Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario

Background: There are multisystemic consequences secondary to SARS- CoV-2 infection. Aim: To characterize neurological complications in patients admitted due to SARS-CoV-2 infection. Methods: Review of medical records of patients aged over 15 years with COVID-19 evaluated by the neurology team be...

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Autores principales:	Godoy-Santín,Jaime, Bravo-Grau,Sebastián, Nuñez,Felipe, Aguilar,Cecilia, Gutiérrez,Diego, Miranda,Héctor, Sandoval-Rubio,Patricio, Ramos,Bernardita, García A.,Lorena, Andresen,Max, Mellado,Patricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	COVID-19 Delirium Neurology Seizures Stroke
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400527
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spelling	oai:scielo:S0034-988720210004005272021-08-26Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitarioGodoy-Santín,JaimeBravo-Grau,SebastiánNuñez,FelipeAguilar,CeciliaGutiérrez,DiegoMiranda,HéctorSandoval-Rubio,PatricioRamos,BernarditaGarcía A.,LorenaAndresen,MaxMellado,Patricio COVID-19 Delirium Neurology Seizures Stroke Background: There are multisystemic consequences secondary to SARS- CoV-2 infection. Aim: To characterize neurological complications in patients admitted due to SARS-CoV-2 infection. Methods: Review of medical records of patients aged over 15 years with COVID-19 evaluated by the neurology team between April and August 2020 at a university hospital. Severity of the infection, referral reasons, neurological diagnoses and laboratory results were registered. The diagnoses were defined by consensus among the members of the hospital neurology group. Cerebrovascular and inflammatory diseases of the central and peripheral nervous system were defined as “probably associated” or “possibly associated” to COVID-19. Results: Ninety-six patients had at least 1 new neu- rological complication. 74% were admitted due to pneumonia and 20% due to a neurological disease. The most common reasons for neurological referral were impaired consciousness (39%), focal neurological deficit (24%), headache (9%) and seizures (5%). The most relevant neurological diagnoses were delirium in 48 patients, stroke in 24, critical illness polyneuropathy and myopathy in 17, seizures in 14, brachial plexopathy in 3, compressive neuropathies in 5, encephalitis in 1, possible vasculitis in 1 and Guillain-Barré syndrome in 1. Stroke and epilepsy were associated with increased length of hospital stay, but without differences in mortality. Conclusions: The spectrum of neurological complications of COVID-19 is wide. There are clinical entities typical of critically ill patients and also diseases associated directly and indirectly with the SARS-CoV2 infection.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.4 20212021-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400527es10.4067/s0034-98872021000400527
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	COVID-19 Delirium Neurology Seizures Stroke
spellingShingle	COVID-19 Delirium Neurology Seizures Stroke Godoy-Santín,Jaime Bravo-Grau,Sebastián Nuñez,Felipe Aguilar,Cecilia Gutiérrez,Diego Miranda,Héctor Sandoval-Rubio,Patricio Ramos,Bernardita García A.,Lorena Andresen,Max Mellado,Patricio Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
description	Background: There are multisystemic consequences secondary to SARS- CoV-2 infection. Aim: To characterize neurological complications in patients admitted due to SARS-CoV-2 infection. Methods: Review of medical records of patients aged over 15 years with COVID-19 evaluated by the neurology team between April and August 2020 at a university hospital. Severity of the infection, referral reasons, neurological diagnoses and laboratory results were registered. The diagnoses were defined by consensus among the members of the hospital neurology group. Cerebrovascular and inflammatory diseases of the central and peripheral nervous system were defined as “probably associated” or “possibly associated” to COVID-19. Results: Ninety-six patients had at least 1 new neu- rological complication. 74% were admitted due to pneumonia and 20% due to a neurological disease. The most common reasons for neurological referral were impaired consciousness (39%), focal neurological deficit (24%), headache (9%) and seizures (5%). The most relevant neurological diagnoses were delirium in 48 patients, stroke in 24, critical illness polyneuropathy and myopathy in 17, seizures in 14, brachial plexopathy in 3, compressive neuropathies in 5, encephalitis in 1, possible vasculitis in 1 and Guillain-Barré syndrome in 1. Stroke and epilepsy were associated with increased length of hospital stay, but without differences in mortality. Conclusions: The spectrum of neurological complications of COVID-19 is wide. There are clinical entities typical of critically ill patients and also diseases associated directly and indirectly with the SARS-CoV2 infection.
author	Godoy-Santín,Jaime Bravo-Grau,Sebastián Nuñez,Felipe Aguilar,Cecilia Gutiérrez,Diego Miranda,Héctor Sandoval-Rubio,Patricio Ramos,Bernardita García A.,Lorena Andresen,Max Mellado,Patricio
author_facet	Godoy-Santín,Jaime Bravo-Grau,Sebastián Nuñez,Felipe Aguilar,Cecilia Gutiérrez,Diego Miranda,Héctor Sandoval-Rubio,Patricio Ramos,Bernardita García A.,Lorena Andresen,Max Mellado,Patricio
author_sort	Godoy-Santín,Jaime
title	Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
title_short	Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
title_full	Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
title_fullStr	Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
title_full_unstemmed	Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario
title_sort	neurología hospitalaria y covid-19: serie de 96 pacientes evaluados en un hospital universitario
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400527
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Neurología hospitalaria y COVID-19: serie de 96 pacientes evaluados en un hospital universitario

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