Multinational Prevalence of Neurological Phenotypes in Patients Hospitalized with COVID-19

Autor: Kee Yuan Ngiam, Michele I. Morris, Lav P Patel, Chuan Hong, Andrew M South, Trang T. Le, Emily Schriver, Jiyeon Son, Yuan Luo, Jason H. Moore, Zongqi Xia, Paul Avillach, Brett K Beaulieu-Jones, Shyam Visweswaran, Malarkodi J Samayamuthu, Tianxi Cai, Isaac S. Kohane, Amelia Lm Tan, Ne Hooi Will Loh, Gilbert S. Omenn, Danielle L. Mowery, Alba Gutiérrez-Sacristán
Rok vydání: 2021
Předmět:
Zdroj: medRxiv
DOI: 10.1101/2021.01.27.21249817
Popis: OBJECTIVENeurological complications can worsen outcomes in COVID-19. We defined the prevalence of a wide range of neurological conditions among patients hospitalized with COVID-19 in geographically diverse multinational populations.METHODSUsing electronic health record (EHR) data from 348 participating hospitals across 6 countries and 3 continents between January and September 2020, we performed a cross-sectional study of hospitalized adult and pediatric patients with a positive SARS-CoV-2 reverse transcription polymerase chain reaction test, both with and without severe COVID-19. We assessed the frequency of each disease category and 3-character International Classification of Disease (ICD) code of neurological diseases by countries, sites, time before and after admission for COVID-19, and COVID-19 severity.RESULTSAmong the 35,177 hospitalized patients with SARS-CoV-2 infection, there was increased prevalence of disorders of consciousness (5.8%, 95% confidence interval [CI]: 3.7%-7.8%,pFDRpFDRINTERPRETATIONUsing an international network and common EHR data elements, we highlight an increase in the prevalence of central and peripheral neurological phenotypes in patients hospitalized with SARS-CoV-2 infection, particularly among those with severe disease.
Databáze: OpenAIRE