J 2023

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

MARTO, Joao Pedro, Davide N STRAMBO, George NTAIOS, Thanh NGUYEN, Roman HERZIG et. al.

Basic information

Original name

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

Authors

MARTO, Joao Pedro (guarantor), Davide N STRAMBO, George NTAIOS, Thanh NGUYEN, Roman HERZIG, Anna CZLONKOWSKA, Jelle DEMEESTERE, Ossama Yassin MANSOUR, Alexander SALERNO, Susanne W WEGENER, Philipp BAUMGARTNER, Carlo CEREDA, Giovanni BIANCO, Morin BEYELER, Marcel ARNOLD, Emmanuel CARRERA, Paolo MACHI, Valerian ALTERSBERGER, Leo BONATI, Henrik GENSICKE, Manuel BOLOGNESE, Nils PETERS, Stephan WETZEL, Marta MAGRICO, Joao Nuno RAMOS, Joao SARGENTO-FREITAS, Rita MACHADO, Carolina MAIA, Egidio MACHADO, Ana Paiva NUNES, Patricia FERREIRA, Pinho e Melo TERESA, Mariana Carvalho DIAS, Andre PAULA, Manuel Alberto CORREIA, Pedro CASTRO, Elsa AZEVEDO, Luis ALBUQUERQUE, Jose Nuno ALVES, Joana FERREIRA-PINTO, Torcato MEIRA, Liliana PEREIRA, Miguel RODRIGUES, Andre Pinho ARAUJO, Marta RODRIGUES, Mariana ROCHA, Angelo PEREIRA-FONSECA, Luis RIBEIRO, Ricardo VARELA, Sofia MALHEIRO, Manuel CAPPELLARI, Cecilia ZIVELONGHI, Giulia SAJEVA, Andrea ZINI, Mauro GENTILE, Stefano FORLIVESI, Ludovica MIGLIACCIO, Maria SESSA, La Gioia SARA, Alessandro PEZZINI, Davide SANGALLI, Marialuisa ZEDDE, Rosario PASCARELLA, Carlo FERRARESE, Simone BERETTA, Susanna DIAMANTI, Ghil SCHWARZ, Giovanni FRISULLO, Simona MARCHESELLI, Pierre SENERS, Candice SABBEN, Simon ESCALARD, Michel PIOTIN, Benjamin MAIER, Guillaume CHARBONNIER, Fabrice VUILLIER, Loic R LEGRIS, Pauline CUISENIER, Francesca VODRET, Gaultier MARNAT, Jean-Sebastien LIEGEY, Igor SIBON, Fabian FLOTTMANN, Gabriel O BROOCKS, Nils-Ole GLOYER, Ferdinand BOHMANN, Jan Hendrik J SCHAEFER, Christian NOLTE, Heinrich AUDEBERT, Eberhard SIEBERT, Marek SYKORA, Wilfried LANG, Julia FERRARI, Lukas MAYER-SUESS, Michael KNOFLACH, Elke Ruth J GIZEWSKI, Jeffrey M STOLP, Lotte STOLZE, Jonathan COUTINHO, Paul NEDERKOORN, van den Wijngaard IDO, De Meris JOKE, Robin LEMMENS, De Raedt SYLVIE, Fenne VANDERVORST, Matthieu Pierre RUTGERS, Antoine GUILMOT, Anne DUSART, Flavio BELLANTE, Patricia CALLEJA-CASTANO, Fernando OSTOS, Guillermo GONZALEZ-ORTEGA, Paloma MARTIN-JIMENEZ, Sebastian GARCIA-MADRONA, Antonio CRUZ-CULEBRAS, Rocio VERA, Maria Consuelo MATUTE, Blanca FUENTES, Maria ALONSO-DE-LECINANA, Ricardo RIGUAL, Exuperio DIEZ-TEJEDOR, Soledad PEREZ-SANCHEZ, Joan MONTANER, Fernando DIAZ-OTERO, Natalia PEREZ-DE-LA-OSSA, Belen FLORES-PINA, Lucia MUNOZ-NARBONA, Angel CHAMORRO, Alejandro RODRIGUEZ-VAZQUEZ, Arturo RENU, Oscar AYO-MARTIN, Francisco HERNANDEZ-FERNANDEZ, Tomas SEGURA, Herbert TEJADA-MEZA, Daniel SAGARRA-MUR, Marta SERRANO-PONZ, Thant HLAING, Isaiah SEE, Robert SIMISTER, David WERRING, Espen Saxhaug KRISTOFFERSEN, Annika NORDANSTIG, Katarina JOOD, Alexandros RENTZOS, Libor SIMUNEK, Dagmar KRAJICKOVA, Antonín KRAJINA, Robert MIKULÍK (203 Czech Republic, belonging to the institution), Martina CVIKOVÁ (703 Slovakia, belonging to the institution), Jan VINKLÁREK (203 Czech Republic, belonging to the institution), David SKOLOUDIK, Martin ROUBEC, Eva HURTIKOVA, Rostislav HRUBY, Svatopluk OSTRY, Ondrej SKODA, Marek PERNICKA, Lubomir JURAK, Zuzana EICHLOVA, Martin JIRA, Martin KOVAR, Michal PANSKY, Pavel MENCL, Hana PALOUSKOVA, Ales TOMEK, Petr JANSKY, Anna OLSEROVA, Martin SRAMEK, Roman HAVLICEK, Petr MALY, Lukas TRAKAL, Jan FIKSA, Matej SLOVAK, Michal Adam KARLINSKI, Maciej NOWAK, Halina SIENKIEWICZ-JAROSZ, Anna BOCHYNSKA, Pawel WRONA, Tomasz HOMA, Katarzyna SAWCZYNSKA, Agnieszka SLOWIK, Ewa WLODARCZYK, Marcin WIACEK, Izabella TOMASZEWSKA-LAMPART, Bartosz SIECZKOWSKI, Halina BARTOSIK-PSUJEK, Marta BILIK, Anna BANDZAREWICZ, Malgorzata DOROBEK, Justyna ZIELINSKA-TUREK, Marta NOWAKOWSKA-KOTAS, Krystian OBARA, Pawel URBANOWSKI, Slawomir BUDREWICZ, Maciej GUZINSKI, Milena SWITONSKA, Iwona RUTKOWSKA, Paulina M SOBIESZAK-SKURA, Beata LABUZ-ROSZAK, Aleksander DEBIEC, Jacek STASZEWSKI, Adam STEPIEN, Jacek ZWIERNIK, Grzegorz WASILEWSKI, Cristina TIU, Elena Oana TERECOASA, Razvan Alexandru RADU, Anca NEGRILA, Bogdan DOROBAT, Cristina PANEA, Vlad TIU, Simona PETRESCU, Atilla OZDEMIR, Mostafa MAHMOUD, Hussam EL-SAMAHY, Hazem ABDELKHALEK, Jasem AL-HASHEL, Ismail Ibrahim ISMAIL, Athari SALMEEN, Abdoreza GHOREISHI, Sergiu Ionut SABETAY, Hana GROSS, Piers KLEIN, Mohamad ABDALKADER, Pascal JABBOUR, El Naamani KAREEM, Stavropoula TJOUMAKARIS, Rawad A ABBAS, Ghada MOHAMED, Alex CHEBL, Jiangyong MIN, Majesta P HOVINGH, Jenney TSAI, Muhib KHAN, Krishna NALLEBALLE, Sanjeeva ONTEDDU, Hesham MASOUD, Michael MINA, Navreet KAUR, Laith G MAALI, Michael ABRAHAM, Priyank KHANDELWAL, Ivo BACH, Melody ONG, Denis M BABICI, Ayaz KHAWAJA, Maryam HAKEMI, Kumar RAJAMANI, Vanessa CANO-NIGENDA, Antonio ARAUZ, Pablo AMAYA, Natalia LLANOS, Akemi ARANGO, Miguel Angel VENCES, Barrientos Guerra Jose DOMINGUO, Rayllene CAETANO, Rodrigo Targa MARTINS, Sergio Daniel SCOLLO, Patrick Matic YALUNG, Shashank NAGENDRA, Abhijit GAIKWAD, Kwon-Duk SEO, Georgios G GEORGIOPOULOS, Raul NOGUEIRA and Patrik MICHEL

