Učestalost i karakteristike post COVID-19 neuroloških simptoma u Kliničkom bolničkom centru Rijeka
| Autor: | Hegna, Elena |
|---|---|
| Přispěvatelé: | Vuletić, Vladimira, Perković, Olivio, Bonifačić, David, Dunatov, Siniša |
| Jazyk: | chorvatština |
| Rok vydání: | 2022 |
| Předmět: | |
| Popis: | Cilj: Utvrditi učestalost i karakteristike neuroloških simptoma post COVID-19 sindroma te koje su dijagnostičke i terapijske mjere poduzete pri obrađivanju pacijenata Ispitanici i metode: Prikupljeni su podaci za 243 bolesnika pregledanog u neurološkoj post COVID-19 ambulanti u razdoblju od 11. svibnja 2021. do 22. ožujka 2022. Uključni kriteriji bili su preboljena COVID-19 bolest, neurološki simptomi koji se nastavljaju na akutnu COVID-19 bolest ili nastaju nakon smirenja akutne infekcije. Isključni kriteriji bili su simptomi koji nisu jasno neurološki, bolesnici koji nisu preboljeli COVID-19 te simptomi koji se javljaju nakon cijepljenja protiv virusa SARS-CoV-2. Rezultati: Analizirani su podaci za 227 ispitanika s neurološkim post COVID-19 simptomima (158 žena (70%) i 69 muškaraca (30%)).Srednja dob svih ispitanika bila je 51,89 ± 15,67 godina. Većina ispitanika prezentirala se s više simpotoma, a najčešći su glavobolja (30%), kognitivne tegobe prisutne (29%), poremećaji mirisa (17%), parestezije (16%), kronični umor (15%), vrtoglavica s mučninom i povraćanjem (15%) i nesanica (11%). Najčešće su ispitanci bili upućeni na konzilijarne preglede (41%), na neuroradiološke metode (37%) , EEG (31%) te Color Doppler krvnih žila glave i vrata (28%). Terapija je najvećim dijelom bila simptomatska se su najčešće propisivani vitaminski pripravci. Zaključak: Ovim istraživanjem utvrđeno je da se neurološki post COVID-19 sindrom češće javlja kod žena te da su generalno najčešći simptomi glavobolja i kognitivne tegobe, s čime su u skladu i najčešći dijagnostički postupci. Također, jasno je vidljiva spolna raspodjela simptoma koju bi trebalo dodatno istražiti. Nameće se potreba za longitudinalnim praćenjem ispitanika kako bi se bolje razmijela dinamika bolesti. Aim: To determine the frequency and characteristics of neurological post COVID-19 syndrome and which diagnostic and therapeutic measures were used in the treatment of these patients. Subjects and methods: Data were collected for 243 patients examined in the in the period from 11 May 2021 to 22 March 2022. Inclusion criteria were COVID-19 illness, neurological symptoms lasting after the recovery of COVID-19 or simptoms that occur after acute infection. Exclusive criteria were symptoms that were not neurological, patients who did not suffer from COVID-19, and symptoms that occurred after vaccination against the SARS-CoV-2 virus. Results: Data for 227 subjects (158 women and 69 men) with neurological post COVID-19 symptoms were analyzed, with a mean age of 51.89 ± 15.67 years. The majority of subjects presented with multiple symptoms, most often headache (30%), cognitive impairment (29%), loss of smell (17%), paraesthesia (16%), fatigue (15%), dizziness (15%) and insomnia (11%). Patients were most often referred for consultative examinations (41%), neuroradiological methods (37%) and EEG (31%). The therapy was mostly symptomatic. Vitamin preparations were most often prescribed. Conclusion: This study found that neurological post-COVID-19 syndrome is more common in women and that generally the most common symptoma are headache and cognitive impairment, Most common diagnostic procedures are consistent with these findings. Also, the gender distribution of symptoms is clearly visible and should be further investigated. There is a need for longitudinal follow-up studys in order to better understand dynamic of disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|