Effects of COVID-19 Pandemic in Patients with a Previous Phrenic Nerve Transfer for a Traumatic Brachial Plexus Palsy.

IF 1.1 Q4 CLINICAL NEUROLOGY
Journal of Brachial Plexus and Peripheral Nerve Injury Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI:10.1055/s-0044-1787296
Mariano Socolovsky, Johnny Chuieng-Yi Lu, Francisco Zarra, Chen Kuan Wei, Tommy Nai-Jen Chang, David Chwei-Chin Chuang
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Abstract

Background  With the advent of the coronavirus disease 2019 (COVID-19) pandemic, some doubts have been raised regarding the potential respiratory problems that patients who previously underwent a phrenic nerve transfer could have. Objectives  To analyze the effects of the coronavirus infection on two populations, one from Argentina and another from Taiwan. Specific objectives were: (1) to identify the rate of COVID in patients with a history of phrenic nerve transfer for treatment of palsy; (2) to identify the overall symptom profile; (3) to compare Argentinian versus Taiwanese populations; and (4) to determine if any phrenic nerve transfer patients are at particular risk of more severe COVID. Methods  A telephonic survey that included data regarding the number of episodes of acute COVID-19 infection, the symptoms it caused, the presence or absence of potential or life-threatening complications, and the status of COVID-19 vaccination were studied. Intergroup comparisons were conducted using the nonparametric Mann-Whitney U test, with categorical variables conducted using either the Pearson χ2 analysis or the Fisher's exact test, as appropriate. Results  A total of 77 patients completed the survey, 40 from Taiwan and 37 from Argentina. Fifty-five (71.4%) developed a diagnosis of COVID. However, among these, only four had any level of dyspnea reported (4/55 = 7.3%), all mild. There were also no admissions to hospital or an intensive care unit, no intubations, and no deaths. All 55 patients isolated themselves at home. Conclusions  It can be concluded that an acute COVID-19 infection was very well tolerated in our patients. (Level of evidence 3b, case reports).

COVID-19 大流行对曾因外伤性臂丛神经麻痹而进行膈神经转移的患者的影响。
背景 随着冠状病毒病 2019(COVID-19)大流行的到来,人们对之前接受过膈神经转移术的患者可能出现的呼吸系统问题产生了一些疑虑。目标 分析冠状病毒感染对阿根廷和台湾两个人群的影响。具体目标是(1) 确定曾因治疗麻痹而进行膈神经转移的患者中 COVID 的发病率;(2) 确定总体症状特征;(3) 比较阿根廷和台湾的人群;(4) 确定是否有膈神经转移患者特别容易出现更严重的 COVID。方法 通过电话调查研究了有关 COVID-19 急性感染的发病次数、引起的症状、有无潜在或危及生命的并发症以及 COVID-19 疫苗接种情况等数据。组间比较采用非参数 Mann-Whitney U 检验,分类变量采用 Pearson χ2 分析或费雪精确检验(视情况而定)。结果 共有 77 名患者完成了调查,其中 40 人来自台湾,37 人来自阿根廷。55人(71.4%)确诊为COVID。然而,其中只有 4 名患者有任何程度的呼吸困难报告(4/55 = 7.3%),且均为轻度呼吸困难。此外,没有人入院或住进重症监护室,没有人插管,也没有人死亡。所有 55 名患者都在家中自行隔离。结论 我们的患者对 COVID-19 急性感染的耐受性非常好。(证据级别 3b,病例报告)。
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来源期刊
CiteScore
1.70
自引率
14.30%
发文量
6
审稿时长
12 weeks
期刊介绍: JBPPNI is an open access, peer-reviewed online journal that will encompass all aspects of basic and clinical research findings, in the area of brachial plexus and peripheral nerve injury. Injury in this context refers to congenital, inflammatory, traumatic, degenerative and neoplastic processes, including neurofibromatosis. Papers on diagnostic and imaging aspects of the peripheral nervous system are welcomed as well. The peripheral nervous system is unique in its complexity and scope of influence. There are areas of interest in the anatomy, physiology, metabolism, phylogeny, and limb growth tropism of peripheral nerves.
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