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2024, Number 1

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Arch Neurocien 2024; 29 (1)

Predictors of intrahospital mortality in patients with coronavirus disease 2019 and cerebrovascular diseases: rapid systematic review and meta-analysis protocol

Pérez-Neri I, Diéguez-Campa CE, Tadger P, Sandova H, Castillo-García VL, Kumar SA, Carneiro CCA, Chaurasia B, Uy EJB, Ríos C
Full text How to cite this article

Language: English
References: 42
Page: 27-34
PDF size: 200.31 Kb.


Key words:

Coronavirus, Stroke, Hemorrhage, Outcome, Predictor, SARS-CoV-2.

ABSTRACT

Background: The coronavirus disease 2019 (COVID19) is a novel pandemic disease caused by the β-coronavirus SARS-CoV-2. This disease affects primarily the respiratory organs, but it may also affect the vascular system. COVID19 may lead to either coagulopathies or hemorrhagic disorders involving the central nervous system. Risk factors for a fatal outcome have been suggested but not completely elucidated.
Objectives: This systematic review protocol aims to identify clinical, imaging, and laboratory variables associated with intra-hospital mortality in patients with COVID19 and cerebrovascular disease.
Materials and Methods: Studies will be retrieved from Web of Science, MEDLINE, Scopus, EBSCOhost, Ovid, Rayyan’s COVID-19 Open Research Dataset, and Google Scholar. Inclusion criteria will be observational studies or clinical trials describing patients with both COVID19 and cerebrovascular disease. Exclusion criteria will be studies whose patients remained hospitalized with no defined outcome (intrahospital mortality or discharge), studies written in languages different from English, published before 2019 or in case the full text could not be retrieved. All demographic, laboratory and imaging variables will be extracted. Data synthesis will be presented in graphs, figures, and summary of findings tables. A global mortality rate will be calculated. A narrative synthesis will be included. A meta-analysis will be performed. For mortality rate and statistical synthesis, only studies reporting the main outcome (intra-hospital mortality or discharge) will be considered. Quality of the evidence will be assessed using the JBI Critical Appraisal tools. This protocol received no funding and is registered in PROSPERO.


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Arch Neurocien. 2024;29