Prevalence of symptomatic acute cerebral infarction among patients with COVID-19 and D-dimer as a predictor of cerebral infarction

dc.contributor.authorDönmez, Recep
dc.contributor.authorGüneş, Muzaffer
dc.contributor.authorŞahin, Oruç
dc.date.accessioned2024-07-18T11:56:02Z
dc.date.available2024-07-18T11:56:02Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstract: This study sought to investigate the frequency of symptomatic acute cerebral infarction (sACI) among patients with novel coronavirus (COVID-19) disease and the predictive value of laboratory parameters such as D-dimer and neutrophil-to-lymphocyte ratio (NLR) in sACI. Methods: This retrospective case-control study analyzed the data of 2,378 patients with COVID-19 registered in our database between April 1, 2020 and November 30, 2020. Of these patients, a total of 119 subjects were included in the study, including 31 COVID-19 patients with sACI (patient group) and 88 randomly selected COVID-19 patients without sACI (control group). Categorical variables were compared using Chi-square test and predictive value of the variables was analyzed using receiver operating characteristics (ROC) curve analysis. Results: Thirty one (1.30%) of 2,378 COVID-19 patients had sACI. Mann-Whitney U test showed that median D-dimer, neutrophil and NLR values were significantly higher in the sACI group compared to the control group (p = 0.004, p < 0.048 and p = 0.007, respectively). ROC analysis yielded the following areas under the ROC curve: D-dimer = 0.674 (95% CI, 0.569-0.779), NLR = 0.663 (95% CI, 0.559-0.767) and neutrophils = 0.620 (95% CI, 0.509-0.73). Conclusion: The results of the present study showed that elevated D-dimer levels can be used as a predictor of sACI in COVID-19 patients.
dc.identifier.doi10.54029/2024MCE
dc.identifier.endpage31en_US
dc.identifier.issn1823-6138
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage27en_US
dc.identifier.urihttps:/dx.doi.org/10.54029/2024MCE
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12159
dc.identifier.volume29en_US
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherASEAN Neurological Association
dc.relation.ispartofNeurology Asia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute Cerebral Infarction
dc.subjectCOVID-19 Disease
dc.subjectD-dimer
dc.subjectFrequency
dc.subjectNeutrophil/ lymphocyte Ratio
dc.subjectSymptomatic
dc.titlePrevalence of symptomatic acute cerebral infarction among patients with COVID-19 and D-dimer as a predictor of cerebral infarction
dc.typeArticle

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