ABSTRACT
Background & Objective: The late-term neurological effects of COVID-19 are not fully understood yet. Herein, we aimed to determine if COVID-19-related acute and late-term neurological symptoms exist in the patient group that differs from the general population during the pandemic period. Methods: Two hundred fifty patients with a history of COVID-19, whose treatments were completed at least one month before enrollment, were examined together with a control group consisting of 150 individuals that lived in the same socio-cultural environment during the same period. A survey that included questions about possible neurological symptoms that might be related to the COVID-19 infection was completed in both groups. Results: The patient and control groups were mostly similar regarding the neurological symptoms in the pre-pandemic period. The control group did not report any new symptoms except ageusia during the pandemic period. Whereas a number of neurological symptoms such as headache, ageusia and anosmia, difficulty in thinking and planning, forgetfulness, clumsiness of one or both hands, dizziness, unsteadiness, numbness in both hands and feet, and neuropathic pain occurred during the infection. Neurological symptoms, except headache and unsteadiness, prolonged to the late-term with a decreased prevalence. Conclusion: The emergence of new neurological symptoms during the pandemic in those with COVID-19 disease, unlike the control group, suggested that these symptoms are related to the infection itself. © 2023, ASEAN Neurological Association. All rights reserved.
ABSTRACT
Coronavirus disease (COVID-19) caused by a new coronavirus, SARS-CoV-2, has become a serious health problem throughout the world. Although COVID-19 primarily presents as an acute respiratory tract infection, many neurological findings have also been described in patients. Neurological findings are classified into three groups as central, peripheral nervous system and musculoskeletal system. The most common central nervous system symptom is headache. Encephalitis, encephalopathy, seizures, acute ischemic stroke are also seen. The most common symptoms in the peripheral nervous system are loss of smell and taste. Myalgia, myositis and rhabdomyolysis also can be seen in musculoskeletal system involvement. Awareness of the neurological symptoms by physicians will be beneficial in early diagnosis and treatment of the disease.Copyright © 2022 Ankara Pediatric Hematology Oncology Training and Research Hospital. All rights reserved.
ABSTRACT
Coronavirus disease (COVID-19) caused by a new coronavirus, SARS-CoV-2, has become a serious health problem throughout the world. Although COVID-19 primarily presents as an acute respiratory tract infection, many neurological findings have also been described in patients. Neurological findings are classified into three groups as central, peripheral nervous system and musculoskeletal system. The most common central nervous system symptom is headache. Encephalitis, encephalopathy, seizures, acute ischemic stroke are also seen. The most common symptoms in the peripheral nervous system are loss of smell and taste. Myalgia, myositis and rhabdomyolysis also can be seen in musculoskeletal system involvement. Awareness of the neurological symptoms by physicians will be beneficial in early diagnosis and treatment of the disease.
ABSTRACT
Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 first reported from South East London has a wide spectrum of neurological signs and symptoms including headache, impaired consciousness, aseptic meningitis, encephalitis, seizure, ataxia, and stroke. It is important to diagnose these patients as soon as possible and treat them with a multidisciplinary ap-proach. A few studies have reported post-discharge follow-up data in MIS-C patients with neurological symptoms most of whom showed neurological improvement. Long-term follow-up of MIS-C patients is required to determine possible neurological sequelae. Copyright © 2022 Ankara Pediatric Hematology Oncology Training and Research Hospital. All rights reserved.
ABSTRACT
Coronavirus disease (COVID-19) caused by a new coronavirus, SARS-CoV-2, has become a serious health problem throughout the world. Although COVID-19 primarily presents as an acute respiratory tract infection, many neurological findings have also been described in patients. Neurological findings are classified into three groups as central, peripheral nervous system and musculoskeletal system. The most common central nervous system symptom is headache. Encephalitis, encephalopathy, seizures, acute ischemic stroke are also seen. The most common symptoms in the peripheral nervous system are loss of smell and taste. Myalgia, myositis and rhabdomyolysis also can be seen in musculoskeletal system involvement. Awareness of the neurological symptoms by physicians will be beneficial in early diagnosis and treatment of the disease. Copyright © 2022 Ankara Pediatric Hematology Oncology Training and Research Hospital. All rights reserved.
ABSTRACT
BACKGROUND AND AIM: Obstructive sleep apnea (OSA), having an increased inflammatory state due to an imbalance between sympathetic and parasympathetic activity, intermittent hypoxia, and increased cytokines, may aggravate the immune response for COVID-19 infection. Our aim was to evaluate the effect of OSA upon inflammatory response and length of stay in patients with favorable outcomes. METHODS: Patients admitted to an outpatient clinic after being hospitalized for treatment of COVID-19 were included consecutively in this cross-sectional multicenter observational study. STOP-Bang Questionnaire and a cut-off value of 3 points were used to identify patients with a high risk of OSA. RESULTS: Study population consisted of 201 patients with a median STOP-Bang score of 2.0 (1.0-4.0) points. According to the cut-off value of 3 points, 94 (46.8%) patients were classified as high-risk OSA patients. High-risk OSA patients were older, had many comorbidities such as hypertension, coronary artery disease, and diabetes mellitus, had higher serum D-dimer, ferritin, C-reactive protein, and procalcitonin measurements, and had a longer hospital stay. Possible risk factors associated with length of stay were age, lymphocyte count, and total STOP-Bang score. Multivariable analysis revealed that a 1 point increase in STOP-Bang score results in a 0.43 day longer hospital stay. CONCLUSIONS: Prevalence of OSA within COVID-19 patients with favorable outcomes is similar to the general population. However, the length of stay is related to the presence of high-risk OSA. Our study, therefore, suggests that OSA is related to delayed improvement of COVID-19 infection.
