An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients
Objective: Neurological sequelae of SARS-CoV-2 infection have already been reported, but there is insufficient data about the impact of the pandemic on the management of the patients with chronic neurological diseases. We aim to analyze the effect of COVID-19 pandemic and social restriction rules on...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-05-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2020.00564/full |
| _version_ | 1828854770134155264 |
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| author | Carla Piano Enrico Di Stasio Enrico Di Stasio Guido Primiano Delfina Janiri Delfina Janiri Marco Luigetti Marco Luigetti Giovanni Frisullo Catello Vollono Catello Vollono Matteo Lucchini Matteo Lucchini Valerio Brunetti Mauro Monforte Valeria Guglielmi Giacomo Della Marca Giacomo Della Marca Amelia Evoli Amelia Evoli Camillo Marra Camillo Marra Massimiliano Mirabella Massimiliano Mirabella Davide Quaranta Davide Quaranta Enzo Ricci Enzo Ricci Serenella Servidei Serenella Servidei Gabriella Silvestri Gabriella Silvestri Simone Bellavia Sara Bortolani Francesco Bove Riccardo Di Iorio Andrea Di Paolantonio Danilo Genovese Tamara Ialongo Maria Rita Lo Monaco Jessica Marotta Agata Katia Patanella Alessia Perna Martina Petracca Giorgia Presicce Vittorio Riso Eleonora Rollo Angela Romano Marina Romozzi Cristina Sancricca Irene Scala Gregorio Spagni Marcella Solito Luca Tricoli Paola Zinzi Paolo Calabresi Paolo Calabresi Anna Rita Bentivoglio Anna Rita Bentivoglio |
| author_facet | Carla Piano Enrico Di Stasio Enrico Di Stasio Guido Primiano Delfina Janiri Delfina Janiri Marco Luigetti Marco Luigetti Giovanni Frisullo Catello Vollono Catello Vollono Matteo Lucchini Matteo Lucchini Valerio Brunetti Mauro Monforte Valeria Guglielmi Giacomo Della Marca Giacomo Della Marca Amelia Evoli Amelia Evoli Camillo Marra Camillo Marra Massimiliano Mirabella Massimiliano Mirabella Davide Quaranta Davide Quaranta Enzo Ricci Enzo Ricci Serenella Servidei Serenella Servidei Gabriella Silvestri Gabriella Silvestri Simone Bellavia Sara Bortolani Francesco Bove Riccardo Di Iorio Andrea Di Paolantonio Danilo Genovese Tamara Ialongo Maria Rita Lo Monaco Jessica Marotta Agata Katia Patanella Alessia Perna Martina Petracca Giorgia Presicce Vittorio Riso Eleonora Rollo Angela Romano Marina Romozzi Cristina Sancricca Irene Scala Gregorio Spagni Marcella Solito Luca Tricoli Paola Zinzi Paolo Calabresi Paolo Calabresi Anna Rita Bentivoglio Anna Rita Bentivoglio |
| author_sort | Carla Piano |
| collection | DOAJ |
| description | Objective: Neurological sequelae of SARS-CoV-2 infection have already been reported, but there is insufficient data about the impact of the pandemic on the management of the patients with chronic neurological diseases. We aim to analyze the effect of COVID-19 pandemic and social restriction rules on these fragile patients.Methods: Patients with chronic neurologic diseases routinely followed at the outpatient clinic of Gemelli University Hospital, Rome, were assessed for symptoms suggestive of SARS-CoV-2 infection in the pandemic period, consequences of social restrictions, and neurological disease features, concomitant medical conditions, current medical and disease-specific treatments. Data source: a dedicated telephone survey designed to encompass questions on COVID-19 symptoms and on pandemic effects in chronic neurologic conditions.Results: Overall, 2,167 individuals were analyzed: 63 patients reported contact with COVID-19 positive cases, 41 performed the swab, and 2 symptomatic patients tested positive for COVID-19 (0.09%). One hundred fifty-eight individuals (7%) needed urgent neurological care, deferred due to the pandemic; 641 patients (30%) suspended hospital treatments, physiotherapy or other support interventions; 405 individuals (19%) reported a subjective worsening of neurological symptoms.Conclusions: In our population, the presence of neurological chronic diseases did not increase the prevalence of COVID-19 infection. Nevertheless, the burden of neurological disorders has been worsened by the lockdown. |
| first_indexed | 2024-12-13T00:41:21Z |
| format | Article |
| id | doaj.art-8b15a60869134d2f9ae6ef7d48bd129a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-13T00:41:21Z |
