<AbstractText Label="RESULTS">Forty-five consecutive ELVO patients presented during the observation period. Fifty-three percent of patients tested positive for COVID-19. Total patients' mean (±SD) age was 66 (±17). Patients with COVID-19 were significantly younger than patients without COVID-19, 59±13 versus 74±17 (odds ratio [95% CI], 0.94 [0.81-0.98]; <i>P</i>
=0.004). Seventy-five percent of patients with COVID-19 were male compared with 43% of patients without COVID-19 (odds ratio [95% CI], 3.99 [1.12-14.17]; <i>P</i>
=0.032). Patients with COVID-19 were less likely to be White (8% versus 38% [odds ratio (95% CI), 0.15 (0.04-0.81); <i>P</i>
=0.027]). In comparison to a similar time duration before the COVID-19 outbreak, a 2-fold increase in the total number of ELVO was observed (estimate: 0.78 [95% CI, 0.47-1.08], <i>P</i>
≤0.0001).</AbstractText>
<AbstractText Label="CONCLUSIONS">More than half of the ELVO stroke patients during the peak time of the New York City's COVID-19 outbreak were COVID-19 positive, and those patients with COVID-19 were younger, more likely to be male, and less likely to be White. Our findings also suggest an increase in the incidence of ELVO stroke during the peak of the COVID-19 outbreak.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Majidi</LastName>
<ForeName>Shahram</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fifi</LastName>
<ForeName>Johanna T</ForeName>
<Initials>JT</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ladner</LastName>
<ForeName>Travis R</ForeName>
<Initials>TR</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lara-Reyna</LastName>
<ForeName>Jacques</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yaeger</LastName>
<ForeName>Kurt A</ForeName>
<Initials>KA</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yim</LastName>
<ForeName>Benjamin</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dangayach</LastName>
<ForeName>Neha</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oxley</LastName>
<ForeName>Thomas J</ForeName>
<Initials>TJ</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shigematsu</LastName>
<ForeName>Tomoyoshi</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kummer</LastName>
<ForeName>Benjamin R</ForeName>
<Initials>BR</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stein</LastName>
<ForeName>Laura K</ForeName>
<Initials>LK</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Weinberger</LastName>
<ForeName>Jesse</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fara</LastName>
<ForeName>Michael G</ForeName>
<Initials>MG</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>De Leacy</LastName>
<ForeName>Reade</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
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<Author ValidYN="Y"><LastName>Dhamoon</LastName>
<ForeName>Mandip S</ForeName>
<Initials>MS</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tuhrim</LastName>
<ForeName>Stanley</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neurology (B.R.K., L.K.S., J.W., M.G.F., M.S.D., S.T.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mocco</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery (S.M., J.T.F., T.R.L., J.L.-R., K.A.Y., B.Y., N.D., T.J.O., T.S., R.D.L., J.M.), Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
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<Language>eng</Language>
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<PublicationType UI="D064888">Observational Study</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>07</Month>
<Day>31</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Stroke</MedlineTA>
<NlmUniqueID>0235266</NlmUniqueID>
<ISSNLinking>0039-2499</ISSNLinking>
</MedlineJournalInfo>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D044383" MajorTopicYN="N">African Continental Ancestry Group</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001157" MajorTopicYN="N">Arterial Occlusive Diseases</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002545" MajorTopicYN="N">Brain Ischemia</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057286" MajorTopicYN="N">Electronic Health Records</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D044465" MajorTopicYN="N">European Continental Ancestry Group</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</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>
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<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009519" MajorTopicYN="N" Type="Geographic">New York City</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="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">acute stroke</Keyword>
<Keyword MajorTopicYN="Y">coronavirus disease</Keyword>
<Keyword MajorTopicYN="Y">hospitalization</Keyword>
<Keyword MajorTopicYN="Y">incidence</Keyword>
<Keyword MajorTopicYN="Y">pandemics</Keyword>
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</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>8</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>9</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>8</Month>
<Day>7</Day>
<Hour>6</Hour>
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<ArticleIdList><ArticleId IdType="pubmed">32755349</ArticleId>
<ArticleId IdType="doi">10.1161/STROKEAHA.120.030397</ArticleId>
<ArticleId IdType="pmc">PMC7434004</ArticleId>
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<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>État de New York</li>
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</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Majidi, Shahram" sort="Majidi, Shahram" uniqKey="Majidi S" first="Shahram" last="Majidi">Shahram Majidi</name>
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<name sortKey="Dangayach, Neha" sort="Dangayach, Neha" uniqKey="Dangayach N" first="Neha" last="Dangayach">Neha Dangayach</name>
<name sortKey="De Leacy, Reade" sort="De Leacy, Reade" uniqKey="De Leacy R" first="Reade" last="De Leacy">Reade De Leacy</name>
<name sortKey="Dhamoon, Mandip S" sort="Dhamoon, Mandip S" uniqKey="Dhamoon M" first="Mandip S" last="Dhamoon">Mandip S. Dhamoon</name>
<name sortKey="Fara, Michael G" sort="Fara, Michael G" uniqKey="Fara M" first="Michael G" last="Fara">Michael G. Fara</name>
<name sortKey="Fifi, Johanna T" sort="Fifi, Johanna T" uniqKey="Fifi J" first="Johanna T" last="Fifi">Johanna T. Fifi</name>
<name sortKey="Kummer, Benjamin R" sort="Kummer, Benjamin R" uniqKey="Kummer B" first="Benjamin R" last="Kummer">Benjamin R. Kummer</name>
<name sortKey="Ladner, Travis R" sort="Ladner, Travis R" uniqKey="Ladner T" first="Travis R" last="Ladner">Travis R. Ladner</name>
<name sortKey="Lara Reyna, Jacques" sort="Lara Reyna, Jacques" uniqKey="Lara Reyna J" first="Jacques" last="Lara-Reyna">Jacques Lara-Reyna</name>
<name sortKey="Mocco, J" sort="Mocco, J" uniqKey="Mocco J" first="J" last="Mocco">J. Mocco</name>
<name sortKey="Oxley, Thomas J" sort="Oxley, Thomas J" uniqKey="Oxley T" first="Thomas J" last="Oxley">Thomas J. Oxley</name>
<name sortKey="Shigematsu, Tomoyoshi" sort="Shigematsu, Tomoyoshi" uniqKey="Shigematsu T" first="Tomoyoshi" last="Shigematsu">Tomoyoshi Shigematsu</name>
<name sortKey="Stein, Laura K" sort="Stein, Laura K" uniqKey="Stein L" first="Laura K" last="Stein">Laura K. Stein</name>
<name sortKey="Tuhrim, Stanley" sort="Tuhrim, Stanley" uniqKey="Tuhrim S" first="Stanley" last="Tuhrim">Stanley Tuhrim</name>
<name sortKey="Weinberger, Jesse" sort="Weinberger, Jesse" uniqKey="Weinberger J" first="Jesse" last="Weinberger">Jesse Weinberger</name>
<name sortKey="Yaeger, Kurt A" sort="Yaeger, Kurt A" uniqKey="Yaeger K" first="Kurt A" last="Yaeger">Kurt A. Yaeger</name>
<name sortKey="Yim, Benjamin" sort="Yim, Benjamin" uniqKey="Yim B" first="Benjamin" last="Yim">Benjamin Yim</name>
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   |texte=   Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.
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Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.

Emergent Large Vessel Occlusion Stroke During New York City's COVID-19 Outbreak: Clinical Characteristics and Paraclinical Findings.

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