Abstract TP34: Positive Covid-19 Cases Requiring Neurology Consultation: Retrospective Review Of Cases

• Published in: Stroke (1970) 2023-02, Vol.54 (Suppl_1), p.ATP34-ATP34
• Main Author: Bush, Kelly
• Format: Article
• Language: English
• ISSN: 0039-2499; 1524-4628
• DOI: 10.1161/str.54.suppl_1.TP34

Background and PurposeDescriptive study to review 200 patients presenting with Covid-19 and neurology consultation. MethodsRetrospective review of 200 patients with Covid-19 requiring neurologic consultation from April 2020 to February 2021. Characteristics reviewed included age, sex, BMI, past medical history, presenting symptoms, labs, imaging, symptomatic vs asymptomatic Covid-19, acute stroke, stroke intervention, and death status. Labs reviewed were on the day of neurologic consultation. ResultsAll 200 patients were laboratory confirmed Covid-19 positive. Consultation indication included stroke symptoms (36%), encephalopathy (32%), abnormal movements / seizure (9.5%), myopathy (5.5%), headache (4.5%), and other (11.5%). The mean age of the patient was 67.2 ± 16.6, and 85 (47.5%) were female. 88 (44%) of the patients were obese, 123 (61.5%) were diabetic, and 118 (59%) had dyslipidemia, while 40% reported history of neuropathy. CRP was elevated in 47.9%, d-dimer elevated in 41.9%. 29.5% of patients complained of dizziness and 34% headache. 65% had acute upper respiratory symptoms, 68% acute encephalopathy, and 53% impaired consciousness. 29% (59) had finding of acute ischemic stroke on imaging. 46% (27) of the acute stroke patients were deceased. 17% of the acute strokes that met criteria underwent acute intervention with IV-tPA (8.6%) and thrombectomy (8.6%). ConclusionsIn conclusion, there is a high mortality rate with acute stroke in the setting of Covid-19 and neurology consultation. Additionally, increased rates of co-morbidities such as obesity, diabetes, and dyslipidemia are noted, interesting 40% had a history of neuropathy. Further review of these characteristics in comparison to death status in patients with Covid-19 and neurology consultation is recommended and will follow.