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A Short Review of Delirium in Patients With COVID-19
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COVID-19 환자에서 나타나는 섬망에 대한 고찰

논문 기본 정보

Type
Academic journal
Author
Myeong-Il Han (예수병원 정신건강의학과) Yong Kim (예수병원 정신건강의학과) Choel Eung Kim (예수병원 정신건강의학과) Mal Rye Choi (예수병원 정신건강의학과)
Journal
Korean Association for Geriatric Psychiatry 노인정신의학 노인정신의학 제25권 제2호 KCI Accredited Journals
Published
2021.10
Pages
65 - 69 (5page)

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A Short Review of Delirium in Patients With COVID-19
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Abstract· