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52. Early-onset delirium after spontaneous intracerebral hemorrhage.

Author

Marrama, Federico, Kyheng, Maéva, Pasi, Marco, Pierre Rutgers, Matthieu, Moulin, Solène, Diomedi, Marina, Leys, Didier, Cordonnier, Charlotte, Hénon, Hilde, and Casolla, Barbara

Subjects
CEREBRAL hemorrhage, DELIRIUM, CEREBRAL amyloid angiopathy, INTRACEREBRAL hematoma, MULTIVARIATE analysis, DEATH rate, DEMENTIA
Abstract

Objective: This study aimed at identifying the incidence, predictors, and impact on long-term mortality and dementia of early-onset delirium in a cohort of patients with spontaneous intracerebral hemorrhage. Methods: We prospectively recruited consecutive patients in the Prognosis of InTra-Cerebral Hemorrhage (PITCH) cohort and analyzed incidence rate of early-onset delirium (i.e. during the first seven days after intracerebral hemorrhage onset) with a competing risk model. We used a multivariable Fine-Gray model to identify baseline predictors, a Cox regression model to study its impact on the long-term mortality risk, and a Fine-Gray model adjusted for pre-specified confounders to analyze its impact on new-onset dementia. Results: The study population consisted of 248 patients (mean age 70 years, 54% males). Early-onset delirium incidence rate was 29.8% (95% confidence interval (CI) 24.3–35.6). Multivariate analysis showed that pre-existing dementia (subhazard ratio (SHR) 2.08, 95%CI 1.32–3.32, p = 0.002), heavy alcohol intake (SHR 1.79, 95%CI 1.13–2.82, p = 0.013), and intracerebral hemorrhage lobar location (SHR 1.56, 95%CI 1.01–2.42, p = 0.049) independently predicted early-onset delirium. Median follow-up was 9.5 years. Early-onset delirium was associated with higher mortality rates during the first five years of follow-up (HR 1.52, 95%CI 1.00–2.31, p = 0.049), but did not predict new-onset dementia (SHR 1.31, 95%CI 0.60–2.87). Conclusion: Early-onset delirium is a frequent complication after intracerebral hemorrhage; it is associated with markers of pre-existing brain vulnerability and with higher mortality risk, but not with higher dementia rates during long-term follow-up. [ABSTRACT FROM AUTHOR]

Published
2022
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55. sj-pdf-2-wso-10.1177_17474930211059636 - Supplemental material for Early-onset delirium after spontaneous intracerebral hemorrhage

Author

Marrama, Federico, Kyheng, Ma��va, Pasi, Marco, Pierre Rutgers, Matthieu, Moulin, Sol��ne, Diomedi, Marina, Leys, Didier, Cordonnier, Charlotte, H��non, Hilde, and Casolla, Barbara

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-2-wso-10.1177_17474930211059636 for Early-onset delirium after spontaneous intracerebral hemorrhage by Federico Marrama, Ma��va Kyheng, Marco Pasi, Matthieu Pierre Rutgers, Sol��ne Moulin, Marina Diomedi, Didier Leys, Charlotte Cordonnier, Hilde H��non and Barbara Casolla in International Journal of Stroke

Published
2021
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56. sj-pdf-1-wso-10.1177_17474930211059636 - Supplemental material for Early-onset delirium after spontaneous intracerebral hemorrhage

Author

Marrama, Federico, Kyheng, Ma��va, Pasi, Marco, Pierre Rutgers, Matthieu, Moulin, Sol��ne, Diomedi, Marina, Leys, Didier, Cordonnier, Charlotte, H��non, Hilde, and Casolla, Barbara

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-1-wso-10.1177_17474930211059636 for Early-onset delirium after spontaneous intracerebral hemorrhage by Federico Marrama, Ma��va Kyheng, Marco Pasi, Matthieu Pierre Rutgers, Sol��ne Moulin, Marina Diomedi, Didier Leys, Charlotte Cordonnier, Hilde H��non and Barbara Casolla in International Journal of Stroke

Published
2021
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58. Characteristics and Outcomes of Patients with Cerebral Venous Sinus Thrombosis in SARS-CoV-2 Vaccine-Induced Immune Thrombotic Thrombocytopenia

