La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19

Matías‐Guiu, Jorge; Porta‐Etessam, Jesús; López‐Valdés, Eva; García‐Morales, Irene; Guerrero-Solá, A.

doi:10.1016/j.nrl.2020.04.001

Cited by 45 publications

(18 citation statements)

References 30 publications

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“…In this survey, COVID-19 pandemic had a negative impact on patients with migraine. The number of respondents was high, compared to recent reported numbers of patients with migraine in Kuwait [4]. More than half of them experienced increase in migraine frequency and severity, in comparison to pre-pandemic period.…”

Section: Discussionmentioning

confidence: 71%

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Impact of coronavirus disease 2019 (COVID-19) pandemic on patients with migraine: a web-based survey study

2020

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Background Since the declaration COVID-19 as a pandemic, healthcare systems around the world have faced a huge challenge in managing patients with chronic diseases. Patients with migraine were specifically vulnerable to inadequate medical care. We aimed to investigate the “real-world” impact of COVID-19 pandemic on migraine patients, and to identify risk factors for poor outcome. Methods We administered an online, self-reported survey that included demographic, migraine-related, COVID-19-specific and overall psychosocial variables between July 15 and July 30, 2020. We recruited a sample of patients with migraine from headache clinic registry and via social media to complete an anonymous survey. Outcomes included demographic variables, change in migraine frequency and severity during the lockdown period, communication with treating physician, compliance to migraine treatment, difficulty in getting medications, medication overuse, symptoms of anxiety and/or depression, sleep and eating habits disturbance, screen time exposure, work during pandemic, use of traditional medicine, effect of Botox injection cancellation, and overall worries and concerns during pandemic. Results A total of 1018 patients completed the survey. Of the respondents, 859 (84.3%) were females; 733 (71.9%) were aged 20 to 40 years, 630 (61.8%) were married, and 466 (45.7%) reported working during the pandemic. In comparison to pre-pandemic period, 607 respondents (59.6%) reported increase in migraine frequency, 163 (16%) reported decrease in frequency, and 105 (10.3%) transformed to chronic migraine. Severity was reported to increase by 653 (64.1%) respondents. The majority of respondents; 626 (61.5%) did not communicate with their neurologists, 477 (46.9%) reported compliance to treatment, and 597 (58.7%) reported overuse of analgesics. Botox injections cancellation had a negative impact on 150 respondents (66.1%) from those receiving it. Forty-one respondents (4%) were infected with COVID-19; 26 (63.4%) reported worsening of their headaches amid infection period. Sleep disturbance was reported by 794 (78.1%) of respondents, and 809 (79.5%) reported having symptoms of anxiety and/or depression. Conclusions and relevance COVID-19 pandemic had an overall negative impact on patients with migraine. Several risk factors for poor outcome were identified. Long-term strategies should be validated and implemented to deliver quality care for patients with migraine, with emphasis on psychosocial well-being.

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Section: Discussionmentioning

confidence: 71%

“…Headache units all over the world have tried to adapt to the situation by implementing new approaches such as phone calls or Internet applications. Unfortunately, not all countries were capable of delivering the same quality care, and in many cases, this has led to deterioration in patient management [4].…”

Section: Introductionmentioning

confidence: 99%

Impact of coronavirus disease 2019 (COVID-19) pandemic on patients with migraine: a web-based survey study

2020

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“…La pandemia ha modificado la atención en salud en el mundo. La telemedicina se ha usado como una herramienta para cumplir con las medidas como el distanciamiento social y ha logrado disminuir la afluencia de pacientes a los servicios de urgencia; así mismo, los servicios de neurología han tenido que modificar sus protocolos de atención para dar paso a complicaciones neurológicas asociadas al virus 25,26 .…”

Section: Discussionunclassified

Compromiso del Sistema Nervioso Periférico en la infección por Sars-CoV-2

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Rojas

2020

Rev Col Med Fis Reh

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En diciembre de 2019 en China, inicia una de las pandemias más complejas del último siglo. En efecto, la infección por Sars-CoV-2 o Covid-19, como fue denominada por la Organización Mundial de la Salud, es sin duda una emergencia en salud pública que ha requerido implementar modificaciones de los sistemas de salud en el mundo para su atención. Los síntomas respiratorios son la base de las principales complicaciones de esta infección; sin embargo, se encuentra disponible información relevante sobre las manifestaciones neurológicas asociadas al Sars-CoV-2, en especial con relación al compromiso del sistema nervioso central (SNC); por el contrario, los estudios sobre el impacto del nervio periférico son más escasos. La presente revisión se centra en las manifestaciones neurológicas periféricas asociadas al Covid-19.

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“…Moreover, as in areas heavily impacted by the pandemic, 28 HPN had a clinically significant reduction of about 40% of the monthly outpatient case load during those 4 weeks. The mandatory stay-at-home orders, financial concerns, loss of insurance and pandemic-related fears could have been contributing factors that led patients to postpone their clinic visits.…”

Section: Migraine Symptoms and Treatmentmentioning

confidence: 98%

Early impact of the COVID‐19 pandemic on outpatient migraine care in Hawaii: Results of a quality improvement survey

et al. 2020

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Objective: A survey was implemented for early assessment of pandemic-related practice processes and quality improvement (QI). Background: In response to the public health measures in Hawaii to curtail the coronavirus 2019 pandemic, Hawaii Pacific Neuroscience (HPN) adapted their patient care to ensure continuity of neurological treatment. Methods: The telephone survey was conducted on patients seen at HPN during the period of April 22, 2020-May 18, 2020 to address four areas related to patients' outpatient experience: delivery of care, general well-being, experience with telemedicine, and disease-specific questions. Dr. Patricia Borman for their contributions to the survey.

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La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19

Cited by 45 publications

References 30 publications

Impact of coronavirus disease 2019 (COVID-19) pandemic on patients with migraine: a web-based survey study

Impact of coronavirus disease 2019 (COVID-19) pandemic on patients with migraine: a web-based survey study

Compromiso del Sistema Nervioso Periférico en la infección por Sars-CoV-2

Early impact of the COVID‐19 pandemic on outpatient migraine care in Hawaii: Results of a quality improvement survey

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