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This study is a prospective observational cohort study to document the prevalence and types of neurological manifestations among hospitalized patients with confirmed or suspected novel coronavirus infection (COVID-19).
This study is a prospective observational cohort study to document the prevalence and types of neurological manifestations among hospitalized patients with confirmed or suspected novel coronavirus infection (COVID-19). Severe acute respiratory syndrome 2 (SARS-CoV-2), the virus that causes COVID-19, shares significant structural and biological similarities with SARS-CoV, which is known to be neuroinvasive particularly with brainstem involvement. There are emerging reports of neurological symptoms associated with COVID-19 infections, including seizures, coma, encephalitis, Guillan-Barre syndrome, and cerebrovascular events including ischemic stroke, ICH, and cerebral venous sinus thromboses. However, the exact prevalence of these conditions and their impact on patient disease severity and outcomes is unknown. As the incidence and severity of COVID-19 infection continue to rapidly rise globally, it is imperative to capture prospective data to accurately document prevalence, severity and clinical characterization of neurological components of COVID 19, the influence of treatment regimens of neurological complications, and role of these confounders on patient and organizational outcomes.
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of neurological manifestations | Proportion of patients with neurological symptoms out of all hospitalized COVID19 patients during study period. | During hospital course, up to 1 month |
| Hospital Mortality | At hospital discharge, approximately 1 month | |
| Global functional outcomes using modified Rankin score | Patients will be assessed on a scale score of 0 (no symptoms at all) to 5 (severe disability; bedridden, incontinent and requiring constant nursing care and attention) | At hospital discharge, approximately 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Length of ICU stay | At hospital discharge, approximately 1 month | |
| Length of hospital stay (in days) | At hospital discharge, approximately 1 month | |
| 30-day mortality |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to acute care hospital who are suspected and/or confirmed to have COVID 19.
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| Name | Affiliation | Role |
|---|---|---|
| Sherry H Chou, MD, MSc | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15261 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32346843 | Background | Needham EJ, Chou SH, Coles AJ, Menon DK. Neurological Implications of COVID-19 Infections. Neurocrit Care. 2020 Jun;32(3):667-671. doi: 10.1007/s12028-020-00978-4. | |
| 32445105 | Background | Frontera J, Mainali S, Fink EL, Robertson CL, Schober M, Ziai W, Menon D, Kochanek PM, Suarez JI, Helbok R, McNett M, Chou SH; GCS-NeuroCOVID Study. Global Consortium Study of Neurological Dysfunction in COVID-19 (GCS-NeuroCOVID): Study Design and Rationale. Neurocrit Care. 2020 Aug;33(1):25-34. doi: 10.1007/s12028-020-00995-3. |
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| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 30 days from the first day of hospitalization |
| 90-day mortality | 90 days from the first day of hospitalization |