Author

Sánchez Van Kammen, Mayte, Aguiar De Sousa, Diana, Poli, Sven, Cordonnier, Charlotte, Heldner, Mirjam R., Van De Munckhof, Anita, Krzywicka, Katarzyna, Van Haaps, Thijs, Ciccone, Alfonso, Middeldorp, Saskia, Levi, Marcel M., Kremer Hovinga, Johanna A., Silvis, Suzanne, Hiltunen, Sini, Mansour, Maryam, Arauz, Antonio, Barboza, Miguel A., Field, Thalia S., Tsivgoulis, Georgios, Nagel, Simon, Lindgren, Erik, Tatlisumak, Turgut, Jood, Katarina, Putaala, Jukka, Ferro, Jose M., Arnold, Marcel, Coutinho, Jonathan M., Sharma, Aarti R., Elkady, Ahmed, Negro, Alberto, Günther, Albrecht, Gutschalk, Alexander, Schönenberger, Silvia, Buture, Alina, Murphy, Sean, Paiva Nunes, Ana, Tiede, Andreas, Puthuppallil Philip, Anemon, Mengel, Annerose, Medina, Antonio, Hellström Vogel, Åslög, Tawa, Audrey, Aujayeb, Avinash, Casolla, Barbara, Buck, Brian, Zanferrari, Carla, Garcia-Esperon, Carlos, Vayne, Caroline, Legault, Catherine, Pfrepper, Christian, Tracol, Clement, Soriano, Cristina, Guisado-Alonso, Daniel, Bougon, David, Zimatore, Domenico S., Michalski, Dominik, Blacquiere, Dylan, Johansson, Elias, Cuadrado-Godia, Elisa, De Maistre, Emmanuel, Carrera, Emmanuel, Vuillier, Fabrice, Bonneville, Fabrice, Giammello, Fabrizio, Bode, Felix J., Zimmerman, Julian, D'Onofrio, Florindo, Grillo, Francesco, Cotton, Francois, Caparros, François, Puy, Laurent, Maier, Frank, Gulli, Giosue, Frisullo, Giovanni, Polkinghorne, Gregory, Franchineau, Guillaume, Cangür, Hakan, Katzberg, Hans, Sibon, Igor, Baharoglu, Irem, Brar, Jaskiran, Payen, Jean-François, Burrow, Jim, Fernandes, João, Schouten, Judith, Althaus, Katharina, Garambois, Katia, Derex, Laurent, Humbertjean, Lisa, Lebrato Hernandez, Lucia, Kellermair, Lukas, Morin Martin, Mar, Petruzzellis, Marco, Cotelli, Maria, Dubois, Marie-Cécile, Carvalho, Marta, Wittstock, Matthias, Miranda, Miguel, Skjelland, Mona, Bandettini Di Poggio, Monica, Scholz, Moritz J., Raposo, Nicolas, Kahnis, Robert, Kruyt, Nyika, Huet, Olivier, Sharma, Pankaj, Candelaresi, Paolo, Reiner, Peggy, Vieira, Ricardo, Acampora, Roberto, Kern, Rolf, Leker, Ronen, Coutts, Shelagh, Bal, Simerpreet, Sharma, Shyam S., Susen, Sophie, Cox, Thomas, Geeraerts, Thomas, Gattringer, Thomas, Bartsch, Thorsten, Kleinig, Timothy J., Dizonno, Vanessa, Arslan, Yildiz, Sánchez Van Kammen, Mayte, Aguiar De Sousa, Diana, Poli, Sven, Cordonnier, Charlotte, Heldner, Mirjam R., Van De Munckhof, Anita, Krzywicka, Katarzyna, Van Haaps, Thijs, Ciccone, Alfonso, Middeldorp, Saskia, Levi, Marcel M., Kremer Hovinga, Johanna A., Silvis, Suzanne, Hiltunen, Sini, Mansour, Maryam, Arauz, Antonio, Barboza, Miguel A., Field, Thalia S., Tsivgoulis, Georgios, Nagel, Simon, Lindgren, Erik, Tatlisumak, Turgut, Jood, Katarina, Putaala, Jukka, Ferro, Jose M., Arnold, Marcel, Coutinho, Jonathan M., Sharma, Aarti R., Elkady, Ahmed, Negro, Alberto, Günther, Albrecht, Gutschalk, Alexander, Schönenberger, Silvia, Buture, Alina, Murphy, Sean, Paiva Nunes, Ana, Tiede, Andreas, Puthuppallil Philip, Anemon, Mengel, Annerose, Medina, Antonio, Hellström Vogel, Åslög, Tawa, Audrey, Aujayeb, Avinash, Casolla, Barbara, Buck, Brian, Zanferrari, Carla, Garcia-Esperon, Carlos, Vayne, Caroline, Legault, Catherine, Pfrepper, Christian, Tracol, Clement, Soriano, Cristina, Guisado-Alonso, Daniel, Bougon, David, Zimatore, Domenico S., Michalski, Dominik, Blacquiere, Dylan, Johansson, Elias, Cuadrado-Godia, Elisa, De Maistre, Emmanuel, Carrera, Emmanuel, Vuillier, Fabrice, Bonneville, Fabrice, Giammello, Fabrizio, Bode, Felix J., Zimmerman, Julian, D'Onofrio, Florindo, Grillo, Francesco, Cotton, Francois, Caparros, François, Puy, Laurent, Maier, Frank, Gulli, Giosue, Frisullo, Giovanni, Polkinghorne, Gregory, Franchineau, Guillaume, Cangür, Hakan, Katzberg, Hans, Sibon, Igor, Baharoglu, Irem, Brar, Jaskiran, Payen, Jean-François, Burrow, Jim, Fernandes, João, Schouten, Judith, Althaus, Katharina, Garambois, Katia, Derex, Laurent, Humbertjean, Lisa, Lebrato Hernandez, Lucia, Kellermair, Lukas, Morin Martin, Mar, Petruzzellis, Marco, Cotelli, Maria, Dubois, Marie-Cécile, Carvalho, Marta, Wittstock, Matthias, Miranda, Miguel, Skjelland, Mona, Bandettini Di Poggio, Monica, Scholz, Moritz J., Raposo, Nicolas, Kahnis, Robert, Kruyt, Nyika, Huet, Olivier, Sharma, Pankaj, Candelaresi, Paolo, Reiner, Peggy, Vieira, Ricardo, Acampora, Roberto, Kern, Rolf, Leker, Ronen, Coutts, Shelagh, Bal, Simerpreet, Sharma, Shyam S., Susen, Sophie, Cox, Thomas, Geeraerts, Thomas, Gattringer, Thomas, Bartsch, Thorsten, Kleinig, Timothy J., Dizonno, Vanessa, and Arslan, Yildiz

Abstract

Importance: Thrombosis with thrombocytopenia syndrome (TTS) has been reported after vaccination with the SARS-CoV-2 vaccines ChAdOx1 nCov-19 (Oxford-AstraZeneca) and Ad26.COV2.S (Janssen/Johnson & Johnson). Objective: To describe the clinical characteristics and outcome of patients with cerebral venous sinus thrombosis (CVST) after SARS-CoV-2 vaccination with and without TTS. Design, Setting, and Participants: This cohort study used data from an international registry of consecutive patients with CVST within 28 days of SARS-CoV-2 vaccination included between March 29 and June 18, 2021, from 81 hospitals in 19 countries. For reference, data from patients with CVST between 2015 and 2018 were derived from an existing international registry. Clinical characteristics and mortality rate were described for adults with (1) CVST in the setting of SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia, (2) CVST after SARS-CoV-2 vaccination not fulling criteria for TTS, and (3) CVST unrelated to SARS-CoV-2 vaccination. Exposures: Patients were classified as having TTS if they had new-onset thrombocytopenia without recent exposure to heparin, in accordance with the Brighton Collaboration interim criteria. Main Outcomes and Measures: Clinical characteristics and mortality rate. Results: Of 116 patients with postvaccination CVST, 78 (67.2%) had TTS, of whom 76 had been vaccinated with ChAdOx1 nCov-19; 38 (32.8%) had no indication of TTS. The control group included 207 patients with CVST before the COVID-19 pandemic. A total of 63 of 78 (81%), 30 of 38 (79%), and 145 of 207 (70.0%) patients, respectively, were female, and the mean (SD) age was 45 (14), 55 (20), and 42 (16) years, respectively. Concomitant thromboembolism occurred in 25 of 70 patients (36%) in the TTS group, 2 of 35 (6%) in the no TTS group, and 10 of 206 (4.9%) in the control group, and in-hospital mortality rates were 47% (36 of 76; 95% CI, 37-58), 5% (2 of 37; 95% CI, 1-18), and 3.9% (8 of 207; 95% CI

Published
2021
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62. The effects of long-term oral antithrombotic agents after intracranial haemorrhage: protocol for a prospective individual participant data meta-analysis of randomised controlled trials v1

Author

Al-Shahi Salman, Rustam, primary, S. Anderson, Craig, additional, R. Benavente, Oscar, additional, Casolla, Barbara, additional, Chen, Chen, additional, Cheng, Xin, additional, J. Connolly, Stuart, additional, Cordonnier, Charlotte, additional, Glader, Eva-Lotta, additional, J. Hankey, Graeme, additional, U. Heuschmann, Peter, additional, Hofmeijer, Jeannette, additional, Kamel, Hooman, additional, Kerkhoff, Henk, additional, J.M. (Karin) Klijn, Catharina, additional, Kruuse, Christina, additional, Tveitan Larsen, Kristin, additional, Lewis, Steff, additional, Murthy, Santosh, additional, Pennlert, Johanna, additional, Pollock, Roz, additional, Morten Rønning, Ole, additional, Schreuder, Floris, additional, Sheth, Kevin, additional, Shoamanesh, Ashkan, additional, Song, Lily, additional, F. Tierney, Jayne, additional, Veltkamp, Roland, additional, and Bart van der Worp, H, additional

Published
2021
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63. Mechanical Thrombectomy for Acute Ischemic Stroke Amid the COVID-19 Outbreak

