Parkinsono liga sergančių asmenų vakcinacija nuo Sars-cov-2 viruso, remiantis covpark-lt tyrimo rezultatais

Abstract

Background. COVID-19 in patients with Parkinson’s disease leads to worsening of symptoms and development of severe/critical conditions; its long-term consequences are still being investigated. Data on vaccination against SARS-Cov-2 in Parkinson’s disease are inconsistent. There are no publications on this topic regarding Lithuania. Materials and methods. The retrospective study COVPARK-LT was performed in the Vilnius University Hospital Santaros Clinics in 2022. Methods: analysis of anonymous data from electronic patient histories obtained during consultations for Parkinson’s disease in the out-patient department (form E025). Objective: To investigate COVID-19 vaccination status and associated factors in patients with Parkinson’s disease. Results. 173 patients were enrolled, 68 males (39.3%) and 105 females (60.7%), the average age of the cohort was 67.99±1.34 years, the duration of Parkinson’s disease was 7.73±0.54 years. The rate of vaccination against SARS-Cov-2 with at least one dose was 85.6% among study patients and 69.8% in the general population. The rate of full vaccination against SARS-Cov-2 was 81.5% in COVPARK-LT and 33.4% in the general population. The rate of laboratory-proven COVID-19 was 20% (N=5) in the non-vaccinated group of the cohort and 22.3% (N=33) in the vaccinated group (p=0.087). COVID-19 vaccine-negativity was associated with the history of vaccination against non-SARS-Cov-2 infections (odds ratio, OR: 0.18, p < 0.01), vaccination against influenza (OR: 0.21, p<0.01), male gender (OR: 0.68, p<0.05), male age (OR: 0.88, p<0.05), duration of Parkinson’s disease (OR: 1.1, p<0.001), and Parkinson’s disease stage according to Hoehn-Yahr (OR: 0.51, p<0.05). Conclusions. The rate of vaccination against SARS-Cov-2 was higher in the COVPARK-LT cohort patients than in the general population in Lithuania. Non-vaccinated status was positively associated with female gender, younger age in men and earlier stage of Parkinson’s disease according to Hoehn-Yahr staging. Vaccinated status was associated with vaccination against other infectious diseases (influenza, tick-borne encephalitis, pneumococcus). The rate of COVID-19 in the COVPARK-LT cohort did not differ between non-vaccinated and vaccinated patients with Parkinson’s disease.