Frequency and Type of Red Flags in Patients With Covid-19 and Headache: A Series of 104 Hospitalized Patients

被引:28
|
作者
Garcia-Azorin, David [1 ,2 ]
Trigo, Javier [1 ]
Talavera, Blanca [1 ]
Martinez-Pias, Enrique [1 ]
Sierra, Alvaro [1 ]
Porta-Etessam, Jesus [3 ,4 ]
Arenillas, Juan F. [1 ,5 ,6 ]
Guerrero, Angel L. [1 ,2 ,6 ]
机构
[1] Hosp Clin Univ Valladolid, Dept Neurol, Headache Unit, Ave Ramon y Cajal 3, Valladolid 47005, Spain
[2] Inst Biomed Res Salamanca IBSAL, Salamanca, Spain
[3] Hosp Clin San Carlos, IdISSC, Inst Neurosci, Headache Unit,Dept Neurol, Madrid, Spain
[4] Univ Complutense Madrid, Dept Med, Madrid, Spain
[5] Univ Valladolid, CSIC, Inst Biol & Genet Mol, Neurovasc Res Lab, Madrid, Spain
[6] Univ Valladolid, Sch Med, Dept Med, Valladolid, Spain
来源
HEADACHE | 2020年 / 60卷 / 08期
关键词
Covid-19; neurology; headache; coronavirus; diagnosis; EMERGENCY-DEPARTMENT; MANAGEMENT; MIGRAINE; DISEASE;
D O I
10.1111/head.13927
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective In this study, we aimed to evaluate the frequency of the main red flags in patients with headache who do have Covid-19. Background Headache is one of the most frequent neurologic symptoms of Coronavirus disease 2019 (Covid-19). Diagnosis of secondary headache disorders is still based on the presence of red flags. Design and Methods Cross-sectional study of hospitalized patients with confirmed Covid-19 disease. We interrogated every patient about the presence of headache and if so, a headache expert conducted a structured interview assessing the presence and type of the main red flags. We evaluated the presence of laboratory abnormalities on admission. Results We screened 576 consecutive patients, 130/576 (22.6%) described headache, and 104 were included in the study. Mean age of patients was 56.7 (standard deviation: 11.2) and 66/104 (63.4%) were female. Red flags concerning prior medical history were present in 79/104 (76.0%) cases, and those related to the headache itself were observed in 99/104 (95.2%) patients. All patients 104/104 (100%) described systemic symptoms and 86/104 (82.7%) some neurologic symptoms. Laboratory results were abnormal in 98/104 (94.2%) cases. The most frequent red flags were fever, in 93/104 (89.4%) patients, cough, in 89/104 (85.6% cases), and increased C-reactive protein in 84/100 (84.0%) cases. Conclusion In patients with Covid-19 that described the headache red flags were present in most cases. There was not any universal red flag, being necessary the comprehensive evaluation of all of them.
引用
收藏
页码:1664 / 1672
页数:9
相关论文
共 50 条
  • [1] Delirium in hospitalized COVID-19 patients: A case series
    Alonso-Sanchez, M.
    Delgado-Parada, E.
    Ayuso-Mateos, J. L.
    PSYCHIATRY RESEARCH, 2021, 305
  • [2] Frequency of Atrial Arrhythmia in Hospitalized Patients With COVID-19
    Yarmohammadi, Hirad
    Morrow, John P.
    Dizon, Jose
    Biviano, Angelo
    Ehlert, Frederick
    Saluja, Deepak
    Waase, Marc
    Elias, Pierre
    Poterucha, Timothy J.
    Berman, Jeremy
    Kushnir, Alexander
    Abrams, Mark P.
    Rubin, Geoffrey A.
    Jou, Stephanie
    Hennessey, Jessica
    Uriel, Nir
    Wan, Elaine Y.
