Evidence map›Paper›PMID 36436361›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2023

COVID-19 independently predicts poor outcomes in Acute Ischemic Stroke- Insights from a multicenter study from Pakistan and United Arab Emirates.

Maria Khan, Sajid Hameed, Bashir A Soomro, Samar Mairaj, Abdul Malik, Saba Farooq, Suhail Al Rukn, Mohammad Wasay

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Emerging Stroke Risk Factors: A Focus on Infectious and Environmental Determinants.Journal of cardiovascular development and disease · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 3 countries.

Maria KhanDepartment of Neurology-Rashid Hospital, Dubai Medical College for Girls, Dubai, UAE.
Sajid HameedDepartment of Neurology, Aga Khan University, Karachi, Pakistan.
Bashir A SoomroDepartment of Neurology, Ziauddin University, Karachi, Pakistan.
Samar MairajDow University of Health sciences, Karachi, Pakistan.
Abdul MalikLiaquat University of Medicine and Dentistry, Karachi, Pakistan.
Saba FarooqDepartment of Neurology-Rashid Hospital, Dubai Medical College for Girls, Dubai, UAE.
Suhail Al RuknDepartment of Neurology-Rashid Hospital, Dubai Medical College for Girls, Dubai, UAE.
Mohammad WasayDepartment of Neurology, Aga Khan University, Karachi, Pakistan. Electronic address: Mohammad.wsaay@aku.edu.
Aga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschemic stroke associated with coronavirus 2019 (COVID-19) has been well recognized by now. Few studies have compared COVID related versus unrelated strokes. We intend to report on a large group of Asian patients from two countries and compare COVID with non-COVID strokes admitted during the same time period.

methodsConsecutive cases of acute ischemic stroke either presenting or developing, between March 2020 and December 2021 in four tertiary care hospitals (1 in Dubai, UAE and 3 in Karachi, Pakistan) and testing positive for COVID-19 were included in the study. Patients admitted with ischemic stroke during the same time period and who tested negative for COVID-19 were also randomly selected from the four hospitals. All data was collected from the medical records of the patients and recorded on a standard questionnaire before it was entered in SPSS version 21 for analysis.

resultsThere were 139 COVID positive and 271 COVID negative patients with acute ischemic stroke included in the current study. There were significantly more males (80.6% vs 64.9%, p=0.001) and more large vessel strokes in the COVID positive group (41% vs 21.8%, p<0.001). Being COVID positive was an independent predictor of poor outcome at discharge, defined as a modified Rankin score of 3-6 (OR 3.87, 95% CI 2.21-6.77) after adjusting for country, age, sex, vascular comorbid conditions and stroke subtype.

conclusionsIn this largest series of patients with COVID related strokes from Asia, COVID-19 was an independent predictor of poor outcomes at discharge after adjusting for other variables.

Indexed as

COVID-19Ischemic StrokeStrokeHumansMalePakistanRetrospective StudiesUnited Arab EmiratesCOVID-19Functional outcomesIschemic strokeMortality

Identifiers

PMID36436361
PMCPMC9678825
OpenAlexW4309726631

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.