新冠后综合征患者神经科门诊——首批100例患者的临床表现报告

A Neurological Outpatient Clinic for Patients With Post-COVID-19 Syndrome - A Report on the Clinical Presentations of the First 100 Patients.

作者信息

Boesl Fabian, Audebert Heinrich, Endres Matthias, Prüss Harald, Franke Christiana

机构信息

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Center for Stroke Research Berlin, Berlin, Germany.

出版信息

Front Neurol. 2021 Sep 16;12:738405. doi: 10.3389/fneur.2021.738405. eCollection 2021.

Abstract

Neurological and psychiatric symptoms are frequent in patients with post-COVID-19 syndrome (PCS). Here, we report on the clinical presentation of the first 100 patients who presented to our PCS Neurology outpatient clinic ≥12 weeks after the acute infection with SARS-CoV-2. To date, PCS is only defined by temporal connection to SARS-CoV-2 infection. Identification of clinical phenotypes and subgroups of PCS is urgently needed. We assessed clinical data of our first 100 ambulatory patients regarding clinical presentations; self-questionnaires focusing on daytime sleepiness, mood, and fatigue; and a screening assessment for detecting cognitive impairment. A total of 89% of the patients presenting to the Neurology outpatient clinic had an initially mild course of COVID-19 and had not been hospitalized. The majority of the patients were female (67 vs. 33% male). The most frequent symptom reported was cognitive impairment (72%). There were 30% of patients who reported cognitive deficits and scored below 26 points on the Montreal Cognitive Assessment Scale. Fatigue (67%), headache (36%), and persisting hyposmia (36%) were also frequently reported; 5.5% of all patients showed signs of severe depression. To our knowledge, this is the first report of patient data of a PCS Neurology outpatient clinic. Neurological sequelae also exist for more than 3 months after mainly mild SARS-CoV-2 acute infections. The reported symptoms are in accordance with recently published data of hospitalized patients.

摘要

新冠后综合征(PCS)患者常出现神经和精神症状。在此,我们报告了首批100例在感染SARS-CoV-2急性感染≥12周后前来我们PCS神经科门诊就诊患者的临床表现。迄今为止,PCS仅通过与SARS-CoV-2感染的时间关联来定义。迫切需要识别PCS的临床表型和亚组。我们评估了首批100例门诊患者的临床数据,包括临床表现;聚焦日间嗜睡、情绪和疲劳的自我调查问卷;以及用于检测认知障碍的筛查评估。前来神经科门诊就诊的患者中,共有89%的患者最初新冠病情较轻且未住院。大多数患者为女性(67%,男性为33%)。报告最常见的症状是认知障碍(72%)。有30%的患者报告有认知缺陷且在蒙特利尔认知评估量表上得分低于26分。疲劳(67%)、头痛(36%)和持续嗅觉减退(36%)也经常被报告;所有患者中有5.5%表现出重度抑郁的迹象。据我们所知,这是PCS神经科门诊患者数据的首份报告。在主要为轻度的SARS-CoV-2急性感染后,神经后遗症也会持续超过3个月。报告的症状与最近发表的住院患者数据一致。

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