| publishDate | 2020-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-8b15a60869134d2f9ae6ef7d48bd129a2022-12-22T00:05:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-05-011110.3389/fneur.2020.00564558875An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 PatientsCarla Piano0Enrico Di Stasio1Enrico Di Stasio2Guido Primiano3Delfina Janiri4Delfina Janiri5Marco Luigetti6Marco Luigetti7Giovanni Frisullo8Catello Vollono9Catello Vollono10Matteo Lucchini11Matteo Lucchini12Valerio Brunetti13Mauro Monforte14Valeria Guglielmi15Giacomo Della Marca16Giacomo Della Marca17Amelia Evoli18Amelia Evoli19Camillo Marra20Camillo Marra21Massimiliano Mirabella22Massimiliano Mirabella23Davide Quaranta24Davide Quaranta25Enzo Ricci26Enzo Ricci27Serenella Servidei28Serenella Servidei29Gabriella Silvestri30Gabriella Silvestri31Simone Bellavia32Sara Bortolani33Francesco Bove34Riccardo Di Iorio35Andrea Di Paolantonio36Danilo Genovese37Tamara Ialongo38Maria Rita Lo Monaco39Jessica Marotta40Agata Katia Patanella41Alessia Perna42Martina Petracca43Giorgia Presicce44Vittorio Riso45Eleonora Rollo46Angela Romano47Marina Romozzi48Cristina Sancricca49Irene Scala50Gregorio Spagni51Marcella Solito52Luca Tricoli53Paola Zinzi54Paolo Calabresi55Paolo Calabresi56Anna Rita Bentivoglio57Anna Rita Bentivoglio58Dipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDepartment of Psychiatry and Neurology, Sapienza University of Rome, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyCentro Clinico, NEMO, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyCentro Clinico, NEMO, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyObjective: Neurological sequelae of SARS-CoV-2 infection have already been reported, but there is insufficient data about the impact of the pandemic on the management of the patients with chronic neurological diseases. We aim to analyze the effect of COVID-19 pandemic and social restriction rules on these fragile patients.Methods: Patients with chronic neurologic diseases routinely followed at the outpatient clinic of Gemelli University Hospital, Rome, were assessed for symptoms suggestive of SARS-CoV-2 infection in the pandemic period, consequences of social restrictions, and neurological disease features, concomitant medical conditions, current medical and disease-specific treatments. Data source: a dedicated telephone survey designed to encompass questions on COVID-19 symptoms and on pandemic effects in chronic neurologic conditions.Results: Overall, 2,167 individuals were analyzed: 63 patients reported contact with COVID-19 positive cases, 41 performed the swab, and 2 symptomatic patients tested positive for COVID-19 (0.09%). One hundred fifty-eight individuals (7%) needed urgent neurological care, deferred due to the pandemic; 641 patients (30%) suspended hospital treatments, physiotherapy or other support interventions; 405 individuals (19%) reported a subjective worsening of neurological symptoms.Conclusions: In our population, the presence of neurological chronic diseases did not increase the prevalence of COVID-19 infection. Nevertheless, the burden of neurological disorders has been worsened by the lockdown.https://www.frontiersin.org/article/10.3389/fneur.2020.00564/fullneurologyinfectioncoronaviruspandemichealth careCOVID-19 |
| spellingShingle | Carla Piano Enrico Di Stasio Enrico Di Stasio Guido Primiano Delfina Janiri Delfina Janiri Marco Luigetti Marco Luigetti Giovanni Frisullo Catello Vollono Catello Vollono Matteo Lucchini Matteo Lucchini Valerio Brunetti Mauro Monforte Valeria Guglielmi Giacomo Della Marca Giacomo Della Marca Amelia Evoli Amelia Evoli Camillo Marra Camillo Marra Massimiliano Mirabella Massimiliano Mirabella Davide Quaranta Davide Quaranta Enzo Ricci Enzo Ricci Serenella Servidei Serenella Servidei Gabriella Silvestri Gabriella Silvestri Simone Bellavia Sara Bortolani Francesco Bove Riccardo Di Iorio Andrea Di Paolantonio Danilo Genovese Tamara Ialongo Maria Rita Lo Monaco Jessica Marotta Agata Katia Patanella Alessia Perna Martina Petracca Giorgia Presicce Vittorio Riso Eleonora Rollo Angela Romano Marina Romozzi Cristina Sancricca Irene Scala Gregorio Spagni Marcella Solito Luca Tricoli Paola Zinzi Paolo Calabresi Paolo Calabresi Anna Rita Bentivoglio Anna Rita Bentivoglio An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients Frontiers in Neurology neurology infection coronavirus pandemic health care COVID-19 |
| title | An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients |
| title_full | An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients |
| title_fullStr | An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients |
| title_full_unstemmed | An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients |
| title_short | An Italian Neurology Outpatient Clinic Facing SARS-CoV-2 Pandemic: Data From 2,167 Patients |
| title_sort | italian neurology outpatient clinic facing sars cov 2 pandemic data from 2 167 patients |
| topic | neurology infection coronavirus pandemic health care COVID-19 |
| url | https://www.frontiersin.org/article/10.3389/fneur.2020.00564/full |
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