COVID-19-associated stroke: experience of Regional clinical hospital Krasnoyarsk city
- 作者: Prokopenko S.V.1,2, Isayeva N.V.1,2, Bezdeneznykh A.F.1,2, Alekseevich G.Y.1,2, Lukianova E.V.2, Medvedeva M.K.2, Veber I.S.2, Severina M.I.2, Kazadayeva I.A.1
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隶属关系:
- Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
- Regional clinical hospital
- 期: 卷 40, 编号 4 (2021)
- 页面: 79-86
- 栏目: Original articles
- URL: https://ogarev-online.ru/RMMArep/article/view/83626
- DOI: https://doi.org/10.17816/rmmar83626
- ID: 83626
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全文:
详细
Mechanisms of the impact of the new coronavirus infection on nervous system that leads to various neurological complications, including strokes, and disease patterns and prognosis for stroke patients with COVID-19 are actively discussed in the literature. The aim of the research was a comparison of clinical outcomes in stroke patients with SARS-CoV-2 infection and without. Random sampling of patients with stroke and laboratory-confirmed coronavirus infection SARS-CoV-2 (50 patients) was analyzed retrospectively. The control group consisted of 49 patients with stroke who did not have COVID-19. Patients in both groups were comparable by age, sex, rate of variation and type of stroke, localization of stroke and rating on the Rankin scale before the disease. The results showed that diabetes mellitus significantly more often (more than twice) occurred in stroke patients with COVID-19 (16%) in comparison with the control (7%). Atherosclerosis of brachiocephalic arteries prevailed in acute stroke patients without COVID-19 (88%). The mortality rate in acute stroke patients with COVID-19 was higher (22%) than among those without this infection (6%). At the same time, patients without a combination with COVID-19 had more severe disability on the Rankin scale – three points (moderate disability) – while patients with COVID-19 were discharged with two points on the Rankin scale (slight disability). Probably, this is since SARS-CoV-2 infection more often led to the lethal oucome in patients with more severe stroke and the survived patients were less disabled. Probably in increased samples these differences will be reversed. Thus, this research confirmed data that the association of stroke and COVID-19 significantly worsens clinical outcomes of stroke (2 tables, bibliography: 10 refs)
作者简介
Semen Prokopenko
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University;Regional clinical hospital
Email: s.v.proc.58@mail.ru
ORCID iD: 0000-0002-4778-2586
SPIN 代码: 1279-7072
Researcher ID: L-4476-2014
D.Sc. (Medicine)
俄罗斯联邦, KrasnoyarskNatalya Isayeva
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University;Regional clinical hospital
Email: nv_isaeva@mail.ru
ORCID iD: 0000-0002-8323-7411
Researcher ID: F-2358-2016
D.Sc. (Medicine)
俄罗斯联邦, KrasnoyarskAnna Bezdeneznykh
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University;Regional clinical hospital
Email: bezdenezhnih_af@mail.ru
ORCID iD: 0000-0003-1886-781X
SPIN 代码: 2127-3059
Scopus 作者 ID: 57192955120
Researcher ID: AAC-3491-2020
D.Sc. (Medicine)
俄罗斯联邦, KrasnoyarskGalina Alekseevich
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University;Regional clinical hospital
Email: elizarova_galya@mail.ru
ORCID iD: 0000-0002-2137-2554
SPIN 代码: 5334-0769
Scopus 作者 ID: 57194640090
Researcher ID: AAC-5118-2020
Ph.D. (Medicine)
俄罗斯联邦, KrasnoyarskElena Lukianova
Regional clinical hospital
Email: a.luk@mail.ru
ORCID iD: 0000-0001-9186-9753
俄罗斯联邦, Krasnoyarsk
Maria Medvedeva
Regional clinical hospital
Email: 14Rozza@mail.ru
ORCID iD: 0000-0003-1064-7476
俄罗斯联邦, Krasnoyarsk
Ivan Veber
Regional clinical hospital
Email: vanyatka86@gmail.com
ORCID iD: 0000-0002-2682-3270
Krasnoyarsk
Marina Severina
Regional clinical hospital
Email: barsukova94@gmail.com
Krasnoyarsk
Inna Kazadayeva
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
编辑信件的主要联系方式.
Email: inna.alex913@gmail.com
ORCID iD: 0000-0002-1562-6976
Scopus 作者 ID: 57206848179
Krasnoyarsk
参考
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