MORBIDITY AND NEUROPSYCHIATRIC EVALUATION IN PATIENTS DISCHARGED FROM ICU AFTER RECOVERY FROM SARS-COV-2 INFECTION

Main Article Content

Dr Pooja Harshitha Karnayina
Dr Sanjaykumar Rathwa
Dr Niraj Chawda
Dr Prayans Shah
Dr Jayant Mayavanshi
Dr Darsh Vaghani

Keywords

SARS-CoV-2, COVID-19, Comorbidity, Neuropsychiatric Sequelae, Post-Covid Effect

Abstract

INTRODUCTION: The novel coronavirus SARS-CoV-2 causing COVID-19 disease is genetically similar to other strains of the coronavirus family, which are severe acute respiratory syndrome corona virus (SARS-CoV-1) and Middle-East respiratory syndrome corona virus includes (MERS-CoV). Nearly, 35% of symptomatic persons with positive outpatient SARS-CoV-2 test results who reported after 2-3 weeks after testing had not recovered to their prior level of health. Some individuals experience severe neuropsychiatric and musculoskeletal COVID-19 symptoms, including myalgia, psychosis, olfactory and gustatory deficits, and cerebrovascular accidents. Post-COVID syndrome symptoms that include neuropsychiatric and musculoskeletal include sleep disorders, encephalopathy, chronic headache, delirium, brain fog, and small joint arthritis.
AIM AND OBJECTIVE: To study the trend of comorbidities development in post COVID patients and neuropsychiatric, behaviour changes, new illnesses like Diabetes Mellitus, Hypertension, IHD, Cardiomyopathy and other co morbidities assessment in COVID recovered patients.
MATERIAL AND METHOD: Observational Cross-sectional study. Period of collection of data was 1 ½ year, 30 COVID discharged patients who were previously admitted under the Department of General Medicine,        Dhiraj General Hospital, Smt. B K Shah Medical Institute and Research Centre, Piparia, Vadodara 391760.
DISCUSSION: The early identification of the medical and neuropsychiatric sequelae and its risk factors will help us prevent , early diagnosis and effective management of the post covid effects. Detailed history and findings of the clinical examination were collected in the proforma. Telephonic conversations were done with the patients regarding their well-being and current health status. Patient’s mental status post COVID recovery was assessed using the Hospital Anxiety and Depression scale (HADS).
CONCLUSION: Fatigue, was the most common finding, followed by anxiety/depression, PTSD, cognitive deficits, and sleep disturbances were commonly reported in most of the studies. This study, 18 (60%) had no comorbidities, 4 (13.33%) had Hypothyroid, 3 (10%) had diabetes and hypertension, 3 (10%) had Diabetes and 2 (6.6%) had hypertension. In this study, the mean value of Anxiety score in this study was 4.27 (± 2.5). The mean value of Depression score in the study was 4.27 (± 2.68) ranged between 2 and 12 and none of the subjects had Neuro deficit.
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