دورية أكاديمية
COVID-19 in spinal cord injury patients at a veterans administration hospital: A case series.
| العنوان: | COVID-19 in spinal cord injury patients at a veterans administration hospital: A case series. |
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| المؤلفون: | Galea MD; Spinal Cord Injury and Disorders Department, The James J Peters VAMC, Bronx, New York, USA.; The Department of Rehabilitation and Human Performance, The Icahn School of Medicine at Mount Sinai, New York, New York, USA.; School of Medicine, New York Medical College, Valhalla, New York, USA.; Physical Medicine and Rehabilitation, New York Presbyterian Hospital Columbia and Cornell, New York, New York, USA., Gelman MA; Infectious Disease Department, The James J Peters VAMC, Bronx, New York, USA.; Infectious Disease Department, The Icahn School of Medicine at Mount Sinai, New York, New York, USA., Galea VP; School of Medicine, New York Medical College, Valhalla, New York, USA., Raulkar KP; Physical Medicine and Rehabilitation, New York Presbyterian Hospital Columbia and Cornell, New York, New York, USA., Kornfeld S; Spinal Cord Injury and Disorders Department, The James J Peters VAMC, Bronx, New York, USA.; The Department of Rehabilitation and Human Performance, The Icahn School of Medicine at Mount Sinai, New York, New York, USA.; School of Medicine, New York Medical College, Valhalla, New York, USA.; Physical Medicine and Rehabilitation, New York Presbyterian Hospital Columbia and Cornell, New York, New York, USA., Johnson-Kunjukutty S; Spinal Cord Injury and Disorders Department, The James J Peters VAMC, Bronx, New York, USA.; School of Medicine, New York Medical College, Valhalla, New York, USA., Li G; Spinal Cord Injury and Disorders Department, The James J Peters VAMC, Bronx, New York, USA.; The Department of Rehabilitation and Human Performance, The Icahn School of Medicine at Mount Sinai, New York, New York, USA.; School of Medicine, New York Medical College, Valhalla, New York, USA., Bräu N; Spinal Cord Injury and Disorders Department, The James J Peters VAMC, Bronx, New York, USA.; Infectious Disease Department, The James J Peters VAMC, Bronx, New York, USA.; Infectious Disease Department, The Icahn School of Medicine at Mount Sinai, New York, New York, USA. |
| المصدر: | The journal of spinal cord medicine [J Spinal Cord Med] 2022 Sep; Vol. 45 (5), pp. 668-680. Date of Electronic Publication: 2021 Jan 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Abingdon : Taylor & Francis Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Spinal Cord Injuries*/complications , Spinal Cord Injuries*/epidemiology , Veterans*, Female ; Hospitals, Veterans ; Humans ; Male ; Middle Aged ; Pandemics ; SARS-CoV-2 ; United States ; United States Department of Veterans Affairs |
| مستخلص: | Objective: To describe the clinical features and disease course of COVID-19 in veterans with spinal cord injury (SCI). Design: Case series of consecutive veterans with SCI treated at a single center. Setting: SCI Unit at an urban Veterans Administration hospital at the epicenter of the COVID-19 pandemic in the US. Participants: Seven SCI veterans with confirmed COVID-19 infection by PCR; all veterans were male, mean age was 60.6. Five had cervical level of injury, and five had complete injury (AIS A). Six veterans had a BMI > 22; three had chronic obstructive pulmonary disease; three had chronic kidney disease. Interventions: None. Outcome Measures: Presence of co-morbidities, diagnostic values, and clinical findings. Results: Each case presented differently; the most common presenting sign was fever. In the three individuals with critical and fatal infection, pre-existing comorbidities were more common and inflammatory markers were markedly elevated. Conclusion: Level and completeness of SCI did not appear to correlate with COVID-19 severity, as mild and asymptomatic illness was noted in persons with high grade SCI. As has been shown to be the case in the general population, pre-existing comorbidities are the most reliable predictors of severe SARS-CoV-2 infection currently available for persons with chronic SCI. Contrary to concerns that SCI may mask the cardinal signs of COVID-19, such as fever and cough, by way of compromised thermoregulation and thoracoabdominal musculature, such signs were common in our series. To facilitate early detection, prompt treatment, and minimized viral spread, the implementation of preventive strategies by SCI units is recommended. |
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| فهرسة مساهمة: | Keywords: COVID-19; Spinal cord injury |
| تواريخ الأحداث: | Date Created: 20210119 Date Completed: 20221003 Latest Revision: 20221120 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9542337 |
| DOI: | 10.1080/10790268.2020.1871254 |
| PMID: | 33465012 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 2045-7723 |
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| DOI: | 10.1080/10790268.2020.1871254 |