Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital
| Autor: | Ricardo Nitrini, Jerusa Smid, Matheus Dalben Fiorentino, Maíra Medeiros Honorato Ferrari, Tarso Adoni, Mariana Hiromi Manoel Oku, Luiz Henrique Martins Castro, Carlos Otto Heise, Gabriela Pantaleão Moreira, Sonia Maria Dozzi Brucki, Márcia Rúbia Rodrigues Gonçalves, Raphael Ribeiro Spera, Rodrigo de Holanda Mendonça, Adalberto Studart-Neto, Júlia Chartouni Rodrigues, Rafael Bernhart Carra, André Macedo Serafim da Silva, Tomás Fraga Ferreira Da Silva, Cesar Castello Branco Lopes, Raphael de Luca e Tuma, Bruno Diógenes Iepsen, Edmar Zanoteli, Antonio Edvan Camelo Filho, Cristiane de Araújo Martins Moreno, Sara Terrim, Carlos Eduardo Borges Passos Neto, Julia Carvalhinho Carlos De Souza, Bruno Fukelmann Guedes, Lécio Figueira Pinto, José Pedro Soares Baima, Ida Fortini, Samira Luisa dos Apostolos Pereira, Gabriel Taricani Kubota, Adriana Bastos Conforto, Hélio Rodrigues Gomes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Neurology Encephalopathy Pneumonia Viral MEDLINE Anosmia Neurosciences. Biological psychiatry. Neuropsychiatry law.invention Hospitals University Betacoronavirus law Seizures medicine Humans Medical diagnosis Stroke Pandemics Referral and Consultation Retrospective Studies business.industry SARS-CoV-2 COVID-19 Retrospective cohort study Metabolic Encephalopathy Neuromuscular Diseases medicine.disease Intensive care unit Hospital Bed Capacity Emergency medicine Neurology (clinical) medicine.symptom Nervous System Diseases business Coronavirus Infections Brazil RC321-571 |
| Zdroj: | Arquivos de Neuro-Psiquiatria, Vol 78, Iss 8, Pp 494-500 (2020) Arquivos de Neuro-Psiquiatria v.78 n.8 2020 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO |
| ISSN: | 1678-4227 |
| Popis: | 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 Clínicas da Faculdade de Medicina da Universidade de São 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|