Clinical profile of COVID-19 infection among persons with spinal cord injury: a case series.

IF 0.7 Q4 CLINICAL NEUROLOGY
Chinzah Zonunsanga, Vanlal Hruaii, Joseph Chhakchhuak Vanlalsanga, Lalnuntluanga Sailo, Asem Rangita Chanu
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Abstract

Study design: Retrospective case series.

Objective: To report the clinical features and outcomes of spinal cord injury (SCI) patients with COVID-19 and to see if they are any different from COVID-19 in the general population.

Setting: A tertiary care hospital in North-East India.

Methods: Data of already diagnosed traumatic SCI patients with COVID-19 infection reporting to the COVID-19 management team (from June 2021 to November 2021) were collected. The source of data was hospital records (admitted patients) and home visits and teleconsultation logs (home isolation patients).

Results: There were eight traumatic SCI patients (five admitted, three in home isolation) with COVID-19 infection. Four patients had complete injury with American Spinal Injury Association Impairment Scale (AIS) Grade A, two with AIS Grade C, and one each of Grade B and D respectively. Five patients were cervical level injuries, and others were T10 level and below. Six patients were categorized as mild clinical illness and one each as moderate and severe illness. Cough was the most common symptom which was seen in seven patients. Only two patients needed oxygen therapy. All eight traumatic SCI patients recovered eventually from COVID-19 symptoms and regained their pre-COVID-19 functional status, 1 month after being free from COVID-19 symptoms.

Conclusion: The COVID-19 infection did not result in a worsening of functional ability among SCI people after 1-month post-recovery. It also did not affect the SCI patients in doing activities such as rehabilitation exercises at 6 months follow up.

脊髓损伤患者感染 COVID-19 的临床概况:病例系列。
研究设计回顾性病例系列:报告患有COVID-19的脊髓损伤(SCI)患者的临床特征和预后,并观察其与普通人群中的COVID-19是否存在差异:地点:印度东北部的一家三甲医院:收集向COVID-19管理小组报告的已确诊感染COVID-19的外伤性SCI患者的数据(2021年6月至2021年11月)。数据来源为医院记录(入院患者)和家访及远程会诊记录(家庭隔离患者):共有八名创伤性 SCI 患者(五名入院,三名在家隔离)感染了 COVID-19。四名患者为完全损伤,美国脊柱损伤协会损伤量表(AIS)为A级,两名为AIS C级,B级和D级各一名。五名患者为颈椎水平损伤,其他患者为 T10 及以下水平损伤。六名患者被归类为轻度临床疾病,中度和重度疾病各一名。咳嗽是最常见的症状,出现在 7 名患者身上。只有两名患者需要接受氧气治疗。所有 8 名创伤性 SCI 患者最终都从 COVID-19 症状中恢复过来,并在摆脱 COVID-19 症状 1 个月后恢复到 COVID-19 前的功能状态:结论:COVID-19 感染并没有导致 SCI 患者在康复 1 个月后功能恶化。结论:COVID-19 感染并未导致 SCI 患者在康复 1 个月后的功能能力恶化,也未影响 SCI 患者在 6 个月随访期间进行康复锻炼等活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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