Predictors of COVID-19 outcome in Parkinson's disease

被引:61
作者
Fasano, Alfonso [1 ,2 ,3 ]
Elia, Antonio E. [4 ]
Dallocchio, Carlo [5 ]
Canesi, Margherita [6 ]
Alimonti, Dario [7 ]
Sorbera, Chiara [8 ]
Alonso-Canovas, Araceli [9 ]
Pezzoli, Gianni [10 ]
机构
[1] Univ Toronto, Toronto Western Hosp, Div Neurol, UHN,Edmond J Safra Program Parkinsons Dis, Toronto, ON, Canada
[2] Univ Toronto, Toronto Western Hosp, Morton & Gloria Shulman Movement Disorders Ctr, UHN,Div Neurol, Toronto, ON, Canada
[3] Krembil Brain Inst, Toronto, ON, Canada
[4] Fdn IRCCS Ist Neurol C Besta, Movement Disorders Unit, Milan, Italy
[5] ASST Pavia, Neurol Unit, Pavia, Italy
[6] Moriggia Pelascini Hosp, Neurorehabil Dept, Parkinson Ctr, Gravedona Ed Uniti, CO, Italy
[7] ASST Papa Giovanni XXIII Hosp, Dept Neurosci, Neurol Unit, Bergamo, Italy
[8] IRCCS Ctr Neurolesi Bonino Pulejo, Messina, Italy
[9] Hosp Univ Ramon & Cajal, Neurol Dept, Madrid, Spain
[10] Grigioni Fdn Parkinson, Ctr Parkinson, Pini CTO, Milan, Italy
关键词
COVID-19; Dementia; Parkinson's disease; Outcome; CORONAVIRUS; LEVODOPA;
D O I
10.1016/j.parkreldis.2020.08.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Specific pre-existing medical conditions (e.g. hypertension or obesity), advanced age and male sex appear linked to more severe manifestations of SARS Co-V2 infection, thus raising the question of whether Parkinson's disease (PD) poses an increased risk of morbidity and mortality in COVID-19 patients. Methods: In order to describe the outcome of COVID-19 in multi-centre a cohort of PD patients and explore its potential predictors, we gathered the clinical information of 117 community-dwelling patients with COVID-19 followed in 21 tertiary centres in Italy, Iran, Spain, and the UK. Results: Overall mortality was 19.7%, with a significant effect of co-occurrence of dementia, hypertension, and PD duration. Conclusions: The frailty caused by advanced PD poses an increased risk of mortality during COVID-19.
引用
收藏
页码:134 / 137
页数:4
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