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Neurological manifestations and etiological risk factors in patients hospitalized with COVID-19 in Turkey Cover

Neurological manifestations and etiological risk factors in patients hospitalized with COVID-19 in Turkey

Open Access
|Feb 2022

Figures & Tables

Figure 1

The number of patients excluded through exclusion criteria. COVID-19, coronavirus disease 2019; CT, computed tomography; RT-PCR, reverse-transcriptase polymerase chain reaction.

Figure 2

Frequency histogram indicating comorbidities in all patients studied. Coronary heart disease frequency includes heart failure.

Group 1, patients with an acute neurological event (n = 110)

EventAge (years)Female/maleDead/aliveCOVID-19 disease severity (Mi/Mo/S)MCCIDay of neurological evaluation after COVID-19 diagnosis
CVE ischemic76 ± 9.912/2317/1815/0/205.5 ± 1.96.8 ± 8.3
Seizure69.2 ± 12.78/99/88/0/94.9 ± 1.98 ± 9.3
Encephalopathy74.6 ± 13.18/68/64/1/96.0 ± 2.96.5 ± 8.1
Dizziness64 ± 20.34/82/109/1/23.3 ± 2.38.3 ± 8.8
Headache51.2 ± 11.56/60/1212/0/01.7 ± 1.33.8 ± 2.4
Myopathy/myositis55.6 ± 28.51/32/20/1/32.8 ± 3.118 ± 16
SAH and CVE hematoma60.6 ± 17.42/32/31/0/42 ± 2.86.7 ± 6.9
Agitation53.5 ± 33.80/20/21/0/13 ± 4.237 ± 37
Facial paralysis62 ± 1.41/10/21/1/03 ± 1.44 ± 4.2
Optic neuropathy51.5 ± 23.31/10/21/0/13 ± 2.86.5 ± 2.5
Transient undefined60.1 ± 18.13/20/53/1/14.8 ± 2.718 ± 21.1

Laboratory test results for dead and alive patients

Dead patients (n = 50)Alive patients (n = 100)P
Creatinine (mg/dL)1.8 ± 1.61.0 ± 1.30.005
Sodium (mmol/L)138.2 ± 6.6136.6 ± 5.20.17
Potassium (mmol/L)4.1 ± 0.74.2 ± 0.60.36
Aspartate aminotransferase (U/L)81.0 ± 154.738.0 ± 39.20.06
Alanine aminotransferase (U/L)48.4 ± 63.138.2 ± 38.10.31
LDH (IU/L)578.0 ± 457.6310.2 ± 125.90.001
CRP (mg/L)153.1 ± 88.182.9 ± 67.1<0.001
Procalcitonin4.8 ± 13.40.5 ± 2.50.03
Ferritin (μg/L)1,000.8 ± 771.3572.2 ± 551.90.003
Creatine kinase (U/L)500.8 ± 1,072.0249.2 ± 616.90.24
White blood cell (cells/μL)12,456.2 ± 8,075.38,467.3 ± 4,228.50.002
Neutrophils (cells/μL)12.1 ± 10.46.7 ± 4.20.001
Lymphocytes (cells/μL)0.9 ± 1.51.3 ± 1.420.73
Hemoglobin (g/dL)11.7 ± 2.412.4 ± 2.10.08
Platelet cell count (cells/μL)205,750 ± 888,855255,187 ± 145,5250.01
Prothrombin time (s)14.2 ± 2.413.2 ± 2.90.052
Partial thromboplastin time (s)28.2 ± 7.327.0 ± 8.50.41
INR1.19 ± 0.21.09 ± 0.260.04
Fibrinogen (mg/dL)530.5 ± 202.1649.4 ± 773.10.34
D-dimer (μg/mL)2,788.2 ± 4,749.11,212.8 ± 2,300.90.03

Group 2, patients with progression in neurological disease (n = 40)

Age (years)Female/maleDead/aliveCOVID-19 disease severity (Mi/Mo/S)MCCIDay of neurological evaluation after COVID-19 diagnosis
Deterioration in consciousness77.3 ± 9.75/198/1712/2/106.1 ± 1.47.5 ± 7.2
Epileptic seizure59.8 ± 19.30/51/43/0/24.6 ± 1.96 ± 3.53
Parkinson disease77 ± 8.81/20/31/0/24.5 ± 2.12
Multiple sclerosis53.3 ± 16.82/11/22/0/16.3 ± 4.9
Myasthenia gravis59.3 ± 1.51/20/31/2/04 ± 1.46.5 ± 4.9
Motor neuron disease760/10/10/0/167
Spastic tetraparesis350/10/11/0/0012

Demographic data of patients with an acute neurological event (Group 1) and patients with progression or exacerbation of a current neurological condition (Group 2)

Group 1 (n = 110)Group 2 (n = 40)P
Age67.7 ± 16.470.9 ± 15.00.28
Female/male46/6410/300.06§
Service/ICU57/5321/190.94§
DOI: https://doi.org/10.2478/abm-2022-0004 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 23 - 30
Published on: Feb 28, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2022 Nuray Can Usta, Seyfi Kartal, Betul Onal Gunay, Cavit Boz, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.