León-García Rodrigo, Ortega-Robles Emmanuel, Arias-Carrión Oscar
Unidad de Trastornos del Movimiento y Sueño, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Mexico City 14080, Mexico.
Brain Sci. 2023 Jul 22;13(7):1114. doi: 10.3390/brainsci13071114.
The COVID-19 pandemic introduced unprecedented challenges in managing patients with Parkinson's disease (PD) due to disruptions in healthcare services and the need for social distancing. Understanding the effects of COVID-19 on PD symptoms is crucial for optimizing patient care. We conducted a comprehensive analysis of the data obtained during the period of COVID-19 lockdown, comparing it with analogous timeframes in 2018 and 2019. Our objective was to examine the influence of this unique circumstance on both motor and non-motor symptoms in patients with PD. Telemedicine was employed to assess symptoms using the Movement Disorder Society-sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS). Our findings revealed a notable worsening of symptoms, evidenced by a significant increase in the total MDS-UPDRS score. Specifically, there was an increase in Part III scores, reflecting changes in motor function. However, no differences were observed in Parts I or II, which pertain to non-motor symptoms. Additionally, patient satisfaction and the feasibility of telemedicine consultations were high, highlighting the efficacy of this alternative approach during the pandemic. The COVID-19 pandemic had a discernible impact on PD symptoms, with a significant worsening of motor symptoms observed during the lockdown period. Telemedicine was a valuable tool for remote assessment and follow-up, ensuring continuity of care for individuals with PD in the face of pandemic-related challenges.
由于医疗服务中断以及社交距离的要求，新冠疫情给帕金森病（PD）患者的管理带来了前所未有的挑战。了解新冠疫情对帕金森病症状的影响对于优化患者护理至关重要。我们对新冠疫情封锁期间获得的数据进行了全面分析，并将其与2018年和2019年的类似时间段进行比较。我们的目标是研究这种特殊情况对帕金森病患者运动和非运动症状的影响。采用远程医疗，使用运动障碍协会赞助的统一帕金森病评定量表（MDS-UPDRS）来评估症状。我们的研究结果显示症状明显恶化，MDS-UPDRS总分显著增加就是证明。具体而言，第三部分得分增加，反映了运动功能的变化。然而，与非运动症状相关的第一部分和第二部分未观察到差异。此外，患者满意度和远程医疗咨询的可行性较高，凸显了这种替代方法在疫情期间的有效性。新冠疫情对帕金森病症状有明显影响，在封锁期间观察到运动症状显著恶化。远程医疗是远程评估和随访的宝贵工具，在面对与疫情相关的挑战时确保了帕金森病患者护理的连续性。
