Abstract

PurposeThis review aims to evaluate the evidence of the impact of COVID-19 on patients with stroke.Design/methodology/approachThe author carried out a review following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for a review article. PubMed, the Web of Science and CINAHL Plus Full Text were searched from January 2019 to October 2020. Twenty-three studies were included in the final review, incorporating a total of 9,819 stroke patients.FindingsThe most commonly reported effects of COVID-19 on patients with stroke were delayed stroke treatment (n = 14 studies), thrombotic, blood and immune system complications (n = 8), increased risk of stroke severity and disability (n = 6), increased mortality (n = 8), elevated D-dimer levels (n = 4), comorbidity and acute respiratory distress syndrome (ARDS) (n = 6) and prolonged hospitalization (n = 4).Originality/valueCOVID-19 has affected patients with stroke in various ways, either directly or indirectly, prior to admission or in hospital. The findings should help guide further investigation of the long-term impact of COVID-19 on patients with stroke and help to establish proper guidelines for the provision of efficient treatment for affected patients.

Highlights

  • Stroke is the foremost cause of death and disability globally, taking almost 6.5 million lives each year [1]

  • As there has been only limited investigation of the impact of COVID-19 on patients with stroke, this review aims to evaluate the impact of COVID-19 on patients with stroke

  • Fourteen studies reported the impact of COVID-19 in delaying stroke treatment, eight studies reported on thrombotic, blood and immune system complications, six on stroke severity, two on level of disability, eight on mortality, four on D-dimer levels, five on comorbidities, three on acute respiratory distress syndrome (ARDS) and four on hospitalization (Table 3)

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Summary

Introduction

Stroke is the foremost cause of death and disability globally, taking almost 6.5 million lives each year [1]. In 2016, approximately 13.7 million people had a primary stroke. Around 2.7 million people died as a result of ischemic stroke, and 2.8 million deaths were due to hemorrhagic stroke [2, 3]. Notwithstanding the improvement in stroke treatment, the mortality rate is increasing [4]. At the beginning of December 2019, the first novel pneumonia cases of unknown origin were recognized in Wuhan, Hubie province, China [5] and later identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 [6]. As of February 2020, a total of almost 81,000 COVID-19 cases had been confirmed globally. On October 3, 2020, COVID-19 has killed around 1 million people from all over the

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