COVID-19 related neuroimaging findings: A signal of thromboembolic complications and a strong prognostic marker of poor patient outcome

• DOI: 10.1016/j.jns.2020.116923
• Publication Date: 2020-05-19T11:38:55Z
• Authors: Rajan Jain; Matthew Young; Siddhant Dogra; Helena Kennedy; Vinh Nguyen; Simon Jones; Seda Bilaloglu; Katherine Hochman; Eytan Raz; Steven Galetta; Leora Horwtiz
• Keywords: Stroke

ObjectiveTo investigate the incidence and spectrum of neuroimaging findings their prognostic role in hospitalized COVID-19 patients New York City.MethodsThis is a retrospective cohort study 3218 confirmed admitted to major healthcare system (three hospitals) City between March 1, 2020 April 13, 2020. Clinical data were extracted from electronic medical records, particularly all neurological symptoms imaging reports. Four neuroradiologists evaluated studies for acute related COVID-19.Results14.1% had this accounted only 5.5% total studies. Acute stroke was most common finding on neuro-imaging, seen 92.5% with positive neuro-imaging studies, present 1.1% patients. Patients large ischemic hemorrhagic much higher mortality risk adjusted age, BMI hypertension compared those without neuroimaging. (Odds Ratio 6.02 by LR; Hazard 2.28 CRR).ConclusionsOur demonstrates among Detection an strong marker poor outcome. Our also highlights fact there limited use these due multiple logistical constraints.