Benussi (2020)
Clinical characteristics and outcomes of inpatients with neurologic disease and COVID-19 in Brescia, Lombardy, Italy
https://doi.org/10.1212/WNL.0000000000009848
https://n.neurology.org/content/neurology/early/2020/05/22/WNL.0000000000009848.full.pdf
Laboratory Findings
Platelet count (Abnormal vs. Normal)
COVID-19 (death)
Odds ratio: 0.980 (0.970-0.990) Adjusted model

Italy

Retrospective cohort study

Medical records

56

Two hundred fourteen adult patients (>=18 years old) were hospitalized in the Neurology and Vascular Neurology Unit of the ASST Spedali Civili di Brescia Hospital in Italy from February 21 to April 5, 2020, 56 patients were positive for COVID-19

Patients with COVID-19 were older (77.0, IQR 67.0-83.8 vs 70.1, IQR 52.9-78.6, p=0.006), had a different distribution regarding admission diagnoses particularly for cerebrovascular disorders (n=43, 76.8% vs n=68, 58.1%, p=0.035), and had a higher qSOFA score on admission (0.5, IQR 0.4-0.6 vs 0.9, IQR 0.7-1.1, p=0.006). No significant differences were observed for comorbidities including diabetes, hypercholesterolemia, hypertension, coronary heart disease, chronic kidney disease, immunodeficiency or malignancy (all p>0.050).

Total

45 Day


COVID-19 (death)

21

mortality


Laboratory Findings

Platelet count

Platelet count per (mm3)

Normal

Abnormal


Odds ratio

0.980 (0.970-0.990)

Yes

No

Yes

Age, quick Sequential Organ Failure Assessment. (qSOFA) scores, platelet count, C-reactive protein and lactate dehydrogenase


Patients with COVID-19 and neurological disease have worse clinical and neurological outcomes, with higher in-hospital mortality rates compared to patients without COVID-19.

Average

Yes