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COVID-19 住院后出院后持续性头痛和嗅觉或味觉障碍:一项单中心研究。

Post-discharge persistent headache and smell or taste dysfunction after hospitalisation for COVID-19: a single-centre study.

机构信息

Department of Neurology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Selimiye, Tıbbiye Cd No:23, 34668 Üsküdar, Istanbul, Turkey.

出版信息

Ir J Med Sci. 2023 Feb;192(1):369-375. doi: 10.1007/s11845-022-02980-5. Epub 2022 Mar 19.

Abstract

OBJECTIVES

To evaluate the frequency, characteristics, and persistence of headache in coronavirus disease-19 (COVID-19) patients who are hospitalised and to determine if there is a link between headache and smell and/or taste dysfunction.

MATERIALS AND METHODS

In April and May 2020, patients who were hospitalised due to COVID-19 and had headache complaints were evaluated by a neurologist. In addition to clinical COVID-19 features, the characteristics and course of the patients' headaches were evaluated. The patients were contacted by phone 3 months after they were discharged from the hospital to determine the persistence of their symptoms.

RESULTS

Eighty-five patients were included in the study, 54.1% were female; the mean age was 47.5 ± 13.9 years (between the ages of 21 and 84). Fifty-four patients (65.3%) presented with smell and/or taste dysfunction, and 14 patients (n = 14, 25.9%) still reported that dysfunction 3 months later. Moreover, 17 (20%) still had headaches 3 months after being discharged from the hospital. Persistent smell/taste disorders were significantly (p < 0.001) more frequent in patients with persistent headaches (59%) compared to those without (6%) (p < 0.001).

CONCLUSION

In this prospective study in COVID-19 patients presenting with headache upon admission, a correlation between persistent headache 3 months after discharge and persistent smell/taste dysfunction was found that could point to common underlying pathophysiology.

摘要

目的

评估因 COVID-19 住院的患者头痛的频率、特征和持续性,并确定头痛与嗅觉和/或味觉障碍之间是否存在关联。

材料和方法

2020 年 4 月至 5 月,对因 COVID-19 住院并伴有头痛主诉的患者由神经科医生进行评估。除了临床 COVID-19 特征外,还评估了患者头痛的特征和病程。在患者出院 3 个月后通过电话联系他们以确定其症状的持续性。

结果

该研究共纳入 85 例患者,54.1%为女性;平均年龄为 47.5±13.9 岁(年龄在 21 至 84 岁之间)。54 例患者(65.3%)出现嗅觉和/或味觉障碍,14 例患者(n=14,25.9%)在 3 个月后仍报告存在这种障碍。此外,17 例(20%)在出院后 3 个月仍有头痛。与无持续性头痛(6%)的患者相比,持续性头痛(59%)患者的持续性嗅觉/味觉障碍明显更常见(p<0.001)(p<0.001)。

结论

在这项针对因入院时头痛而住院的 COVID-19 患者的前瞻性研究中,发现出院后 3 个月持续性头痛与持续性嗅觉/味觉障碍之间存在相关性,这可能表明存在共同的潜在病理生理学机制。

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