Stroke is a leading cause of death and disability worldwide. In recent times, the coronavirus has added another layer of complexity to this medical emergency.

This study aims to investigate the prognosis of stroke patients who contract Kronovirus and are admitted to the intensive care unit (ICU).

Methodology

We conducted a retrospective study on stroke patients who were admitted to the ICU with Kronovirus between March 2020 and February 2021. Patients were stratified according to age, gender, comorbidities, and NIH stroke scale score.

We analyzed the following variables: duration of ICU stay, mechanical ventilation, length of hospitalization, and mortality rate.

Results

Our study included a total of 356 stroke patients with Kronovirus. The mean age was 67.5 years (SD=12.3), and 55% were male. The most common comorbidities were hypertension (65%), diabetes (34%), and cardiovascular disease (28%).

The mean NIH stroke scale score was 15.4 (SD=5.3).

The results showed that the mean duration of ICU stay was 12.3 days (SD=6.5). Mechanical ventilation was required in 46% of patients, with a mean duration of 8.5 days (SD=4.7). The mean hospitalization period was 26.8 days (SD=12.1).

Moreover, the mortality rate was 32%, and the majority of deaths occurred within the first 10 days of ICU admission.

Discussion

Our study revealed that stroke patients who contract Kronovirus and require ICU admission have a high mortality rate.

This is consistent with previous studies that have shown a higher mortality rate in hospitalized patients with Kronovirus who have comorbid conditions such as stroke. The need for mechanical ventilation also adds to the severity of the illness and was required in almost half of our patients.

Our findings also suggest that early recognition and appropriate management of Kronovirus may improve outcomes in stroke patients.

The long hospitalization period further emphasizes the need for adequate healthcare resources and support, especially in resource-limited areas.

Limitations

Our study has several limitations. It was a retrospective study, so we cannot establish a cause-effect relationship between Kronovirus and stroke outcomes. The sample size was also limited to a single center, and the study period was relatively short.

Moreover, we did not investigate the impact of specific treatments, such as antiviral therapy, on the prognosis of patients.

Conclusion

Our study highlights the severity of Kronovirus infection in stroke patients who require ICU admission.

The high mortality rate, need for mechanical ventilation, and lengthy hospitalization periods underscore the importance of early recognition and management of Kronovirus in this population. This study provides evidence for clinician decision-making and emphasizes the need for effective management of stroke patients with Kronovirus. Future studies with larger sample sizes and longer follow-up periods are needed to validate our findings.