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Thanh-N. NGUYEN; Muhammad-M. QURESHI; Piers KLEIN; Hiroshi YAMAGAMI; Mohamad ABDALKADER; Robert MIKULIK; Anvitha SATHYA; Ossama-Yassin MANSOUR; Anna CZLONKOWSKA; Hannah LO; Thalia-S. FIELD; Andreas CHARIDIMOU; Soma BANERJEE; Shadi YAGHI; James-E. SIEGLER; Petra SEDOVA; Joseph KWAN; Diana-Aguiar DE-SOUSA; Jelle DEMEESTERE; Violiza INOA; Setareh-Salehi OMRAN; Liqun ZHANG; Patrik MICHEL; Davide STRAMBO; João-Pedro MARTO; Raul-G. NOGUEIRA; Espen-Saxhaug KRISTOFFERSEN; Georgios TSIVGOULIS; Virginia-Pujol LEREIS; Alice MA; Christian ENZINGER; Thomas GATTRINGER; Aminur RAHMAN; Thomas BONNET; Noémie LIGOT; Sylvie DE-RAEDT; Robin LEMMENS; Peter VANACKER; Fenne VANDERVORST; Adriana-Bastos CONFORTO; Raquel-C.T. HIDALGO; Daissy-Liliana MORA-CUERVO; Luciana DE-OLIVEIRA-NEVES; Isabelle LAMEIRINHAS-DA-SILVA; Rodrigo-Targa MARTÍNS; Letícia-C. REBELLO; Igor-Bessa SANTIAGO; Teodora SADELAROVA; Rosen KALPACHKI; Filip ALEXIEV; Elena-Adela CORA; Michael-E. 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DE-HAVENON; Sushrut DHARMADHIKARI; Clifford-J. ESKEY; Mudassir FAROOQUI; Steven-K. FESKE; Nitin GOYAL; Kasey-B. GRIMMETT; Amy-K. GUZIK; Diogo-C. HAUSSEN; Majesta HOVINGH; Dinesh JILLELA; Peter-T. KAN; Rakesh KHATRI; Naim-N. KHOURY; Nicole-L. KILEY; Murali-K. KOLIKONDA; Stephanie LARA; Grace LI; Italo LINFANTE; Aaron-I. LOOCHTAN; Carlos-D. LOPEZ; Sarah LYCAN; Shailesh-S. MALE; Fadi NAHAB; Laith MAALI; Hesham-E. MASOUD; Jiangyong MIN; Santiago ORGETA-GUTIERREZ; Ghada-A. MOHAMED; Mahmoud MOHAMMADEN; Krishna NALLEBALLE; Yazan RADAIDEH; Pankajavalli RAMAKRISHNAN; Bliss RAYO-TARANTO; Diana-M. ROJAS-SOTO; Sean RULAND; Alexis-N. SIMPKINS; Sunil-A. SHETH; Amy-K. STAROSCIAK; Nicholas-E. TARLOV; Robert-A. TAYLOR; Barbara VOETSCH; Linda ZHANG; Hai-Quang DUONG; Viet-Phuong DAO; Huynh-Vu LE; Thong-Nhu PHAM; Mai-Duy TON; Anh-Duc TRAN; Osama-O. ZAIDAT; Paolo MACHI; Elisabeth DIRREN; Claudio RODRÍGUEZ-FERNÁNDEZ; Jorge ESCARTÍN-LÓPEZ; Jose-Carlos FERNÁNDEZ-FERRO; Niloofar MOHAMMADZADEH; Neil-C. SURYADEVARA,-MD; Beatriz DE-LA-CRUZ-FERNÁNDEZ; Filipe BESSA; Nina JANCAR; Megan BRADY; Dawn SCOZZARI.
Journal of Stroke ; : 256-265, 2022.
Article de Anglais | WPRIM | ID: wpr-938173

RÉSUMÉ

Background@#and Purpose Recent studies suggested an increased incidence of cerebral venous thrombosis (CVT) during the coronavirus disease 2019 (COVID-19) pandemic. We evaluated the volume of CVT hospitalization and in-hospital mortality during the 1st year of the COVID-19 pandemic compared to the preceding year. @*Methods@#We conducted a cross-sectional retrospective study of 171 stroke centers from 49 countries. We recorded COVID-19 admission volumes, CVT hospitalization, and CVT in-hospital mortality from January 1, 2019, to May 31, 2021. CVT diagnoses were identified by International Classification of Disease-10 (ICD-10) codes or stroke databases. We additionally sought to compare the same metrics in the first 5 months of 2021 compared to the corresponding months in 2019 and 2020 (ClinicalTrials.gov Identifier: NCT04934020). @*Results@#There were 2,313 CVT admissions across the 1-year pre-pandemic (2019) and pandemic year (2020); no differences in CVT volume or CVT mortality were observed. During the first 5 months of 2021, there was an increase in CVT volumes compared to 2019 (27.5%; 95% confidence interval [CI], 24.2 to 32.0; P<0.0001) and 2020 (41.4%; 95% CI, 37.0 to 46.0; P<0.0001). A COVID-19 diagnosis was present in 7.6% (132/1,738) of CVT hospitalizations. CVT was present in 0.04% (103/292,080) of COVID-19 hospitalizations. During the first pandemic year, CVT mortality was higher in patients who were COVID positive compared to COVID negative patients (8/53 [15.0%] vs. 41/910 [4.5%], P=0.004). There was an increase in CVT mortality during the first 5 months of pandemic years 2020 and 2021 compared to the first 5 months of the pre-pandemic year 2019 (2019 vs. 2020: 2.26% vs. 4.74%, P=0.05; 2019 vs. 2021: 2.26% vs. 4.99%, P=0.03). In the first 5 months of 2021, there were 26 cases of vaccine-induced immune thrombotic thrombocytopenia (VITT), resulting in six deaths. @*Conclusions@#During the 1st year of the COVID-19 pandemic, CVT hospitalization volume and CVT in-hospital mortality did not change compared to the prior year. COVID-19 diagnosis was associated with higher CVT in-hospital mortality. During the first 5 months of 2021, there was an increase in CVT hospitalization volume and increase in CVT-related mortality, partially attributable to VITT.

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