Neurological Manifestations of Patients Hospitalized with Coronavirus Disease 2019 in Babol, Iran

Abstract

Background: The coronavirus disease 2019 (COVID-19) has been associated with a wide range of clinical symptoms. Objectives: The present study aims to investigate the neurological manifestations among patients hospitalized with COVID-19 in Rouhani Hospital in Babol. Methods: This is a descriptive cross-sectional survey conducted in March and April 2020 on patients admitted to Rouhani Hospital in Babol with COVID-19. A number of 230 medical records were selected randomly from a list. The data were collected using the demographic characteristics questionnaire and a checklist for the neurological symptoms. Results: Among the 230 patients with COVID-19 (mean [SD] age, 59.85 [16.22] years; 138 men [60%]), 127 (56%) patients had at least one neurologic symptom. The most common symptoms of the central nervous system disorder were headache (34%), dizziness (25%), and impaired consciousness (20%), and the most prevalent symptoms of the peripheral nervous system disorder were taste impairment (17%) and smell impairment (16%). The occurrence of transient ischemic attack (TIA) in women was significantly higher than in men (P = 0.02). Moreover, the incidence of dizziness, impaired consciousness, ataxia, cerebrovascular accident (CVA), anorexia, and smell impairment had a significant relationship with age (P < 0.05). Conclusions: The neurological manifestations are prevalent and substantial among patients with COVID-19. Therefore, it is suggested that the healthcare workers take these symptoms seriously, especially in the outbreak of COVID-19, and take the pertinent preventive and protective measures.

Principais complicações da covid-19 e implicações futuras: revisão integrativa

“…(A) Caracterização das complicações da COVID-19, em adultos e idosos, no período de convalescência: identificaram-se seis principais tipos de complicações: (1) complicações neurológicas -encefalopatia aguda, acidente vascular encefálico, delírio, cefaleia, anosmia, convulsões, meningite, neuropatia, encefalite, coma, mielopatia, polineuropatia, neuropatia, tontura, consciência prejudicada, agitação, confusão (16)(17)20,22) (2) complicações respiratóriasinsuficiência respiratória, embolia pulmonar aguda (14)(15)(18)(19) (3) complicações psiquiátricasansiedade, insônia, transtornos de humor e ideação suicida (14,17) (4) complicações cardiovasculares -insuficiência cardíaca, hipertensão arterial (18) (5) complicações nutricionais -desnutrição, anorexia (14,(21)(22) (6) complicações musculares -mialgia, dor (17) . Dentre estas, destacaram-se as complicações respiratórias (14)(15)(18)(19) e neurológicas, com predomínio da encefalopatia e o acidente vascular encefálico (16)(17)20,22) . Obtiveram o óbito como desfecho, principalmente, a embolia pulmonar aguda (18) , delírio (16) e a insuficiência cardíaca (15) .…”

“…Neste ínterim, recomenda-se uma avaliação dos pacientes , que testarem positivo para a COVID-19 e possuem tanto doença neurológica de base, quanto aqueles que começaram a apresentar sinais e sintomas neurológicos, como cefaleia, confusão mental, parestesia, sem doença ou quaisquer alterações neurológicas prévias, afim de evitar complicações futuras, buscando a prevenção e o tratamento eficaz, para um melhor desfecho clínico dos pacientes acometidos pela COVID-19 (16)(17)20,22) .…”

The Effect of Flipped Learning Method on Self-care of Patients with Type 2 Diabetes

“…The present study was designed to determine the effect of the flipped learning method on the self-care of patients with type 2 diabetes since the treatment of a chronic disease depends to a large extent on the self-care behavior of individuals (2,26) and various studies show that the self-care status of diabetic patients is not at an acceptable level, i.e., they do not perform self-care completely and regularly, and patients have little self-care ability (27,28), and also considering the importance of diabetes and its prevalence in society, its complex complications, and the loss in the economic power of families.…”