Author

Kerleroux, Basile, Fabacher, Thibaut, Bricout, Nicolas, Moïse, Martin, Testud, Benoit, Vingadassalom, Sivadji, Ifergan, Héloïse, Janot, Kévin, Consoli, Arturo, Ben Hassen, Wagih, Shotar, Eimad, Ognard, Julien, Charbonnier, Guillaume, L’Allinec, Vincent, Guédon, Alexis, Bolognini, Federico, Marnat, Gaultier, Forestier, Géraud, Rouchaud, Aymeric, Pop, Raoul, Raynaud, Nicolas, Zhu, François, Cortese, Jonathan, Chalumeau, Vanessa, Berge, Jérome, Escalard, Simon, Boulouis, Grégoire, Chivot, Cyril, Hanafi, Riyad, Pasco, Anne, Girot, Jean-Baptiste, Biondi, Alessandra, Di Caterino, Fortunato, Primikiris, Panagiotis, Vitale, Giovanni, Bonnet, Louise, Gariel, Florent, Barreau, Xavier, Debruxelles, Sabrina, Lucas, Ludovic, Menegon, Patrice, Olindo, Stéphane, Poli, Mathilde, Renou, Pauline, Sagnier, Sharmila, Sibon, Igor, Veunac, Louis, Gentric, Jean-Christophe, Barbier, Charlotte, Boulanger, Marion, Cogez, Julien, Guettier, Sophie, Schneckenburger, Romain, Touze, Emmanuel, Delaitre, Mariette, Lebendinsky, Pablo, Musacchio, Mariano, Ricolfi, Frédéric, Thouant, Pierre, Caparros, François, Casolla, Barbara, Della Schiava, Lucie, Dequatre, Nelly, Henon, Hilde, Pasi, Marco, Kazemi, Apolline, Bala, Fouzi, Estrade, Laurent, Mounayer, Charbel, Saleme, Susanna, Macian-Montoro, Francisco, Eker, Omer, Cotton, François, Blanc-Lasserre, Karine, Cakmak, Serkan, Cho, Tae-Hee, Derex, Laurent, Lukaszewicz, Anne-Claire, Mechtouff, Laura, Nighoghossian, Norbert, Philippeau, Frédéric, Riva, Roberto, Turjman, Francis, Vallet, Anne-Evelyne, Carle, Xavier, Dory-Lautrec, Philippe, Reyre, Anthony, Hak, Jean-François, Brunel, Hervé, Benali, Amel, Collemiche, François-Louis, Dargazanli, Cyril, Cagnazzo, Frederico, Derraz, Imad, Arquizan, Caroline, Corti, Lucas, Costalat, Vincent, Gaillard, Nicolas, Gascou, Grégory, Lefèvre, Pierre-Henri, Mourand, Isabelle, Riquelme, Carlos, Derelle, Anne Laure, Gory, Benjamin, Liao, Liang, Tonnelet, Romain, Anxionnat, René, Bonnerot, Mathieu, Bracard, Serge, Braun, Marc, Humbertjean, Lisa, Lacour, Jean-Christophe, Mione, Gioia, Planel, Sophie, Richard, Sébastien, Riou-Comte, Nolwenn, Schmitt, Emmanuelle, Bourcier, Romain, Detraz, Lili, Desal, Hubert, Alexandre, Pierre-Louis, Daumas-Duport, Benjamin, Lenoble, Cédric, Roy, Monica, Coskun, Oghuzan, Di Maria, Frederico, Lapergue, Bertrand, Rodesch, Georges, Wang, Adrien, Weisenburger-Lile, David, Zimatore, Sergio, Ajili, Nadia, Buard, Géraldine, Evrard, Serge, Gorza, Lucas, Gratieux, Julie, Leguen, Morgan, Marinier, Sylvie, Pico, Fernando, Poll, Roxanna, Rakotoharinandrasana, Haja, Tassan, Philippe, Tchikviladze, Maya, Delvoye, François, Hebert, Solène, Blanc, Raphaël, Ciccio, Gabriele, Desilles, Jean-Philippe, Maier, Benjamin, Mazighi, Mikael, Piotin, Michel, Redjem, Hocine, Smajda, Stanislas, Ben Maacha, Malek, Corabianu, Ovide, De Broucker, Thomas, Ille, Olivier, Manchon, Eric, Obadia, Michael, Obadia, Mickael, Raynouard, Igor, Peres, Roxanne, Sabben, Candice, Smadja, Didier, Taylor, Guillaume, Thion, Laurie-Anne, Lecler, Augustin, Denier, Christian, Caroff, Jildaz, Chassin, Olivier, Spelle, Laurent, Venditti, Laura, Aymard, Armand, Betty, Jean, Civelli, Vittorio, Eliezer, Michael, Fantoni, Matteo, Houdart, Emmanuel, Labeyrie, Marc-Antoine, Saint Maurice, Jean-Pierre, Kalsoum, Erwah, Pacini, Aurelien, Ramadane, Chawkat, Tuilier, Titien, Villain, Adrien, Clarencon, Frédéric, Degos, Vincent, Elhfnawy, Ahmed, Elhorany, Mahmoud, Lenck, Stéphanie, Premat, Kevin, Sourour, Nader-Antoine, Alamowitch, Sonia, Baronnet, Flore, Crozier, Sophie, Deltour, Sandrine, Leger, Anne, Rosso, Charlotte, Pyatigorskaya, Nadya, Rodriguez Regent, Christine, Trystram, Denis, Naggara, Olivier, Seners, Pierre, Turc, Guillaume, Edjlali, Myriam, Agbonon, Rémi, Alotaibi, Mohammed, Sonchet, Antoine, Oppenheim, Catherine, Meder, Jean François, Benzakoun, Joseph, Legrand, Laurence, Fauché, Cédric, Velasco, Stéphane, Manceau, Pierre François, Moulin, Sebastien Solène Soize, Ferré, Jean-Christophe, Paya, Christophe, Eugene, François, Gauvrit, Jean-Yves, Langnier-Lemercier, Sophie, Lassale, Maria, Raoult, helene, Ronziere, Thomas, Tracol, Clément, Vannier, Stéphane, Burel, Julien, Le Moal, Julien, Papagiannaki, Chrysanthi, Aggour, Mohamed, Sachet, Marina, Boutet, Claire, Beaujeux, Remy, Hasiu, Anca, Manisor, Monica, Mihoc, Dan, Kremer, Stéphane, Arteaga, Charles, Gazzola, Sébastien, Darcourt, Jean, Cognard, Christophe, Bonneville, Fabrice, Christine Januel, Anne, Olivot, Jean-Marc, Raposo, Nicolas, Viguier, Alain, Bibi, Richard, Boustia, Fakhreddine, Herbreteau, Denis, Maldonado, Igor, Narata, Ana-Paula, Service de neuroradiologie [Paris], Hôpital Sainte-Anne, CHU Strasbourg, Service de neuroradiologie [Lille], Hôpital Roger Salengro [Lille]-Université de Lille, Droit et Santé-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Service de neuroradiologie diagnostique et interventionnelle, Université de la Méditerranée - Aix-Marseille 2-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Service de neuroradiologie [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Service Neuroradiologie diagnostique et interventionnelle [Hôpital Foch], Hôpital Foch [Suresnes], Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Service de Neuroradiologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Neuroradiologie [Brest], Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Neurologie [Hôpitaux Civils de Colmar], Hôpitaux Civils Colmar, Département de Neuro-Radiologie [Bordeaux] (DNR - Bordeaux), CHU Bordeaux [Bordeaux], Service de Neuroradiologie interventionnelle [CHU Limoges], CHU Limoges, Département de Neuroradiologie [Strasbourg], Les Hôpitaux Universitaires de Strasbourg (HUS), Service de neurologie [Poitiers], Centre hospitalier universitaire de Poitiers (CHU Poitiers), Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Service de Neuroradiologie [CHU de Bicêtre], Hôpital Rothschild [AP-HP], Faculté de Médecine [Nancy], Université de Lorraine (UL), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), CHU Rothschild [AP-HP], Centre Hospitalier Régional Universitaire de Tours (CHRU TOURS), Service de neuroradiologie diagnostique et fonctionnelle [CHU Pitié-Salpêtrière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Pitié-Salpêtrière [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)

Subjects
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

International audience; Background and Purpose: The efficiency of prehospital care chain response and the adequacy of hospital resources are challenged amid the coronavirus disease 2019 (COVID-19) outbreak, with suspected consequences for patients with ischemic stroke eligible for mechanical thrombectomy (MT). Methods: We conducted a prospective national-level data collection of patients treated with MT, ranging 45 days across epidemic containment measures instatement, and of patients treated during the same calendar period in 2019. The primary end point was the variation of patients receiving MT during the epidemic period. Secondary end points included care delays between onset, imaging, and groin puncture. To analyze the primary end point, we used a Poisson regression model. We then analyzed the correlation between the number of MTs and the number of COVID-19 cases hospitalizations, using the Pearson correlation coefficient (compared with the null value). Results: A total of 1513 patients were included at 32 centers, in all French administrative regions. There was a 21% significant decrease (0.79; [95%CI, 0.76–0.82]; P

Published
2020

67. Long-term neuropsychiatric symptoms in spontaneous intracerebral haemorrhage survivors.

Author

Scopelliti, Giuseppe, Casolla, Barbara, Boulouis, Grégoire, Kuchcinski, Gregory, Moulin, Solène, Leys, Didier, Henon, Hilde, Cordonnier, Charlotte, and Pasi, Marco

Subjects
CEREBRAL amyloid angiopathy, CEREBRAL hemorrhage, SYMPTOMS, DISEASE risk factors, COGNITION disorders, APATHY, RESEARCH, RESEARCH methodology, EVALUATION research, COMPARATIVE studies, ALEXITHYMIA, DEMENTIA, DISEASE prevalence, QUESTIONNAIRES, DISEASE complications
Abstract

Objective: Neuropsychiatric (NP) symptoms are prominent features of cognitive decline, but they have been understudied in patients with spontaneous intracerebral haemorrhage (ICH). In ICH survivors, we aimed at assessing NP symptoms prevalence and profiles, and their influence on long-term outcomes.Methods: We analysed data from consecutive 6-month ICH survivors enrolled in the Prognosis of Intracerebral Haemorrhage study. We performed NP evaluation using the Neuropsychiatric Inventory Questionnaire. Patients underwent long-term clinical follow-up after ICH (median follow-up time 7.2 years, IQR 4.8-8.2).Results: Out of 560 patients with ICH, 265 survived at 6 months. NP evaluation 6 months after ICH was feasible in 202 patients. NP symptoms were present in 112 patients (55%), and in 36 out of 48 patients (75%) with post-ICH dementia. Affective symptoms were present in 77 patients (38%), followed by vegetative symptoms (52 patients, 26%) and hyperactivity (47 patients, 23%). Apathy and hyperactivity were associated with post-ICH dementia and cerebral amyloid angiopathy MRI profile (all p<0.05). Apathy and hyperactivity prevailing over affective symptoms at 6-month follow-up were associated with higher risks of developing new-onset dementia (HR 5.40; 95% CI 2.27 to 12.84), while presence or severity of NP symptoms were not.Conclusion: NP symptoms were present in more than half of 6-month ICH survivors, with higher prevalence and severity in patients with post-ICH dementia. Distinctive NP profile might be associated to cognitive status and inform on long-term dementia risk. [ABSTRACT FROM AUTHOR]

Published
2022
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72. Early epileptic seizures in ischaemic stroke treated by mechanical thrombectomy: influence of rt-PA

Author

Ba, Khadija, primary, Casolla, Barbara, additional, Caparros, François, additional, Bricout, Nicolas, additional, Della Schiava, Lucie, additional, Pasi, Marco, additional, Dequatre-Ponchelle, Nelly, additional, Bodenant, Marie, additional, Bordet, Régis, additional, Cordonnier, Charlotte, additional, Hénon, Hilde, additional, and Leys, Didier, additional

Published
2020
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73. Predictors of outcome in 1-month survivors of large middle cerebral artery infarcts treated by decompressive hemicraniectomy

Author

Casolla, Barbara, primary, Kyheng, Maeva, additional, Kuchcinski, Gregory, additional, Lejeune, Jean-Paul, additional, Hanafi, Riyad, additional, Bodenant, Marie, additional, Leys, Didier, additional, Labreuche, Julien, additional, Allart, Etienne, additional, Jourdain, Merce, additional, Cordonnier, Charlotte, additional, and Henon, Hilde, additional

Published
2020
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77. Clinical Outcomes and Safety of Mechanical Thrombectomy for Acute Ischaemic Stroke in Patients with Pre-Existing Dependency

Author

El Grabli Florent, Kyheng Maeva, Henon Hilde, Cordonnier Charlotte, Ferrigno Marc, Bricout Nicolas, Bala Fouzi, Casolla Barbara, and Della Schiava Lucie

Subjects
Male, medicine.medical_specialty, Time Factors, Clinical Decision-Making, Logistic regression, Risk Assessment, Stroke onset, Disability Evaluation, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Risk Factors, Internal medicine, Ischaemic stroke, Humans, Medicine, In patient, cardiovascular diseases, Stroke, Aged, Ischemic Stroke, Thrombectomy, Aged, 80 and over, business.industry, Modified rankin score, Mortality rate, Rehabilitation, Recovery of Function, Middle Aged, medicine.disease, Mechanical thrombectomy, Functional Status, Treatment Outcome, Cardiology, Female, Surgery, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery
Abstract

Objectives Pre-stroke dependency (PSD) is associated with poor outcome after stroke. The aim of the study was to evaluate the clinical outcomes and safety of mechanical thrombectomy (MT) in pre-stroke dependent patients compared to pre-stroke independent patients. Material and Methods We included consecutive patients with anterior circulation acute ischaemic stroke related to large vessel occlusion (AIS-LVO), treated by MT between January 1st 2015 and July 1st 2018 in our single comprehensive stroke center. PSD was defined as a mRS score of 3 to 5 before stroke onset. We studied outcome variables in pre-stroke dependent vs. independent patients, by using logistic regression models. Clinical outcomes included clinical favorable outcome at 3 months (defined as modified Rankin Score 0-2 or equal to pre-stroke mRS score), successful recanalization rates and safety outcomes. Results Of 922 patients with anterior circulation AIS-LVO, 155 (16.8%) had PSD. Favorable outcome was less often achieved in patients with PSD (25.8% vs. 44.7%, p Conclusions One out of four patients with PSD had a favorable outcome after MT. Despite higher mortality rates compared to pre-stroke independent patients, PSD alone should not be used alone to deny mechanical thrombectomy.

Published
2021

78. Pronostic vasculaire au long cours des patients après une hémorragie intracérébrale

Author

Casolla, Barbara, Troubles cognitifs dégénératifs et vasculaires - U 1171 (TCDV), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Lille, and Hilde Henon

Subjects
Cortical superficial siderosis, Hémorragie cérébrale, Sidérose superficielle corticale, Microhémorragies cérébrales, Événements vasculaires majeurs, Cohort, Cerebral microhaemorrhages, Intracerebral hemorrhage, Études de cohorte, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, Vascular events
Abstract

