COVID‐19 Infection Is Associated With Poor Outcomes in Patients With Intracerebral Hemorrhage Article Swipe
Daniela Renedo
,
Audrey C. Leasure
,
Rebecca Young
,
Cyprien Rivier
,
Brooke Alhanti
,
Brian Mac Grory
,
Steven R. Messé
,
Mathew J. Reeves
,
Ameer E Hassan
,
Lee H. Schwamm
,
Adam de Havenon
,
Charles Matouk
,
Kevin N. Sheth
,
Guido J. Falcone
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1161/jaha.123.030999
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1161/jaha.123.030999
Background Patients with ischemic stroke and concomitant COVID‐19 infection have worse outcomes than those without this infection, but the impact of COVID‐19 on hemorrhagic stroke remains unclear. We aimed to assess if COVID‐19 worsens outcomes in intracerebral hemorrhage (ICH). Methods and Results We conducted an observational study of ICH outcomes using Get With The Guidelines Stroke data. We compared patients with ICH who were COVID‐19 positive and negative during the pandemic (March 2020–February 2021) and prepandemic (March 2019–February 2020). Main outcomes were poor functional outcome (defined as a modified Rankin scale score of 4 to 6 at discharge), mortality, and discharge to a skilled nursing facility or hospice. The first stage included 60 091 patients with ICH who were COVID‐19 negative and 1326 COVID‐19 positive. In multivariable analyses, patients with ICH with versus without COVID‐19 infection had 68% higher odds of poor outcome (odds ratio [OR], 1.68 [95% CI, 1.41–2.01]), 51% higher odds of mortality (OR, 1.51 [95% CI, 1.33–1.71]), and 66% higher odds of being discharged to a skilled nursing facility/hospice (OR, 1.66 [95% CI, 1.43–1.93]). The second stage included 62 743 prepandemic and 64 681 intrapandemic cases with ICH. In multivariable analyses, patients with ICH admitted during versus before the COVID‐19 pandemic had 10% higher odds of poor outcomes (OR, 1.10 [95% CI, 1.07–1.14]), 5% higher mortality (OR, 1.05 [95% CI, 1.02–1.08]), and no significant difference in the risk of being discharged to a skilled nursing facility/hospice (OR, 0.93 [95% CI, 0.90–0.95]). Conclusions The pathophysiology of the COVID‐19 infection and changes in health care delivery during the pandemic played a role in worsening outcomes in the patient population with ICH.
Related Topics
Concepts
Medicine
Intracerebral hemorrhage
Odds ratio
Modified Rankin Scale
Odds
Internal medicine
Stroke (engine)
Coronavirus disease 2019 (COVID-19)
Concomitant
Observational study
Pandemic
Logistic regression
Subarachnoid hemorrhage
Ischemic stroke
Disease
Engineering
Mechanical engineering
Ischemia
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1161/jaha.123.030999
- https://www.ahajournals.org/doi/pdf/10.1161/JAHA.123.030999
- OA Status
- gold
- Cited By
- 1
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391402374
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391402374Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1161/jaha.123.030999Digital Object Identifier
- Title
-
COVID‐19 Infection Is Associated With Poor Outcomes in Patients With Intracerebral HemorrhageWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-31Full publication date if available
- Authors
-
Daniela Renedo, Audrey C. Leasure, Rebecca Young, Cyprien Rivier, Brooke Alhanti, Brian Mac Grory, Steven R. Messé, Mathew J. Reeves, Ameer E Hassan, Lee H. Schwamm, Adam de Havenon, Charles Matouk, Kevin N. Sheth, Guido J. FalconeList of authors in order
- Landing page
-
https://doi.org/10.1161/jaha.123.030999Publisher landing page
- PDF URL
-
https://www.ahajournals.org/doi/pdf/10.1161/JAHA.123.030999Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.ahajournals.org/doi/pdf/10.1161/JAHA.123.030999Direct OA link when available
- Concepts
-
Medicine, Intracerebral hemorrhage, Odds ratio, Modified Rankin Scale, Odds, Internal medicine, Stroke (engine), Coronavirus disease 2019 (COVID-19), Concomitant, Observational study, Pandemic, Logistic regression, Subarachnoid hemorrhage, Ischemic stroke, Disease, Engineering, Mechanical engineering, Ischemia, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- References (count)
-
30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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