中风与 COVID-19:综述。

IF 2.9 Q1 EMERGENCY MEDICINE Archives of Academic Emergency Medicine Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI:10.22037/aaem.v12i1.2385
Kavous Shahsavarinia, Nasim Hajipoor Kashgsaray, Morteza Ghojazadeh, Zahra Falaki, Maryam Soleimanpour, Hassan Soleimanpour
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引用次数: 0

摘要

导言:急性缺血性中风(AIS)和脑内出血(ICH)是 COVID-19 报道的急性脑血管疾病(CVDs)之一。如果我们的研究有助于改进对其他研究现有数据的汇编和分析,那将是向前迈出的重要一步:本研究已在 PROSPERO 上注册,ID 为 CRD42023464058。该研究涵盖 2023 年 12 月之前发表的文章,涉及的检索数据库包括 PubMed、Scopus、Web of Knowledge、Embase 和 Cochrane。此外,我们还对本学科内受人尊敬的出版物进行了人工检索,使用了谷歌学术搜索引擎,并进行了参考文献检查、引文检查和灰色文献研究。出版物的报告质量采用 "多重系统综述评估"(AMSTAR)核对表进行评估。荟萃分析使用 Stata 软件(StataCorp,16 版)进行:我们分析了 23 项元分析的结果,其中包括 795 篇文章,涉及 5937 名曾经历过中风的患者。这些患者的平均年龄为 62.3 岁,68.3% 为男性。研究结果表明,COVID-19 患者的中风总发病率约为 1.75% [95% 置信区间 (CI):0.4%-3.03],其中缺血性中风为 1.59%,出血性中风为 0.3%。在 COVID-19 脑卒中患者中,32.3%(95% 置信区间:27.8%-36.9%)的患者去世,约 27% 的患者出院时并发症很轻或没有并发症,约 28.1%(95% 置信区间:14.1%-42.1%)的患者转入康复治疗:COVID-19患者的中风总发生率约为1.75%,男性和平均年龄62.3岁的患者中风发生率较高。近 80% 的中风为缺血性中风,死亡率约为 32%。最后,27%的患者在无并发症的情况下出院,28%的患者需要康复治疗。
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Stroke and COVID-19: An Umbrella Review.

Introduction: Acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH) are among the acute cerebrovascular diseases (CVDs) that have been reported as a result of COVID-19. It will be a significant step forward if our research helps improve the compilation and analysis of existing data from other studies.

Methods: The study is registered on PROSPERO with an ID of CRD42023464058. It encompasses articles published until December 2023 and involves searching databases such as PubMed, Scopus, Web of Knowledge, Embase, and Cochrane. Additionally, we conducted manual searches in respected publications within this discipline, utilized the Google Scholar search engine, and conducted reference checks, citation checks, and study of gray literature. The publications' reporting quality was assessed using the "Assessment of Multiple Systematic Reviews" (AMSTAR) checklist. The meta-analysis was conducted using Stata software (StataCorp, version 16).

Results: We analyzed the findings of 23 meta-analyses, which included 795 articles and encompassed 5,937 patients who had previously experienced a stroke. The average age of these patients was 62.3 years, and 68.3% were male. The findings indicated that the collective incidence of stroke among individuals with COVID-19 is roughly 1.75% [95% confidence interval (CI): 0.4%-3.03], with 1.59% for ischemic strokes and 0.3% for hemorrhagic strokes. 32.3% (95% CI: 27.8%-36.9%) of COVID-19 patients with stroke passed away, approximately 27% were discharged from the hospital with very mild or no complications, and around 28.1% (95% CI: 14.1%-42.1%) were referred for rehabilitation.

Conclusions: The overall rate of stroke in COVID-19 patients was approximately 1.75%, with a higher incidence in males and those with an average age of 62.3 years. Almost 80% of the strokes were ischemic, and the mortality rate was approximately 32%. Finally, 27% of the patients were discharged without complications, and 28% required rehabilitation.

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来源期刊
Archives of Academic Emergency Medicine
Archives of Academic Emergency Medicine Medicine-Emergency Medicine
CiteScore
8.90
自引率
7.40%
发文量
0
审稿时长
6 weeks
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