ABSTRACT
Objective: To reveal how the coronavirus disease- 2019 pandemic has affected the characteristics of patient visits by comparing profiles in a pediatric emergency department (ED). Material and Methods: The period between March 11, 2020, and June 1, 2020, and the same timeframe in 2019 were retrospectively evaluated. For each day, the total number of ED visits was calculated. Patient gender, age, time of ED visit, triage priority, arrival characteristics, diagnostic codes, and hospital admissions for each day's visits were recorded and the proportion was calculated for each parameter. Results: During the study period, ED visits declined by 80.8% in comparison to the previous year. In terms of diagnoses, in 2020, there was a decrease in the mean daily number and proportion of patients diagnosed with infectious diseases (p<0.05). In terms of traumatic injuries, there was a decrease in the number of visits in 2020, but the overall rate had increased, being 14.7% in 2019 and 18.4% in 2020. There was a decrease in the rate of visitors with green codes (p<0.001), but there was an increase in yellow codes (p<0.001) and no difference in red codes (p= 0.980). The proportion of hospitalizations also increased while the total number declined (p<0.05). Conclusion: During the pandemic period, our pediatric ED experienced a significantly decreased volume of visitors presenting with low-acuity conditions. Understanding the frequency and distribution of ED visits can help shape public health preparedness policies such as healthcare planning to ensure the availability of resources. Copyright © 2022 by Türkiye Klinikleri.
ABSTRACT
The emergence of the Covid-19 pandemic in China, it has become an important public health problem globally, causing many organizations to be canceled, education and workplace restrictions, and curfews to be declared. This study aims to determine the relationship between the anxiety of catching Covid-19 in athletes and their attitudes towards nutrition. The study group consists of 227 athletes studying in the field of sports sciences. To determine the demographic information of the athletes in the research, "Personal Information Form", "Scale of Athletes' Anxiety of catching New Type Coronavirus (Covid-19)" and "Attitude Scale towards Healthy Eating" were used. In the analysis of the data, distribution characteristics were determined and the suitability of parametric tests was reviewed, independent sample t-test, ANOVA test, Pearson correlation analysis, and simple linear regression analysis were used to determine the relationship between variables. It is seen that those who have sufficient knowledge about Covid-19 have higher average scores on knowledge about nutrition, positive nutrition, and nutrition than those who do not have sufficient knowledge. It has been determined that there are negative significant relationships between the individual anxiety, socialization anxiety, and total anxiety of catching Covid-19 of the athletes and their attitudes towards nutrition detected.
ABSTRACT
The aim: of this study was to determine the satisfaction with nursing care among patients diagnosed with Covid-19 and related factors. Materials and Methods: The study was conducted between June and July 2020. The population of the study consisted of 102 patients treated in the Covid-19 clinics of the University Teaching and Research Hospital. The data were collected using the Newcastle Satisfaction with Nursing Care Scale with a total of 19 items, and the Patient Description Form designed to record the sociodemographic characteristics and medical histories. The data were evaluated using the program package IBM SPSS 20.0. To test the significance of the difference between two independent groups, the Student's t-test was used, and the one-way ANOVA was used to test the significance of the difference between more than two groups.
ABSTRACT
Objective: Coronavirus disease-2019 (COVID-19) is a global pandemic that affects worldwide. Most patients who need intensive care due to COVID-19 develop acute respiratory distress syndrome and patients need long-term mechanical ventilation. This situation increases the risk of dysphagia, aspiration, and aspiration pneumonia in patients. Information about COVID-19-associated dysphagia is still limited. Thus, this study aimed to evaluate the frequency of postextubation dysphagia (PED) and its effect on clinical outcomes. Materials and Methods: Patients with COVID-19 in the adult intensive care unit (ICU) who were left on a mechanical ventilator for at least 24 h and are extubated were retrospectively screened. Gugging swallowing screen (GUSS) test was performed 24 h after extubation to evaluate swallowing function. Patients were examined in two groups as with and without dysphagia. Results: This study included 40 patients who were followed up on a mechanical ventilator and extubated due to COVID-19. According to the bedside GUSS test results, patients were divided into two groups as dysphagia group (n=24) and the non-dysphagia group (n=16). The mean age was higher in the dysphagia group (p<0.001). Re-intubation rate and ICU, and in-hospital mortality were higher in the dysphagia group (p<0.001 for all), whereas the length of stay in the ICU and mechanical ventilation time were longer (p=0.005 and p=0.001). ICU mortality was higher in patients with severe dysphagia (p=0.026). Conclusion: Our study revealed that the risk of PED increased with the age of patients with COVID-19 and PED increased the incidence of re-intubation, which was an important prognostic parameter that indicates mortality. Recognizing dysphagia with the early evaluation of swallowing in extubated patients with COVID-19 diagnosis is important to minimize the risk of aspiration pneumonia with proper nutrition, reduce the increased health cost, and prevent poor clinical outcomes. © 2021 by Turkish Neurological Society.