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Review
. 2022 May;53(4):824-828.
doi: 10.1007/s11239-021-02581-6. Epub 2022 Mar 4.

Characteristics and comparisons of acute stroke in "recovered" to "active COVID-19 and "pre-pandemic" in Qatar database

Naveed Akhtar  1 , Fatma Abid  2 , Rajvir Singh  3 , Saadat Kamran  4 , Yahia Imam  4 , Salman Al Jerdi  5 , Sarah Salameh  2 , Rand Al Attar  2 , Muhammad Yasir  6 , Hammad Shabir  7 , Deborah Morgan  4 , Sujatha Joseph  4 , Muna AlMaslamani  2 , Ashfaq Shuaib  8
Affiliations
Review

Characteristics and comparisons of acute stroke in "recovered" to "active COVID-19 and "pre-pandemic" in Qatar database

Naveed Akhtar et al. J Thromb Thrombolysis. 2022 May.

Abstract

Understanding the relationship of COVID-19 to stroke is important. We compare characteristics of pre-pandemic stroke (PPS), cases in acute COVID infection (CS) and in patients who have recovered from COVID-19 infection (RCS). We interrogated the Qatar stroke database for all stroke admissions between Jan 2020 and Feb 2021 (PPS) to CS and RCS to determine how COVID-19 affected ischemic stroke sub-types, clinical course, and outcomes prior to, during and post-pandemic peak. There were 3264 cases admitted (pre-pandemic: 3111, stroke in COVID-19: 60 and recovered COVID-19 stroke: 93). Patients with CS were significantly younger, had more severe symptoms, fever on presentation, more ICU admissions and poor stroke recovery at discharge when compared to PPS and RCS. Large vessel disease and cardioembolic disease was significantly higher in CS compared to PPS or RCS. There was a significant decline in stroke mimics in CS. Stroke in RCS has characteristics similar to PPS with no evidence of lasting effects of the virus on the short-term. However, CS is a more serious disease and tends to be more severe and have a poor prognosis.

Keywords: COVID-19; Ischemic stroke; Outcome; Post-Covid; Stroke severity.

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Conflict of interest statement

All the authors declared that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
ROC CURVE- To predictive accuracy of 90-Day Prognosis from the model
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