Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital
Carregando...
Citações na Scopus
41
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOC ARQUIVOS NEURO- PSIQUIATRIA
Citação
ARQUIVOS DE NEURO-PSIQUIATRIA, v.78, n.8, p.494-500, 2020
Resumo
Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized. Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital. Methods: This retrospective study was carried out at Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment. Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%). Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.
Palavras-chave
Coronavirus Infections, COVID-19, Neurology, Seizures, Stroke, Metabolic Encephalopathy, Neuromuscular Diseases
Referências
- Aggarwal G, 2020, INT J STROKE, V15, P385, DOI 10.1177/1747493020921664
- Benussi Alberto, 2020, Neurology, V95, pe910, DOI 10.1212/WNL.0000000000009848
- Bernard-Valnet R, 2020, EUR J NEUROL, V27, pE43, DOI 10.1111/ene.14298
- Bersano A, 2020, NEUROLOGY, V94, P905, DOI 10.1212/WNL.0000000000009508
- Bhidayasiri R, 2020, J MOV DISORD, V13, P105, DOI 10.14802/jmd.20042
- Dixon L, 2020, NEUROL-NEUROIMMUNOL, V7, DOI 10.1212/NXI.0000000000000789
- Helms J, 2020, NEW ENGL J MED, V382, P2268, DOI 10.1056/NEJMc2008597
- Johns Hopkins University & Medicine, COVID 19 DASHB CTR S
- Kuroda N, 2020, EPILEPSY BEHAV, V108, DOI 10.1016/j.yebeh.2020.107122
- MAHASE E, 2020, BMJ-BRIT MED J, V368, DOI 10.1136/BMJ.M1036
- Majersik JJ, 2020, NEUROLOGY, V94, P1055, DOI 10.1212/WNL.0000000000009564
- Mao L, 2020, JAMA NEUROL, V77, P683, DOI 10.1001/jamaneurol.2020.1127
- Moriguchi T, 2020, INT J INFECT DIS, V94, P55, DOI 10.1016/j.ijid.2020.03.062
- Munhoz RP, 2020, ARQ NEURO-PSIQUIAT, V78, P290, DOI [10.1590/0004-282x20200051, 10.1590/0004-282X20200051]
- Novi G, 2020, NEUROL-NEUROIMMUNOL, V7, DOI 10.1212/NXI.0000000000000797
- Paniz-Mondolfi A, 2020, J MED VIROL, V92, P699, DOI 10.1002/jmv.25915
- Parsons T, 2020, J NEUROL, V267, P2799, DOI 10.1007/s00415-020-09951-9
- Pilotto A, 2020, ANN NEUROL, V88, P423, DOI 10.1002/ana.25783
- Politi LS, 2020, JAMA NEUROL, V77, P1028, DOI 10.1001/jamaneurol.2020.2125
- Poyiadji N, 2020, RADIOLOGY, V296, pE119, DOI 10.1148/radiol.2020201187
- Pranata R, 2020, J STROKE CEREBROVASC, V29, DOI 10.1016/j.jstrokecerebrovasdis.2020.104949
- Radmanesh A, 2020, AM J NEURORADIOL, V41, P1179, DOI 10.3174/ajnr.A6610
- Romero-Sanchez Carlos Manuel, 2020, Neurology, V95, pe1060, DOI 10.1212/WNL.0000000000009937
- Rubin Michael A, 2020, Neurology, V95, P167, DOI 10.1212/WNL.0000000000009744
- Sellner J, 2020, EUR J NEUROL, V27, pE31, DOI 10.1111/ene.14257
- Solomon IH, 2020, NEW ENGL J MED, V383, P989, DOI 10.1056/NEJMc2019373
- Yin R, 2020, CLIN CHARACTERISTICS, DOI [10.1101/2020.04.29.20085415, DOI 10.1101/2020.04.29.20085415]
Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - IMT
Carregar mais Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - IMT