Background: Spontaneous (non-traumatic) intracerebral hemorrhage (ICH) is the mostdramatic type of stroke being responsible for the majority of mortality and stroke related disability. Survivors are at high risk of major vascular events, nevertheless, data on long-term prognosis after ICH are scarce. The main objective was to study long term cerebral and extra-cerebral vascular prognosis after ICH.Methods: We included patients from the PITCH (Prognosis of Intra Cerebral Haemorrhage) cohort which is a prospective and observational study that included consecutive adults admitted at the Lille University Hospital for spontaneous ICH between 2004 and 2009. We aimed to determine (i) cumulative incidence of major ischemic and hemorrhagic vascular events and their clinical and radiological predictors;(ii) the prevalence of cortical superficial siderosis (cSS) and its associated factors; (iii) the impact of cerebral microbleeds on ICH recurrence.Results: We showed that ICH survivors are at high risk of major cerebral and extracerebralvascular events. Ischemic risk overwhelmed the hemorrhagic one on long term,particularly in deep index ICH. Concerning recurrent ICH, we found that in our cohort,one out of five patients had cSS on baseline MRI and its presence was a strong predictorof recurrent ICH, suggesting the implication of underlying cerebral amyloid angiopathy.Global burden of microbleeds was also associated with higher rate of ICH recurrence.Conclusion: These findings have immediate clinical relevance and suggest that ICH survivors should benefit of a long-term and multidisciplinary follow-up. These results may also provide additional information on the risk of major ischemic and hemorrhagicevents after ICH and on radiological predictors of recurrence risk.; Contexte : Les hémorragies intracérébrales spontanées (HIC) présentent une mortalité élevée et un pronostic fonctionnel sombre. Les survivants sont à haut risque d’évènements vasculaires majeurs mais les données concernant le pronostic au long terme des HIC sont limitées. L’objectif principal de ce travail était d’étudier le pronostic vasculaire cérébral et extra-cérébral au long cours.Méthodes : Nous avons inclus les patients de la cohorte prospective et observationnelle PITCH (Prognosis of Intra Cerebral Haemorrhage), qui a recruté de façon consécutive tous les patients admis au CHU de Lille pour une HIC spontanée entre 2004 et 2009.Nous avons étudié (i) l’incidence des évènements vasculaires majeurs, ischémiques ethémorragiques, ainsi que leurs facteurs prédictifs cliniques et neuroradiologiques ; (ii)la prévalence de la sidérose superficielle corticale (SSc) et les facteurs cliniques et radiologiques associés ; (iii) l’impact des micro hémorragies cérébrales sur le risque de récidive hémorragique.Résultats : Nous avons mis en évidence qu’il existait un risque élevé d’évènements vasculaires majeurs, cérébraux et extra-cérébraux, chez les patients ayant souffert d’une HIC. Au long cours, le risque d’évènements ischémiques dépasse le risque hémorragique, en particulier chez les patients avec une hémorragie profonde.Concernant le risque hémorragique cérébral, nous avons montré qu’au sein de notre cohorte, un patient sur cinq avait de la SSc sur l’IRM cérébrale réalisée à l’admission et que la présence de SSc est un facteur neuroradiologique prédictif majeur de récidive hémorragique, suggérant l’implication de l’angiopathie amyloïde cérébrale. Un nombre élevé de microhémorragies cérébrales est par ailleurs associé à un risque de récidive hémorragique plus importante.Conclusion : Les résultats de ce travail ont un impact clinique important, ils suggèrent l’indication d’un suivi au long cours et multidisciplinaire des patients ayant présenté une HIC. Ils apportent des informations nouvelles sur le risque extra-cérébral et sur les prédicteurs de récidive hémorragique.

Published
2019

79. Seizures after decompressive hemicraniectomy for large middle cerebral artery territory infarcts: Incidence, associated factors, and impact on long‐term outcomes.

Author

Masheka‐Cishesa, Olivier, Kyheng, Maéva, Cordonnier, Charlotte, Kuchcinski, Grégory, Chochoi, Maxime, Lejeune, Jean Paul, Hénon, Hilde, and Casolla, Barbara

Subjects
CEREBRAL infarction, CEREBRAL arteries, PROPORTIONAL hazards models, LOGISTIC regression analysis, SEIZURES (Medicine), FUNCTIONAL assessment
Abstract

Background and purpose: Decompressive hemicraniectomy (DH) reduces mortality of large middle cerebral artery (MCA) territory infarcts. Survivors are at high risk of poststroke seizures (PSSs). This study aims to describe the incidence of PSSs, to identify associated factors, and to assess their impact on long‐term outcomes. Methods: We included consecutive patients who underwent DH for large MCA infarcts from May 2005 to December 2019 at Lille University Hospital. Patients were followed up at 3 months, 1 year, and 3 years. We analysed (i) the incidence and associated factors of early onset PSSs (EPSSs) with logistic regression models; (ii) the incidence and associated factors of late onset PSSs (LPSSs) in survivors at 7 days with a univariate Cox proportional hazard regression model for interval‐censored data; and (iii) the impact of PSSs (EPSSs and LPSSs) on mortality with univariate and multivariate Cox proportional hazard regression models and modified Rankin Scale at 1 and 3 years, with univariate and adjusted multivariate ordinal logistic regression analyses. Results: Of 248 patients (150 men, 60.5%; mean age = 50.4 ± 9.6 years), 106 (42.7%) presented PSSs (six inaugural seizures, 22 EPSSs, 78 LPSSs) during follow‐up. The PSS cumulative incidence was 12.3% at 7 days, 24.9% at 3 months, 49.8% at 1 years, and 54.8% at 3 years. No predictor was significantly associated with either EPSSs or LPSSs. PSSs did not significantly impact mortality and long‐term functional outcome. Conclusions: The incidence of PSSs after DH is high, reaching more than 50% 3 years after stroke, but PSSs did not influence long‐term mortality or functional outcome. [ABSTRACT FROM AUTHOR]

Published
2021
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80. Long-term mortality in survivors of spontaneous intracerebral hemorrhage.

