The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients
There has been an increasing incidence of stroke cases among SARS-CoV-2 (COVID-19) patients who were deeply sedated and underwent proning positioning. We reviewed the association of proning and sedations used to the development of stroke, including demographic profiles of patients with COVID-19 infe...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Neurology Research International |
| Online Access: | http://dx.doi.org/10.1155/2022/6348888 |
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| author | Keith Moon Q. Saberon Jo-Ann Rosario Soliven |
| author_facet | Keith Moon Q. Saberon Jo-Ann Rosario Soliven |
| author_sort | Keith Moon Q. Saberon |
| collection | DOAJ |
| description | There has been an increasing incidence of stroke cases among SARS-CoV-2 (COVID-19) patients who were deeply sedated and underwent proning positioning. We reviewed the association of proning and sedations used to the development of stroke, including demographic profiles of patients with COVID-19 infection in the critical care unit. There was a significant association seen among COVID-19 patients in the ICU who underwent proning to the development of stroke, with up to 15 times risk of having stroke (p value = 0.007) than those who were not proned during their course of ICU stay. Patients who were given propofol and fentanyl as sedation during proning for more than 24 hours was significantly associated with the development of stroke (p value = 0.004). Patient risk factors were also studied (age variability, hypertension, diabetes, smoking, and alcoholism) and showed that patients who were alcoholic beverage drinkers were significantly associated to the development of stroke during proning (p value = <0.001). The usual risk factors for stroke in the general population (hypertension, diabetes, and cigarette smoking) were not associated with stroke development during proning, strengthening the fact that proning during COVID-19 infection is an independent risk factor for the development of stroke thus needing stroke surveillance during the duration of proning. |
| format | Article |
| id | doaj-art-efd803af04604f9a9cd3e6d1bfdefdb5 |
| institution | DOAJ |
| issn | 2090-1860 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neurology Research International |
| spelling | doaj-art-efd803af04604f9a9cd3e6d1bfdefdb52025-08-20T03:21:22ZengWileyNeurology Research International2090-18602022-01-01202210.1155/2022/6348888The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) PatientsKeith Moon Q. Saberon0Jo-Ann Rosario Soliven1Department of NeurologyDepartment of NeurologyThere has been an increasing incidence of stroke cases among SARS-CoV-2 (COVID-19) patients who were deeply sedated and underwent proning positioning. We reviewed the association of proning and sedations used to the development of stroke, including demographic profiles of patients with COVID-19 infection in the critical care unit. There was a significant association seen among COVID-19 patients in the ICU who underwent proning to the development of stroke, with up to 15 times risk of having stroke (p value = 0.007) than those who were not proned during their course of ICU stay. Patients who were given propofol and fentanyl as sedation during proning for more than 24 hours was significantly associated with the development of stroke (p value = 0.004). Patient risk factors were also studied (age variability, hypertension, diabetes, smoking, and alcoholism) and showed that patients who were alcoholic beverage drinkers were significantly associated to the development of stroke during proning (p value = <0.001). The usual risk factors for stroke in the general population (hypertension, diabetes, and cigarette smoking) were not associated with stroke development during proning, strengthening the fact that proning during COVID-19 infection is an independent risk factor for the development of stroke thus needing stroke surveillance during the duration of proning.http://dx.doi.org/10.1155/2022/6348888 |
| spellingShingle | Keith Moon Q. Saberon Jo-Ann Rosario Soliven The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients Neurology Research International |
| title | The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients |
| title_full | The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients |
| title_fullStr | The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients |
| title_full_unstemmed | The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients |
| title_short | The Association of Proning and Stroke among Deeply Sedated Critically Ill SARS-CoV-2 (COVID-19) Patients |
| title_sort | association of proning and stroke among deeply sedated critically ill sars cov 2 covid 19 patients |
| url | http://dx.doi.org/10.1155/2022/6348888 |
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