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Altered mental status in 71 deaths due to COVID-19.
Tyson, Brad; Erdodi, Laszlo; Ray, Sudeshna; Agarwal, Pinky.
Afiliación
  • Tyson B; Evergreen Neuroscience Institute, Evergreen Health Medical Center, Kirkland, WA, USA.
  • Erdodi L; Department of Psychology, University of Windsor, Windsor, ON, Canada.
  • Ray S; Evergreen Neuroscience Institute, Evergreen Health Medical Center, Kirkland, WA, USA.
  • Agarwal P; Evergreen Neuroscience Institute, Evergreen Health Medical Center, Kirkland, WA, USA.
Int J Neurosci ; 132(6): 539-542, 2022 Jun.
Article en En | MEDLINE | ID: mdl-32985311
ABSTRACT

OBJECTIVE:

The purpose of this study was to investigate the occurrence of neurologic symptoms with a focus on altered mental status in a sample of deaths due to COVID-19.

METHODS:

We reviewed neurologic symptoms in 71 deaths due to COVID-19 at the first US hospital with reported cases, of which 66 (93%) had medical comorbidities, 47 (66%) came from assisted living facilities or nursing homes and 35 (49%) had baseline dementia.

RESULTS:

Sixty-one patients (86%) demonstrated neurologic symptoms at hospital admission. Altered mental status was seen in 47 patients (66%) and represented the most common neurologic symptom. Seven patients (10%) were comatose at hospital admission and 5 (7%) presented with altered mental status without respiratory symptoms. Three patients had seizures and two had strokes. Hypertension (61%), cardiovascular disease (59%), and dementia (49%) were the most common comorbidities associated with death due to COVID-19 in our sample.

CONCLUSIONS:

Neurologic symptoms, particularly altered mental status, are very common in COVID-19 patients with high risk of mortality. In a small subset of patients, altered mental status is the defining feature of disease presentation. A mental status examination should be incorporated in the medical assessment of COVID-19.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Demencia / COVID-19 Tipo de estudio: Etiology_studies Límite: Humans Idioma: En Revista: Int J Neurosci Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Demencia / COVID-19 Tipo de estudio: Etiology_studies Límite: Humans Idioma: En Revista: Int J Neurosci Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos