Neuro-COVID-19: Neurological Complications of COVID-19

  • STATUS
    Recruiting
  • participants needed
    30
  • sponsor
    Emanuela Keller
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Updated on 5 August 2020
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Summary

The prevalence and typical patterns of neurological complications in hospitalized COVID-19 patients admitted to the intensive care units of the University Hospital Zurich will be investigated. The impact of neurological complications among COVID-19 patients on mortality, functional outcome, and organizational outcomes will be analyzed.

Description

This study is a prospective observational cohort study to document prevalence and severity of neurological symptoms among patients requiring critical care admission for confirmed novel coronavirus disease (COVID-19). COVID-19 is classified as severe acute respiratory syndrome 2 (SARS-CoV-2) and shares significant structural and biological similarities with SARS-CoV, which has neuroinvasive properties and brainstem involvement. Early reports of COVID-19 progression indicate presence of severe neurological complications, including seizures, coma, encephalitis, and cerebrovascular events including ischemic stroke, intracranial hemorrhage, and cerebral venous sinus thromboses. In addition, recent data from Zika-virus and H1N1 influenza pandemics reveal a high incidence of neurological complications, including Guillain Barr syndrome and neonatal microcephaly for Zika-virus and narcolepsy with H1N1 infections. Early reports from China suggest neurological symptoms may occur in approximately 36% of SARS-CoV-2 positive patients, with increased prevalence among more severe cases, and fall into three categories: central nervous system symptoms or diseases, peripheral nervous system symptoms, and skeletal muscular symptoms. However, the exact prevalence of these conditions and impact on patient disease severity and outcomes is unknown. As the incidence and severity of COVID-19 infection continues to rapidly rise on an international level, 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.

Details
Condition Neurologic Complication
Age 18years - 100years
Treatment further processing of health data
Clinical Study IdentifierNCT04418609
SponsorEmanuela Keller
Last Modified on5 August 2020

Eligibility

 Yes No Not Sure

Inclusion Criteria

Adults (age > 18 years old) treated at ICUs
Admitted with confirmed COVID-19 infection
Patient exhibiting acute neurological manifestations
General consent of the Institute of Intensive Care Medicine available from patient or legal representative

Exclusion Criteria

Pre-existing severe neurologic dysfunction
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