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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. …
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.