Evidence map›Paper›PMID 38548354›Full record

ArticleBMJ open2024

Prevalence and impact of SARS-CoV-2 infection among patients with acute ischaemic stroke: a nationwide register-based cohort study in Denmark.

Janne Kaergaard Mortensen, Rolf Ankerlund Blauenfeldt, Jakob Nebeling Hedegaard, Christian Morberg Wejse, Søren Paaske Johnsen, Grethe Andersen, Claus Ziegler Simonsen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 2 countries.

Janne Kaergaard MortensenDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark janne.k.mortensen@clin.au.dk.ORCID 0000-0003-4841-407X
Rolf Ankerlund BlauenfeldtDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark.ORCID 0000-0002-4846-9516
Jakob Nebeling HedegaardDanish Center for Health Services Research, Aalborg University Hospital, Aalborg, Denmark.
Christian Morberg WejseDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Søren Paaske JohnsenDanish Center for Health Services Research, Aalborg University Hospital, Aalborg, Denmark.
Grethe AndersenDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Claus Ziegler SimonsenDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Aarhus University · DKAalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAn increased risk of stroke has been reported among patients with COVID-19 caused by SARS-CoV-2. We aimed to investigate the nationwide prevalence of SARS-CoV-2 among patients with acute ischaemic stroke and to study the impact on stroke severity, quality of care and mortality on an individual patient level.

designThis was a nationwide register-based cohort study.

settingWe used data from several Danish registers which were linked at an individual patient level using the unique civil registration number assigned to all Danish citizens. Patients were identified from the Danish Stroke Registry and information on SARS-CoV-2 infection status was collected from the Danish National COVID-19 Registry. Concurrent SARS-CoV-2 infection was defined as a positive PCR test within 31 days prior to, and 1 day after, stroke admission. Information on comorbidity was collected from the Danish National Patient Registry and information on vital status was collected from the Danish Civil Registration System.

participantsA total of 11 502 patients admitted with acute ischaemic stroke from 10 March 2020 to 31 May 2021 were included in the study.

resultsAmong the included patients, the majority (84.6%) were tested for SARS-CoV-2, but only 68 had a positive test. These patients were more prone to have atrial fibrillation and were more often treated with reperfusion therapy. They had a significantly increased risk of severe stroke (adjusted relative risk (aRR) 1.93, 95% CI: 1.22 to 3.04) and a significantly increased 30-day mortality risk (aRR 2.29, 95% CI: 1.19 to 4.39). There was no difference in the proportion of patients fulfilling relevant performance measures on quality of care.

conclusionIn this nationwide study, only 0.6% of patients with acute ischaemic stroke were tested positive for a concurrent SARS-CoV-2 infection. The patients with SARS-CoV-2 presented with more severe strokes.

Indexed as

Brain IschemiaCOVID-19Ischemic StrokeStrokeCohort StudiesDenmarkHumansPrevalenceSARS-CoV-2COVID-19REGISTRIESSARS-CoV-2 InfectionStroke

Identifiers

PMID38548354
PMCPMC10982764
OpenAlexW4393282364

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.