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Cerebrovascular disease is associated with an increased disease severity in patients with Coronavirus Disease 2019 (COVID-19): A pooled analysis of published literature

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Introduction There is an urgent need to identify patients at high risk during the ongoing coronavirus disease (COVID-19) pandemic. Whether a history of stroke is associated with increased severity of… Click to show full abstract

Introduction There is an urgent need to identify patients at high risk during the ongoing coronavirus disease (COVID-19) pandemic. Whether a history of stroke is associated with increased severity of disease or mortality is unknown. Method We pooled studies from published literature to assess the association of a history of stroke with outcomes in patients with COVID-19. Results A pooled analysis of 4 studies showed a ∼2.5-fold increase in odds of severe COVID-19. While a trend was observed, there was no statistically significant association of stroke with mortality in patients with COVID-19 infection. Discussion Our findings are limited by a small number of studies and sample size. Conclusion There is a ∼2.5-fold increase in odds of severe COVID-19 illness with a history of cerebrovascular disease.

Keywords: published literature; cerebrovascular disease; disease; coronavirus disease; associated increased; pooled analysis

Journal Title: International Journal of Stroke
Year Published: 2020

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