scholarly journals Pain and Other Neurological Symptoms Are Present at 3 Months After Hospitalization in COVID-19 Patients

2021 ◽  
Vol 2 ◽  
Author(s):  
Jude P. J. Savarraj ◽  
Angela B. Burkett ◽  
Sarah N. Hinds ◽  
Atzhiry S. Paz ◽  
Andres Assing ◽  
...  

COVID-19 is an ongoing pandemic with a devastating impact on public health. Acute neurological symptoms have been reported after a COVID-19 diagnosis, however, the long-term neurological symptoms including pain is not well established. Using a prospective registry of hospitalized COVID-19 patients, we assessed pain and neurological function (including functional, cognitive and psychiatric assessments) of several hospitalized patients at 3 months. Our main finding is that 60% of the patients report pain symptoms. 71% of the patients still experienced neurological symptoms at 3 months and the most common symptoms being fatigue (42%) and PTSD (25%). Cognitive symptoms were found in 12%. Our preliminary findings suggests the importance of investigating long-term outcomes and rationalizes the need for further studies investigating the neurologic outcomes and symptoms of pain after COVID-19.

2020 ◽  
Author(s):  
Jude PJ Savarraj ◽  
Angela B Burkett ◽  
Sarah N Hinds ◽  
Atzhiry S Paz ◽  
Andres Assing ◽  
...  

AbstractCOVID-19 is an ongoing pandemic with a devastating impact on public health. Acute neurological symptoms have been reported after a COVID-19 diagnosis, however there is no data available on the long-term neurological symptoms. Using a prospective registry of hospitalized COVID-19 patients, we assessed the neurological assessments (including functional, cognitive and psychiatric assessments) of several hospitalized patients at 3 months. Our main finding is that 71% of the patients still experienced neurological symptoms at 3 months and the most common symptoms being fatigue (42%) and PTSD (29%). 64% of the patients report pain symptoms we well. Cognitive symptoms were found in 12%. Our preliminary findings suggests the importance of investigating long-term and rationalizes the need for further studies investigating the neurologic outcomes after COVID-19.


2011 ◽  
Vol 31 (4) ◽  
pp. E19 ◽  
Author(s):  
Walavan Sivakumar ◽  
J. Bradley Elder ◽  
Mark H. Bilsky

Anterior cervical discectomy and fusion (ACDF) is a common neurosurgical procedure, and the benefits, long-term outcomes, and complications are well described in the literature. The development of a juxtafacet joint cyst resulting in radiculopathy is a rare outcome after ACDF and merits further description. The authors describe a patient in whom a juxtafacet joint cyst developed after ACDF procedures, resulting in surgical intervention. When a juxtafacet joint cyst develops after ACDF, symptoms can include radiculopathy, neck pain, and neurological symptoms such as paresthesias and motor weakness. The presence of a juxtafacet joint cyst implies instability in that region of the spine. Patients with this pathological entity may require decompression of neural elements and fusion across the segment involved with the cyst.


Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Anne-Françoise Rousseau ◽  
Hallie C. Prescott ◽  
Stephen J. Brett ◽  
Björn Weiss ◽  
Elie Azoulay ◽  
...  

AbstractIntensive care survivors often experience post-intensive care sequelae, which are frequently gathered together under the term “post-intensive care syndrome” (PICS). The consequences of PICS on quality of life, health-related costs and hospital readmissions are real public health problems. In the present Viewpoint, we summarize current knowledge and gaps in our understanding of PICS and approaches to management.


2010 ◽  
Vol 31 (1) ◽  
pp. 39-44 ◽  
Author(s):  
SM Jack

Child maltreatment is a significant health and social issue given its prevalence across the general population and the significant short- and long-term outcomes associated with maltreatment in childhood. There is a need for a comprehensive, collaborative and multisectoral approach for identification, prevention and intervention of this complex issue. Within this multisectoral collaboration, it is essential for public health in Canada to define its role in addressing and preventing child maltreatment. This commentary summarizes how public health can address the issue of child maltreatment in Canada by specifically: 1) measuring the magnitude of maltreatment through public health surveillance systems such as the Canadian Incidence Study of Reported Child Abuse and Neglect; 2) identifying modifiable risk factors; 3) identifying and evaluating community-based interventions to prevent violence; and 4) implementing evidence-based primary prevention strategies.


CNS Spectrums ◽  
2007 ◽  
Vol 12 (S17) ◽  
pp. 21-26 ◽  
Author(s):  
John M. Kane

AbstractThe successful management of schizophrenia is an enormous public health issue. Although antipsychotic medications can be very helpful in reducing rates of relapse and rehospitalization, nonadherence to medication is a frequent cause of exacerbations in psychopathology, psychotic relapse, and rehospitalization. Relapses can have devastating consequences in a variety of clinical and functional domains. Nonadherence can result from a variety of factors that vary from patient to patient and vary over time in individual patients. A number of strategies have been developed to assess and facilitate adherence. The first critical step is clinician awareness of the scope of the problem and consideration of appropriate strategies to address it.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Skodra ◽  
S Zorita ◽  
I Garcia Perez ◽  
S Moebus

Abstract Issue Urban green spaces are necessary for developing healthy and sustainable cities. Benefits of Nature-based solutions (NBS) that increase the amount and quality of urban green go beyond environmental aspects (noise/air pollution mitigation) and have positive impact on mental health, active lifestyles and social cohesion. However, there is a need for the transdisciplinary co-creation processes including multidisciplinary partners and local community to ensure that different population groups use NBS and that health, social and environmental benefits are maximised. The Horizon2020 project CLEVER Cities (2018-2023) focuses on the development of NBS in deprived areas to address health, socio-economic and ecological challenges in a transdisciplinary co-creation approach. Description The three pilot cities, Hamburg, London and Milan, have formed Urban Innovation Partnerships (UIP) based on the stakeholder mapping. Each UIP involves citizens, companies, universities and local authorities to support CLEVER Action Labs (CAL) as alliances of local actors involved in the co-creation and assessment of place-based NBS interventions. The Theory of Change method (impact chain) was used to structure the transdisciplinary process, by initially determining the desired long-term outcomes related to the above-mentioned challenges. Proceeding from the identification of the local conditions, the necessary “outputs” were identified to achieve short-term and intermediate outcomes, which themselves lead to the determined long-term outcomes. Results/lessons Preliminary results show that Theory of Change provides a good structure for transdisciplinary discussions as well as an overview of a complex transformative change, underlying assumptions and unintended negative effects. Involving urban public health experts is essential to determine the relationship between different NBS and health outcomes, to maximize health benefits for all population groups and to reduce potential side effects. Key messages Inclusion of local community in the collaborative co-creation process is essential to ensure that NBS is adapted to their needs and that the desired health and wellbeing outcomes are achieved. The involvement of urban public health experts in the Theory of Change is essential to raise the awareness about the relationship between NBS interventions, their use and multiple health outcomes.


Author(s):  
Hernández Ramos, F J, PhD, MD ◽  
Hernández Chamorro, F J, ◽  
Palomino García, A ◽  
Jiménez Hernández, MD

We´re witnessing a pandemic due to COVID-19, which has generated a strong impact in Public Health, Health Services and a economic level, still to be determinated. It´s a recently discovered respiratory virus that has the capacity to produce neurological symptoms, either indirectly o directly. Much has been written about neurological symptoms, mainly by no-neurologist, and the frecuency and type of neurological manifestations must be precisely defined in both, acute and medium-long term phases. After carrying out and extensive bibliographic review, the objective of this paper is to analyze what has been described so far and how it can be improved to know exactly the type and frecuency of neurological manifestations related to COVID-19.


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