在SARS-CoV-2Omicron亚变体中神经学表现的横截面-单中心研究
Justyna Jachman-Kapułka1, Aleksander Zińczuk2, Krzysztof Simon2,3
16th Department of Internal Medicine, J. Gromkowski Specialist Regional Hospital, 51-149 Wroclaw, Poland.
Brain sciences
|November 27, 2024
概括
在Omicron变种期间,神经症状如妄和中风的频率增加了.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 众所周知,SARS-CoV-2的Omicron变种具有持续的突变.
- 新菌株表现出不同的神经病原性和神经疾病谱.
研究的目的:
- 评估在Omicron统治期间住院患者的神经症状的频率和临床特征.
- 为了比较三个不同的Omicron亚变体时期的这些表现.
主要方法:
- 这是一项对426名住院COVID-19患者的回顾性单中心研究.
- 根据波兰的Omicron亚变体主导地位,患者被分为三个时期.
- 收集和分析了聚焦神经症状的人口和临床数据.
主要成果:
- 神经症状发生在55.4%的患者中, Delirium,头痛,肌痛,头,脑血管疾病和脑病变是最常见的.
- 随后的Omicron周期显示出狂妄症,过时性缺血性发作 (TIA) 和脑病变的频率增加.
- 头痛和肌痛与更短的住院时间相关,而妄想,脑血管疾病和缺血性中风与更高的死亡风险有关.
结论:
- 奥米克朗变种导致广泛的神经问题.
- 尽管COVID-19的生存率有所改善,神经系统表现的发生率正在上升.
- 痴呆症,脑血管疾病和缺血性中风显著增加死亡风险.
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