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Risk of ischemic stroke may be higher with COVID-19 vs influenza

 


Patients hospitalized for 2019 coronavirus disease (COVID-19) had a higher incidence of ischemic stroke than influenza patients, according to a study published in 2019 JAMA Neurology..

Incidence of ischemic stroke can be measured by COVID-19 or 2 hospitals in New York City in the emergency room. influenza.. Patients were 18 years of age or older with laboratory-confirmed influenza A/B or COVID-19 infection, confirmed by evidence of severe acute respiratory syndrome coronavirus 2 of the nasopharynx due to the polymerase chain reaction.

Of the 3402 patients who had either COVID-19 or influenza in the emergency room or were hospitalized, 1916 were COVID-19 and 1486 were influenza. The incidence of ischemic stroke was 1.6% in COVID-19 patients, whereas ischemic stroke occurred in 0.2% of influenza patients. After adjusting for age, sex, and race, COVID-19 infection was more likely than flu infection to have a stroke (odds ratio, 7.6; 95% CI, 2.3-25.2).

These findings suggest that clinicians are wary of the symptoms and signs of acute ischemic stroke in patients with COVID-19, which may indicate thrombolysis or ThrombectomyIf possible, it can be set up to reduce the burden of long-term disability,” the researchers write.

Disclosure: Several research authors have declared a partnership with the pharmaceutical industry. See the original reference for a complete list of author disclosures.

reference

Merkler AE, Parikh NS, Mir S, etc. Risk of ischemic stroke in 2019 coronavirus disease (COVID-19) and influenza patients [published online July 2, 2020].. JAMA Neurol. Doi: 10.1001 / jamaneurol.2020.2730

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