Author

Pasi, Marco, Casolla, Barbara, Kyheng, Maéva, Boulouis, Grégoire, Kuchcinski, Grégory, Moulin, Solène, Labreuche, Julien, Hénon, Hilde, Cordonnier, Charlotte, and Leys, Didier

Subjects
*INTRACEREBRAL hematoma, *SURVIVAL rate, *STROKE, *MAGNETIC resonance imaging, *CEREBRAL hemorrhage, *CEREBRAL atrophy, *PROPORTIONAL hazards models
Abstract

Background: Factors associated with long-term mortality after spontaneous intracerebral hemorrhage (ICH) have been poorly investigated. Aim: Our objective was to identify variables associated with long-term mortality in a prospective cohort of 30-day ICH survivors. Methods: We prospectively included consecutive 30-day spontaneous ICH survivors. We evaluated baseline and follow-up clinical characteristics and magnetic resonance imaging (MRI) markers of chronic brain injury as variables associated with long-term mortality using univariate and multivariable Cox proportional hazard regression models. Results: Of 560 patients with spontaneous ICH, 304 (54.2%) survived more than 30 days and consented for follow-up. During a median follow-up of 10 years (interquartile range: 8.0–10.5), 176 patients died. The cumulative survival rate at 10 years was 38%. In multivariable analysis, variables independently associated with long-term mortality were age (hazard ratio (HR) per 10-year increase: 1.68, 95% confidence interval (CI): 1.45–1.95), male gender (HR: 1.41, CI: 1.02–1.95), prestroke dependency (HR: 1.66, CI: 1.15–2.39), National Institutes of Health Stroke Scale score (HR per 1-point increase: 1.03, CI: 1.01–1.04), occurrence of any stroke (HR: 2.24, CI: 1.39–3.60), and dementia (HR: 1.51, CI: 1.06–2.16) during follow-up. Among MRI markers, only cerebral atrophy (HR per 1-point increase: 1.50, CI: 1.13–2.00) was independently associated with long-term mortality. Conclusions: Preexisting comorbidities, clinical severity at presentation, and significant clinical event during follow-up are associated with long-term mortality. Among MRI markers of chronic brain injury, only cerebral atrophy is associated with long-term mortality. [ABSTRACT FROM AUTHOR]

Published
2021
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82. Long-term functional decline of spontaneous intracerebral haemorrhage survivors.

Author

Pasi, Marco, Casolla, Barbara, Kyheng, Maeva, Boulouis, Grégoire, Kuchcinski, Gregory, Moulin, Solène, Labreuche, Julien, Henon, Hilde, Leys, Didier, and Cordonnier, Charlotte

Subjects
CEREBRAL hemorrhage, DEMENTIA, DIABETES
Abstract

Objective: To identify in patients who survived 6 months after a spontaneous intracerebral haemorrhage (ICH) baseline characteristics and new clinical events associated with functional decline.Methods: In a single-centre study, we prospectively included 6-month survivors with a modified Rankin Scale (mRS) score 0-3. We defined functional decline by a transition to mRS 4-5. We evaluated associations of baseline characteristics and new clinical events with functional decline, using univariate and multivariable models.Results: Of 560 patients, 174 (31%) had an mRS score 0-3 at 6 months. During a median follow-up of 9 years (IQR 8.1-9.5), 40 (23%) converted to mRS 4-5. Age, diabetes mellitus, ICH volume and higher mRS scores at 6 months were independently associated with functional decline. Among baseline MRI markers, presence of strictly lobar cerebral microbleeds (CMBs), and mixed lobar and deep CMBs were independently associated with functional decline. When new clinical events occurring during follow-up were added in multivariable models, age (cause-specific HR (CSHR): 1.07; 95% CI: 1.03 to 1.11), ICH volume (CSHR: 1.03; 95% CI: 1.01 to 1.06), mRS score at 6 months (CSHR per 1 point increase 1.61, 95% CI 1.07 to 2.43), occurrence of dementia (CSHR: 3.81, 95% CI: 1.78 to 8.16) and occurrence of any stroke (CSHR: 4.29, 95% CI: 1.80 to 10.22) remained independently associated with transition to mRS 4-5.Interpretation: Almost one-fourth of patients with spontaneous ICH developed a functional decline over time. Age, ICH volume, higher mRS score at 6 months and new clinical events after ICH are the major determinants. [ABSTRACT FROM AUTHOR]

Published
2021
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84. Brain hemorrhage recurrence, small vessel disease type, and cerebral microbleeds

Author

Charidimou, Andreas, Imaizumi, Toshio, Moulin, Solene, Biffi, Alessandro, Samarasekera, Neshika, Yakushiji, Yusuke, Peeters, Andre, Vandermeeren, Yves, Laloux, Patrice, Baron, Jean-Claude, Hernandez-Guillamon, Mar, Montaner, Joan, Casolla, Barbara, Gregoire, Simone M., Kang, Dong-Wha, Kim, Jong S., Naka, H., Smith, Eric E., Viswanathan, Anand, Jäger, Hans Rolf, Al-Shahi Salman, Rustam, Greenberg, Steven M., Cordonnier, Charlotte, Werring, David J., and Universitat Autònoma de Barcelona

Subjects
cardiovascular diseases, nervous system diseases
Abstract

We evaluated recurrent intracerebral hemorrhage (ICH) risk in ICH survivors, stratified by the presence, distribution, and number of cerebral microbleeds (CMBs) on MRI (i.e., the presumed causal underlying small vessel disease and its severity). This was a meta-analysis of prospective cohorts following ICH, with blood-sensitive brain MRI soon after ICH. We estimated annualized recurrent symptomatic ICH rates for each study and compared pooled odds ratios (ORs) of recurrent ICH by CMB presence/absence and presumed etiology based on CMB distribution (strictly lobar CMBs related to probable or possible cerebral amyloid angiopathy [CAA] vs non-CAA) and burden (1, 2-4, 5-10, and >10 CMBs), using random effects models. We pooled data from 10 studies including 1,306 patients: 325 with CAA-related and 981 CAA-unrelated ICH. The annual recurrent ICH risk was higher in CAA-related ICH vs CAA-unrelated ICH (7.4%, 95% confidence interval [CI] 3.2-12.6 vs 1.1%, 95% CI 0.5-1.7 per year, respectively; p = 0.01). In CAA-related ICH, multiple baseline CMBs (versus none) were associated with ICH recurrence during follow-up (range 1-3 years): OR 3.1 (95% CI 1.4-6.8; p = 0.006), 4.3 (95% CI 1.8-10.3; p = 0.001), and 3.4 (95% CI 1.4-8.3; p = 0.007) for 2-4, 5-10, and >10 CMBs, respectively. In CAA-unrelated ICH, only >10 CMBs (versus none) were associated with recurrent ICH (OR 5.6, 95% CI 2.1-15; p = 0.001). The presence of 1 CMB (versus none) was not associated with recurrent ICH in CAA-related or CAA-unrelated cohorts. CMB burden and distribution on MRI identify subgroups of ICH survivors with higher ICH recurrence risk, which may help to predict ICH prognosis with relevance for clinical practice and treatment trials.

