TY  - JOUR
TI  - Patient Management in Neurology Intensive Care During COVID-19 Pandemic Period
AB  - Objective: This study aims to evaluate data from coronavirus disease-2019 (COVID-19) patients with neurological manifestations hospitalized in the intensive care unit (ICU). Materials and Methods: The study included data from COVID-19 patients with neurological manifestations hospitalized in ICU. Patients’ demographic characteristics, risk factors, laboratory results, treatment methods, mechanical ventilation methods, use of non-invasive techniques to meet O 2 requirements, clinical outcome at discharge and after three months, and mortality rates were evaluated. Results: The study included 25 patients. Mean age of the patients was 66.76±12.93. Fifty two percent of the patients were male. Of the patients 96% had a positive polymerase chain reaction test, and 92% had lung involvement. The comorbidities of the patients were hypertension (48%), diabetes mellitus (28%), coronary artery disease (28%), cerebrovascular disease (20%), cancer (20%), and chronic obstructive pulmonary disease (12%). Seventy two percent of the patients presented with stroke. Of the patients %12 presented with encephalopathy, whereas patients with epilepsy and myasthenia gravis accounted for 8%. Patients’ average length of stay in ICU was 13.16±12.44 days. Pressure-synchronized intermittent mandatory ventilation mode was used in 56% of patients. Number of intubation days was 9.5±12.26. All patients were treated with favipiravir and antiaggregant, 92% with steroids and antibacterial therapy, 52% with antiaggregant, 20% with plasma therapy, 8% with cytokine filter and immunoglobulin therapy, and 4% with monoclonal antibody therapy. During hospitalization, mortality rate was 48%, good clinical outcome rate was 36%. Conclusion: The rates of poor clinical outcomes are seen to be high during in-hospital treatment and follow-up of COVID-19 patients presenting with neurological symptoms, as well as at discharge.
AU  - MEMMEDOVA, FERGANE
AU  - Altuntaş KAYA, Fatma
AU  - GER AKARSU, FATMA
AU  - aykaç, özlem
AU  - Ozdemir, Atilla Ozcan
AU  - JAFAROVA, ULVIYYAT
AU  - Arı Sevingil, semra
AU  - Mehdiyev, Zaur
DO  - 10.4274/tnd.2022.43420
PY  - 2022
JO  - Türk Nöroloji Dergisi
VL  - 28
IS  - 2
SN  - 1301-062X
SP  - 78
EP  - 83
DB  - TRDizin
UR  - http://search/yayin/detay/1176053
ER  -