Stroke in COVID-19 patients in Togo (2021)

Kossivi Apetse*, Koumateh Marzouk Afoda, Augustin Bitankade Kabassem, Ornéla Assiobo-Tipoh, Komla Nyinèvi Anayo, Vinyo Kodzo Kumako, Komi Assogba and Koffi Agnon Balogou

Cases of stroke have been reported in COVID-19 patients. In sub-Saharan Africa where the SARS-CoV-2 pandemic has experienced some particularities, the link between stroke and COVID-19 is not well established. This study aims to describe the characteristics of strokes associated with COVID-19 in Togo during the SARS-CoV-2 pandemic.

A case series study including 36 patients confirmed positive for SARS-CoV-2 and suffering from stroke, hospitalised in the biggest Togolese centre for the care of patients with SARS-CoV-2 disease during the period from January to December 2021.

Of 1,043 hospitalised COVID-19 patients, 36 (3.4%) had a stroke (mean age = 59.0 ± 14 years, sex ratio = 1). Among them, 4 (11.1%) didn’t have vascular risk factors. Hypertension was found in 86.1% of patients. The mean NIHSS was 9.7 ± 2.5. The types of strokes were mainly: ischemic stroke (80.6%) and intracerebral hemorrhages (16.7%). We recorded 12 deaths (33.3%). Impaired alertness (OR=7.60 [1.60-36.90]) and NIHSS on admission >15 (OR=16.40 [1.63-164.78]) associated with mortality (p < 0.05) 

Strokes are relatively common in COVID-19 patients. The profile of these strokes is different from the one of the strokes outside the epidemic context by the greater frequency of ischemic stroke and higher mortality. COVID-19 appears to harm the frequency and outcome of strokes.

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Published on: Dec 30, 2024 Pages: 53-57

Full Text PDF Full Text HTML DOI: 10.17352/jnnsd.000063
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