Published
2017

86. Cortical superficial siderosis

Author

Moulin, Solène, primary, Casolla, Barbara, additional, Kuchcinski, Grégory, additional, Boulouis, Gregoire, additional, Rossi, Costanza, additional, Hénon, Hilde, additional, Leys, Didier, additional, and Cordonnier, Charlotte, additional

Published
2018
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89. Brain hemorrhage recurrence, small vessel disease type, and cerebral microbleeds

Author

Charidimou, Andreas, primary, Imaizumi, Toshio, additional, Moulin, Solene, additional, Biffi, Alexandro, additional, Samarasekera, Neshika, additional, Yakushiji, Yusuke, additional, Peeters, Andre, additional, Vandermeeren, Yves, additional, Laloux, Patrice, additional, Baron, Jean-Claude, additional, Hernandez-Guillamon, Mar, additional, Montaner, Joan, additional, Casolla, Barbara, additional, Gregoire, Simone M., additional, Kang, Dong-Wha, additional, Kim, Jong S., additional, Naka, H., additional, Smith, Eric E., additional, Viswanathan, Anand, additional, Jäger, Hans R., additional, Al-Shahi Salman, Rustam, additional, Greenberg, Steven M., additional, Cordonnier, Charlotte, additional, and Werring, David J., additional

Published
2017
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90. Depressive symptoms profile and dementia risk after spontaneous intracerebral haemorrhage

Author

Scopelliti, Giuseppe, Kyheng, Maéva, Casolla, Barbara, Kuchcinski, Grégory, Boulouis, Grégoire, Moulin, Solène, Labreuche, Julien, Hénon, Hilde, Pasi, Marco, and Cordonnier, Charlotte

Abstract

Introduction: Depressive symptoms are commonly reported after spontaneous intracerebral haemorrhage (ICH) and frequently associated with cognitive decline. Using hierarchical clustering analysis (HCA), we aimed to identify different post-ICH depressive symptoms profiles and to evaluate their association with dementia risk.Methods: We included consecutive patients from the prospective Prognosis of Intracerebral Haemorrhage (PITCH) study who survived 6 months after the ICH. We performed HCA using depressive symptoms severity (assessed using the Montgomery–Åsberg Depression Rating Scale (MADRS)), along with the presence of apathy and anxiety (screened using Neuropsychiatric Inventory questionnaire). Baseline clinical/neuroimaging characteristics and risk of incident dementia were compared between different profiles using univariate and multivariable models.Results: Of 265 six-month ICH survivors, 221 (83%) underwent neuropsychiatric screening (mean age 65.5 years; 57% male). Using HCA, 3 profiles were identified: (1) without significant depressive symptoms (n= 152; median MADRS score = 2 [IQR 0–4]); (2) depressive symptoms with predominant apathy (n= 41; median MADRS score = 15 [IQR 5–20], 68% with apathy); (3) depressive symptoms profile with predominant anxiety (n= 28; median MADRS score = 17 [IQR 9–25]; 100% with anxiety). Compared to patients without depressive symptoms, patients with depressive symptoms and predominant apathy (but not those with predominant anxiety) were more likely to have cerebral atrophy (OR = 2.4, 95% CI = 1.4–4.2) and had significantly higher long-term new-onset dementia risk (adjusted hazard ratio = 2.2, 95% CI = 1.3–3.8).Conclusion: Screening for apathy and anxiety on top of depressive symptoms might help identifying patients at risk for dementia. Future studies on treatment should account for different post-ICH depressive symptoms profiles that may impact on cognitive function.

Published
2024
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91. Hypothermia during Carotid Endarterectomy: A Safety Study

Author

Candela, Serena, primary, Dito, Raffaele, additional, Casolla, Barbara, additional, Silvestri, Emanuele, additional, Sette, Giuliano, additional, Filippi, Federico, additional, Taurino, Maurizio, additional, Brancadoro, Domitilla, additional, and Orzi, Francesco, additional

Published
2016
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94. Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis

Author

Picchetto, Livio, primary, Spalletta, Gianfranco, additional, Casolla, Barbara, additional, Cacciari, Claudia, additional, Cavallari, Michele, additional, Fantozzi, Cristiano, additional, Ciuffoli, Alessandro, additional, Rasura, Maurizia, additional, Imperiale, Francesca, additional, Sette, Giuliano, additional, Caltagirone, Carlo, additional, Taurino, Maurizio, additional, and Orzi, Francesco, additional

Published
2013
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96. Cerebral venous sinus thrombosis associated with COVID‐19 vaccine‐induced thrombocytopenia: Improvement in mortality rate over time.

Author

Casolla, Barbara and Cordonnier, Charlotte

Subjects
*VENOUS thrombosis, *CRANIAL sinuses, *COVID-19, *DEATH rate, *THROMBOCYTOPENIA, *SINUS thrombosis
Abstract

The clinical picture of moderate-to-severe thrombocytopenia and thrombotic complications at unusual sites occurring within 4-28 days of vaccination with the SARS-CoV-2 vaccines ChAdOx1 nCov-19 (Oxford/AstraZeneca) and Ad26.COV2.S (Janssen/Johnson & Johnson) has been named vaccine-induced immune thrombotic thrombocytopenia (VITT), and several publications have followed the first case reports on 28 March 2021 [1-5]. However, there are similarities with the heparin-induced thrombocytopenia syndrome (HIT), and researchers have identified circulating platelet-activating platelet factor 4 antibodies in these patients. Cerebral venous sinus thrombosis associated with COVID-19 vaccine-induced thrombocytopenia: Improvement in mortality rate over time. [Extracted from the article]

Published
2022
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