Edition

Neurology, Philadelphia, LIPPINCOTT WILLIAMS & WILKINS, 2023, 0028-3878

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 9.900 in 2022

RIV identification code

RIV/00216224:14110/23:00132928

Organization unit

Faculty of Medicine

UT WoS

000983098800022

Keywords (in Czech)

THROMBECTOMY; COVID19; endovascular treatment; STROKE

Keywords in English

THROMBECTOMY; COVID19; endovascular treatment; STROKE

Tags

International impact, Reviewed
Změněno: 5/2/2024 09:36, Mgr. Tereza Miškechová

Abstract

V originále

Background and ObjectivesCOVID-19-related inflammation, endothelial dysfunction, and coagulopathy may increase the bleeding risk and lower the efficacy of revascularization treatments in patients with acute ischemic stroke (AIS). We aimed to evaluate the safety and outcomes of revascularization treatments in patients with AIS and COVID-19.MethodsThis was a retrospective multicenter cohort study of consecutive patients with AIS receiving intravenous thrombolysis (IVT) and/or endovascular treatment (EVT) between March 2020 and June 2021 tested for severe acute respiratory syndrome coronavirus 2 infection. With a doubly robust model combining propensity score weighting and multivariate regression, we studied the association of COVID-19 with intracranial bleeding complications and clinical outcomes. Subgroup analyses were performed according to treatment groups (IVT-only and EVT).ResultsOf a total of 15,128 included patients from 105 centers, 853 (5.6%) were diagnosed with COVID-19; of those, 5,848 (38.7%) patients received IVT-only and 9,280 (61.3%) EVT (with or without IVT). Patients with COVID-19 had a higher rate of symptomatic intracerebral hemorrhage (SICH) (adjusted OR 1.53; 95% CI 1.16-2.01), symptomatic subarachnoid hemorrhage (SSAH) (OR 1.80; 95% CI 1.20-2.69), SICH and/or SSAH combined (OR 1.56; 95% CI 1.23-1.99), 24-hour mortality (OR 2.47; 95% CI 1.58-3.86), and 3-month mortality (OR 1.88; 95% CI 1.52-2.33). Patients with COVID-19 also had an unfavorable shift in the distribution of the modified Rankin score at 3 months (OR 1.42; 95% CI 1.26-1.60).DiscussionPatients with AIS and COVID-19 showed higher rates of intracranial bleeding complications and worse clinical outcomes after revascularization treatments than contemporaneous non-COVID-19 patients receiving treatment. Current available data do not allow direct conclusions to be drawn on the effectiveness of revascularization treatments in patients with COVID-19 or to establish different treatment recommendations in this subgroup of patients with ischemic stroke. Our findings can be taken into consideration for treatment decisions, patient monitoring, and establishing prognosis.

Links

90249, large research infrastructures
Name: CZECRIN IV