Volume 9, Issue 3 (Summer 2023)                   Caspian J Neurol Sci 2023, 9(3): 175-183 | Back to browse issues page


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Ghayeghran A R, Asadi K, Yousefzadeh-Chabok S, Adineh Z, Kazemnejad-Leili E. Pattern Changes of Stroke Frequency in the COVID-19 Pandemic. Caspian J Neurol Sci 2023; 9 (3) :175-183
URL: http://cjns.gums.ac.ir/article-1-642-en.html
1- Department of Neurology, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Medical Nanotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.
3- Department of Neurosurgery, School of Medicine, Neuroscience Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
4- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Abstract:   (417 Views)
Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is
associated with an increased risk of acute cerebrovascular disease.
Objectives: In this study, we compared the relative frequency of ischemic stroke (IS) and
intraparenchymal hemorrhage (IPH) during the SARS-CoV-2 pandemic with a similar period in
the previous year.
Materials & Methods: This comparative cross-sectional study was conducted on patients with
acute ischemic stroke and IPH. They were admitted to an academic stroke referral hospital in Guilan
Province, Iran, between December 2019 and June 2020 (COVID-19 pandemic period) and a similar
6-month period in the previous year. This study compared the patients’ demographic data, clinical
information, risk factors, comorbidities, and outcomes.
Results: A remarkable reduction of 28.6% in the relative frequency of stroke admission was
observed during the COVID-19 pandemic period compared with the same period in the previous
year (P<0.001). The ratio of ischemic stroke to hemorrhagic stroke decreased from 2.6 in the
corresponding period during the last year to 2.2 during the SARS-CoV-2 pandemic period.
However, this change was not significant (P=0.232).
Conclusion: This study revealed that the relative frequency of stroke significantly declined
at the pandemic’s peak compared to the same time in the previous year despite cerebrovascular
complications associated with COVID-19. However, the ratio of ischemic stroke to hemorrhagic
stroke did not change significantly.
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Type of Study: Research | Subject: Special
Received: 2023/07/5 | Accepted: 2023/07/28 | Published: 2023/07/28

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