    Garan, Hasan
    AMERICAN JOURNAL OF CARDIOLOGY, 2021, 147 : 52 - 57
  • [3] Frequency of Ophthalmological Findings in Hospitalized COVID-19 Patients
    Khan, Shayan Iqbal
    Versha, Fnu
    Bai, Pooja
    Bachani, Parkash
    Nawaz, Muhammad Umair
    Kumar, Love
    Naz, Sidra
    Jahangir, Maha
    Shaukat, Faizan
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (05)
  • [4] Headache in patients with COVID-19
    Barulin, Alexandr
    Kurushina, Olga
    Drushlyakova, Anna
    JOURNAL OF THE NEUROLOGICAL SCIENCES, 2021, 429 : 212 - 212
  • [5] Symptomatic Bradycardia in Covid-19 Hospitalized Patients: A Case Series
    Amir, Muzakkir
    Yoseph, Hendry
    Al Farisi, Aulia Thufael
    Phie, James Klemens Phieter
    Adam, Andi Tiara Salengke
    INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2021, 111 : 1 - 4
  • [6] Abnormal movements in hospitalized COVID-19 patients: A case series
    Clark, Jeffrey R.
    Liotta, Eric M.
    Reish, Nicholas J.
    Shlobin, Nathan A.
    Hoffman, Steven C.
    Orban, Zachary S.
    Lim, Patrick H.
    Koralnik, Igor J.
    Batra, Ayush
    JOURNAL OF THE NEUROLOGICAL SCIENCES, 2021, 423
  • [7] Frequency and phenotype of headache in covid-19: a study of 2194 patients
    David García-Azorín
    Álvaro Sierra
    Javier Trigo
    Ana Alberdi
    María Blanco
    Ismael Calcerrada
    Ana Cornejo
    Miguel Cubero
    Ana Gil
    Cristina García-Iglesias
    Ana Guiomar Lozano
    Cristina Martínez Badillo
    Carol Montilla
    Marta Mora
    Gabriela Núñez
    Marina Paniagua
    Carolina Pérez
    María Rojas
    Marta Ruiz
    Leticia Sierra
    María Luisa Hurtado
    Ángel Luis Guerrero Peral
    Scientific Reports, 11
  • [8] Frequency and phenotype of headache in covid-19: a study of 2194 patients
    Garcia-Azorin, David
    Sierra, Alvaro
    Trigo, Javier
    Alberdi, Ana
    Blanco, Maria
    Calcerrada, Ismael
    Cornejo, Ana
    Cubero, Miguel
    Gil, Ana
    Garcia-Iglesias, Cristina
    Lozano, Ana Guiomar
    Martinez Badillo, Cristina
    Montilla, Carol
    Mora, Marta
    Nunez, Gabriela
    Paniagua, Marina
    Perez, Carolina
    Rojas, Maria
    Ruiz, Marta
    Sierra, Leticia
    Hurtado, Maria Luisa
    Guerrero Peral, Angel Luis
    SCIENTIFIC REPORTS, 2021, 11 (01)
  • [9] COVID-19 Frequency in Hospitalized Psychiatric Patients: A Systematic Review
    Maximiano-Barreto, Madson Alan
    Azorli, Laura Alqueja
    de Paula Pessoa, Rebeca Mendes
    Ferreira, Agnes Aline
    Ramos Rezende, Ana Carolina
    Luchesi, Bruna Moretti
    Inouye, Keika
    Nisihara Chagas, Marcos Hortes
    PSYCHIATRY-INTERPERSONAL AND BIOLOGICAL PROCESSES, 2024, 87 (04): : 329 - 352
  • [10] Low Frequency of Acute Pancreatitis in Hospitalized COVID-19 Patients
    Troncone, Edoardo
    Salvatori, Silvia
    Sena, Giorgia
    De Cristofaro, Elena
    Alfieri, Norma
    Marafini, Irene
    Paganelli, Carla
    Argiro, Renato
    Giannarelli, Diana
    Monteleone, Giovanni
    Blanco, Giovanna Del Vecchio
    PANCREAS, 2021, 50 (03) : 393 - 398