Evaluation of neurological disorders that develop concurrently with COVID-19 pneumonia: a retrospective analysis

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dc.authorid0000-0001-7069-769Xen_US
dc.contributor.authorTaşçı, İrem
dc.contributor.authorBalgetir, Ferhat
dc.contributor.authorMüngen, Bülent
dc.contributor.authorDemir, Caner Feyzi
dc.contributor.authorGönen, Murat
dc.contributor.authorDelen, Leman Acun
dc.contributor.authorKurt, Osman
dc.date.accessioned2022-06-30T12:10:19Z
dc.date.available2022-06-30T12:10:19Z
dc.date.issued2022en_US
dc.departmentMTÖ Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionIrem TASCI Malatya Turgut Ozal University, Medicine Faculty, Department of Neurology, Malatya, Turkey. http://orcid.org/0000-0001-7069-769X Ferhat BALGETIR Firat University, Medicine Faculty, Department of Neurology, Elazig, Turkey. http://orcid.org/0000-0002-6222-921X Bulent MUNGEN Firat University, Medicine Faculty, Department of Neurology, Elazig, Turkey. http://orcid.org/0000-0002-7118-2820 Caner Feyzi DEMIR Firat University, Medicine Faculty, Department of Neurology, Elazig, Turkey. http://orcid.org/0000-0002-2861-2418 Murat GONEN Firat University, Medicine Faculty, Department of Neurology, Elazig, Turkey. http://orcid.org/0000-0002-3718-9519 Leman Acun DELEN Malatya Training Research Hospital, Anesthesia Clinic, Malatya, Turkey. http://orcid.org/0000-0001-9441-6979 Osman KURT Firat University, Medicine Faculty, Department of Public Health, Elazig, Turkey. http://orcid.org/0000-0003-4164-3611en_US
dc.description.abstractBackground: During the pandemic, many neurological symptoms have been evaluated as complications of COVID-19 pneumonia. Objective: To investigate the frequency and characteristics of neurological findings, and their effects on the prognosis of patients with COVID-19 pneumonia who consulted with the Neurology department. Methods: Data on 2329 patients who were hospitalized with the diagnosis of COVID-19 pneumonia in our hospital were scanned. The clinical, laboratory and radiological findings relating to treatment of 154 patients who required neurological consultation were retrospectively evaluated by reviewing the clinical notes. Results: The number of COVID-19 pneumonia patients who required neurological consultations while hospitalized in the ICU was 94 (61.0%). The most common symptom among these patients was hyperactive delirium. Mean age, ferritin levels and CRP values ??of those with delirium were higher, while the mean lymphocyte percentage were lower, than those of the patients without delirium. Epileptic seizures were observed in eight patients without an epilepsy diagnosis. Two patients were diagnosed with GBS and one patient with ICU neuropathy. The D-dimer levels of patients with acute hemorrhagic CVD and the thrombocyte levels of patients with acute ischemic CVD were found to be higher than in patients without acute ischemic CVD. Conclusion: The proportion of patients who required neurological consultations was higher in the ICUs. We observed neurological symptoms more frequently in the advanced age group. There were no significant increases in the incidence of other neurological conditions except delirium, in COVID-19 patients. We think that further studies are needed to support our data.en_US
dc.description.abstractAntecedentes: Durante a pandemia, muitos sintomas neurológicos foram avaliados como complicações da pneumonia por COVID-19. Objetivo: Investigar a frequência e as características dos achados neurológicos e seus efeitos no prognóstico de pacientes com pneumonia por COVID-19 que consultaram o departamento de Neurologia. Métodos: Foram analisados os dados de 2.329 pacientes internados com diagnóstico de pneumonia por COVID-19 em nosso hospital. Os achados clínicos, laboratoriais e radiológicos relativos ao tratamento de 154 pacientes que necessitaram de consulta neurológica foram avaliados retrospectivamente por meio da revisão das anotações clínicas. Resultados: O número de pacientes com pneumonia por COVID-19 que necessitaram de consultas neurológicas enquanto internados na UTI foi de 94 (61,0%). O sintoma mais comum entre esses pacientes foi o delírio hiperativo. A média de idade, os níveis de ferritina e os valores de PCR daqueles apresentando delírios foram maiores, enquanto a porcentagem média de linfócitos foi menor do que em pacientes sem delírios. Crises epilépticas foram observadas em oito pacientes sem diagnóstico de epilepsia. Dois pacientes foram diagnosticados com SGB e um paciente com neuropatia na UTI. Os níveis de dímero D de pacientes com DCV hemorrágica aguda e os níveis de trombócitos de pacientes com DCV isquêmica aguda foram maiores do que em pacientes sem DCV isquêmica aguda. Conclusão: A proporção de pacientes que necessitaram consultas neurológicas foi maior nas UTIs. Observamos sintomas neurológicos com mais frequência em pacientes de faixa etária avançada. Não houve aumentos significativos na incidência de outras condições neurológicas, exceto delírio, em pacientes com COVID-19. Acreditamos que mais estudos são necessários para apoiar nossos dados.en_US
dc.identifier.citationTasci, I., Balgetir, F., Mungen, B., Demir, C. F., Gonen, M., Delen, L. A., & Kurt, O. (2022). Evaluation of neurological disorders that develop concurrently with COVID-19 pneumonia: a retrospective analysis. Arquivos de Neuro-Psiquiatria, 80, 375-383.en_US
dc.identifier.doi10.1590/0004-282X-ANP-2021-0059
dc.identifier.endpage383en_US
dc.identifier.issn0004-282Xen_US
dc.identifier.issn1678-4227en_US
dc.identifier.issue4en_US
dc.identifier.pmid35476075
dc.identifier.scopus2-s2.0-85131105585en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage375en_US
dc.identifier.urihttps://doi.org/10.1590/0004-282X-ANP-2021-0059
dc.identifier.urihttps://hdl.handle.net/20.500.12899/1145
dc.identifier.volume80en_US
dc.identifier.wosWOS:000791442900001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTaşçı, İrem
dc.language.isoenen_US
dc.publisherAssociacao Arquivos de Neuro-Psiquiatria Dr. Oswaldo Lange / Associação Arquivos de Neuropsiquiatria Dr Oswaldo Langeen_US
dc.relation.ispartofArquivos de Neuro-Psiquiatriaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectNeurologyen_US
dc.subjectReferral and consultationen_US
dc.subjectCentral nervous system diseasesen_US
dc.subjectPeripheral nervous system diseasesen_US
dc.subjectNeurologiaen_US
dc.subjectEncaminhamento e consultaen_US
dc.subjectDoenças do sistema nervoso centralen_US
dc.subjectDoenças do sistema nervoso neriféricoen_US
dc.titleEvaluation of neurological disorders that develop concurrently with COVID-19 pneumonia: a retrospective analysisen_US
dc.title.alternativeAvaliação de transtornos neurológicos concomitantes à pneumonia por COVID-19: análise retrospectivaen_US
dc.typeArticleen_US

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