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Editorial commentary
High mortality rate in COVID-19–associated stroke, analysis of risk factors
  1. Leonardo Renieri
  1. Interventional Neurovascular Unit, University Hospital Careggi, Florence, Italy
  1. Correspondence to Dr Leonardo Renieri, Interventional Neurovascular Unit, University Hospital Careggi, Florence 50139, Italy; leonardo.renieri{at}hotmail.it

https://doi.org/10.1136/jnnp-2020-324781

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    Why is there a disproportionate rate among black patients?

    In a preliminary analysis of a North American neurovascular consortium comprising 14 comprehensive stroke centres in the USA and Canada, Dmytriw et al on p XXX suggest that rates of mortality with COVID-19–associated stroke are greater than in COVID-19 or stroke in otherwise. Importantly, African American/black patients experience greater rates of mortality when suffering stroke compared with other races in this cohort. While this group had greater rates of diabetes mellitus, higher LDL levels and higher sICH, there were no definite other differences between them. Lower rates of tPA and EVT administration approached significance, but it is unclear whether this will be borne out as the consortium grows.

    The neurological insults associated with COVID-19 are becoming increasingly recognised. …

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    Footnotes

    • Contributors LR wrote the commentary.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Commissioned; internally peer reviewed.

    Linked Articles

    • PostScript
      Ischaemic stroke associated with COVID-19 and racial outcome disparity in North America
      Adam A Dmytriw Kevin Phan Clemens Schirmer Fabio Settecase Manraj K S Heran Aslan Efendizade Anna Luisa Kühn Ajit S Puri Bijoy K Menon Mahmoud Dibas Sanjeev Sivakumar Askan Mowla Lester Y Leung Adel M Malek Barbara Voetsch Siddharth Sehgal Ajay K Wakhloo Hannah Wu Andrew Xavier Ambooj Tiwari
      Journal of Neurology, Neurosurgery & Psychiatry 2020; 91 1362-1364 Published Online First: 13 Aug 2020. doi: 10.1136/jnnp-2020-324653