학술논문

Severe COVID-19 and Stroke-Another Piece in the Puzzle.
Document Type
Journal Article
Source
Critical Care Medicine. Dec2021, Vol. 49 Issue 12, p2160-2164. 5p.
Subject
*STROKE
*COVID-19
*ISCHEMIC stroke
*COVID-19 pandemic
*INTRACRANIAL hemorrhage
Language
ISSN
0090-3493
Abstract
Keywords: coronavirus disease 2019; extracorporeal membrane oxygenation; hemorrhagic stroke; intensive care; ischemic stroke; neurocritical care EN coronavirus disease 2019 extracorporeal membrane oxygenation hemorrhagic stroke intensive care ischemic stroke neurocritical care 2160 2164 5 11/19/21 20211201 NES 211201 Concomitant neurologic manifestations have been described since the early emergence of the coronavirus disease 2019 (COVID-19) pandemic ([1]). In a recent single-center analysis of 416 ECMO patients between 2009 and 2017, 13.3% had an imaging-confirmed CNS complication, including 7% ischemic stroke and 3.4% hemorrhagic stroke ([20]). In the 283 patients on ECMO, 15 (5.3%) suffered a hemorrhagic stroke, 3 (1.1%) had an ischemic stroke, and 4 (1.4%) were classified as unspecified stroke - in contrast to 12 of 2,415 patients (0.4%) with hemorrhagic stroke, 16 of 2,415 (0.6%) with ischemic stroke, and nine of 2,415 (0.3%) with unspecified stroke in the non-ECMO group. Of the 75 patients who were documented to have a stroke as complication during their hospitalization, 16 were excluded for either unknown timing or stroke occurrence prior to ICU admission, rendering the frequency of stroke as complication 2.2% (59/2,699). [Extracted from the article]