SARS-CoV-2 infection might be a predictor of mortality in intracerebral hemorrhage

Ashkan Mowla, Banafsheh Shakibajahromi, Shima Shahjouei, Humain Baharvahdat, Ali Amini Harandi, Farzad Rahmani, Stefania Mondello, Nasrin Rahimian, Achille Cernigliaro, Elyar Sadeghi Hokmabadi, Seyed Amir Ebrahimzadeh, Mahtab Ramezani, Kaveh Mehrvar, Mehdi Farhoudi, Soheil Naderi, Shahab Mahmoudnejad Fenderi, Masoud Pishjoo, Orkhan Alizada, Francisco Purroy, Manuel RequenaGeorgios Tsivgoulis, Ramin Zand

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: SARS-CoV-2 infection may be associated with uncommon complications such as intracerebral hemorrhage (ICH), with a high mortality rate. We compared a series of hospitalized ICH cases infected with SARS-CoV-2 with a non-SARS-CoV-2 infected control group and evaluated if the SARS-CoV-2 infection is a predictor of mortality in ICH patients. Methods: In a multinational retrospective study, 63 cases of ICH in SARS-CoV-2 infected patients admitted to 13 tertiary centers from the beginning of the pandemic were collected. We compared the clinical and radiological characteristics and in-hospital mortality of these patients with a control group of non-SARS-CoV-2 infected ICH patients of a previous cohort from the country where the majority of cases were recruited. Results: Among 63 ICH patients with SARS-CoV-2 infection, 23 (36.5%) were women. Compared to the non-SARS-CoV-2 infected control group, in SARS-CoV-2 infected patients, ICH occurred at a younger age (61.4 ± 18.1 years versus 66.8 ± 16.2 years, P = 0.044). These patients had higher median ICH scores ([3 (IQR 2–4)] versus [2 (IQR 1–3)], P = 0.025), a more frequent history of diabetes (34% versus 16%, P = 0.007), and lower platelet counts (177.8 ± 77.8 × 109/L versus 240.5 ± 79.3 × 109/L, P < 0.001). The in-hospital mortality was not significantly different between cases and controls (65% versus 62%, P = 0.658) in univariate analysis; however, SARS-CoV-2 infection was significantly associated with in-hospital mortality (aOR = 4.3, 95% CI: 1.28–14.52) in multivariable analysis adjusting for potential confounders. Conclusion: Infection with SARS-CoV-2 may be associated with increased odds of in-hospital mortality in ICH patients.

Original languageEnglish (US)
Article number120497
JournalJournal of the neurological sciences
StatePublished - Jan 15 2023

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology


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