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Войти в исследования Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Studart-Neto Adalberto, Guedes Bruno Fukelmann, Tuma Raphael de Luca E, Camelo Filho Antonio Edvan, Kubota Gabriel Taricani, Iepsen Bruno Diógenes, Moreira Gabriela Pantaleão, Rodrigues Júlia Chartouni, Ferrari Maíra Medeiros Honorato, Carra Rafael Bernhart, Spera Raphael Ribeiro, Oku Mariana Hiromi Manoel, Terrim Sara, Lopes Cesar Castello Branco, Passos Neto Carlos Eduardo Borges, Fiorentino Matheus Dalben, DE Souza Julia Carvalhinho Carlos, Baima José Pedro Soares, DA Silva Tomás Fraga Ferreira, Moreno Cristiane Araujo Martins, Silva Andre Macedo Serafim, Heise Carlos Otto, MendonÇa Rodrigo Holanda, Fortini Ida, Smid Jerusa, Adoni Tarso, GonÇalves Marcia Rubia Rodrigues, Pereira Samira Luisa Apóstolos, Pinto Lecio Figueira, Gomes Helio Rodrigues, Zanoteli Edmar, Brucki Sonia Maria Dozzi, Conforto Adriana Bastos, Castro Luiz Henrique Martins, Nitrini Ricardo
Аннотация
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.