ESTUDO DE VARIÁVEIS RELACIONADAS COM O ACIDENTE VASCULAR ENCEFÁLICO EM PACIENTES HOSPITALIZADOS COM COVID-19 NO HOSPITAL MARCELINO CHAMPAGNAT E HOSPITAL UNIVERSITÁRIO CAJURU
INTRODUCTION: Initially considered a respiratory disease, it is now clear that COVID-19 affects multiple organs, including the nervous system. The need for information to help characterize possible variables associated with stroke, which has had significant impacts on the prognosis of COVID-19 patients, is noteworthy. AIMS: A bibliographic survey on the relationship between COVID-19 and strokes. MATERIALS AND METHODS: Through a systematic review conducted in national and international journals without a time limit, based on articles indexed in multidisciplinary and health databases. The investigated databases included PubMed, SciELO, Google Scholar, and the Virtual Health Library. RESULTS: Among the studies found, 43 articles were selected. Some of them were then used to produce the “literature review” section. Since stroke (AVC) and COVID-19 can present the same symptoms, the diagnosis of stroke in some cases becomes more challenging and necessitates further studies on the subject. Variables such as advanced age, pre-existing comorbidities, the severity of the infection, and systemic inflammation are associated with an increased risk of developing a stroke during SARS-CoV-2 infection. Additionally, it is important to mention the significance of measuring d-dimer levels in patients, as it is a strong predictor for thrombotic events. FINAL CONSIDERATIONS: The studies demonstrate the relationship between the severity of the condition and the occurrence of vascular events, which can be observed in the higher incidence of the problem in patients admitted to intensive care units (ICUs). The challenges for improving diagnosis and treatment primarily arise from the difficulty in understanding the pathophysiology, triggering events, and conducting related studies.
KEYWORDS: Stroke; COVID-19; Coronavirus. Ischemia; SARS-CoV-2; Anticoagulants.