Dyspnea perception and neurological symptoms in non-severe COVID-19 patients

INTRODUCTION: The relationship between dyspnea and COVID-19 is unknown. In COVID-19 patients, the higher prevalence of neurological symptoms and the lack of dyspnea may suggest common underlying pathogenetic mechanisms. The aim of this preliminary study is to address whether there is a lack of dyspnea in COVID-19 patients and if there is a relationship between neurological symptoms and the perception of dyspnea.

METHODS: A structured interview regarding the occurrence of subjective neurological symptoms was performed and coupled with a questionnaire about the intensity and qualities of dyspnea. Respiratory rate (RR) and an arterial blood gas on room air were concurrently evaluated.

RESULTS: Twenty-two patients (age 68.4 ± 13.9 years, 13 males and 9 females) were included and divided into two groups according to the Borg dyspnea scale: dyspneic patients BU ≥ 1(DYSP) and non-dyspneic patients BU < 1 (NDYSP). The prevalence of dyspnea overall was 31.8%. The prevalence of neurological symptoms, dyspnea descriptors, RR, pH, PaCO2, PaO2, or lactate was similar between groups.

CONCLUSION: This study confirms that the prevalence of dyspnea is low in non-severe COVID-19 patients, but contrary to our hypothesis of a relationship between shortness of breath and neurological symptoms, we have not been able to find any evidence of an impairment in dyspnea perception, either in the DYSP or NDYSP group.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology - 41(2020), 10 vom: 30. Okt., Seite 2671-2674

Sprache:

Englisch

Beteiligte Personen:

Ora, Josuel [VerfasserIn]
Liguori, Claudio [VerfasserIn]
Puxeddu, Ermanno [VerfasserIn]
Coppola, Angelo [VerfasserIn]
Matino, Matteo [VerfasserIn]
Pierantozzi, Mariangela [VerfasserIn]
Mercuri, Nicola Biagio [VerfasserIn]
Rogliani, Paola [VerfasserIn]

Links:

Volltext

Themen:

Arterial blood gas
COVID-19
Dyspnea
Dyspnea descriptors
Journal Article

Anmerkungen:

Date Completed 15.09.2020

Date Revised 18.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10072-020-04632-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31309912X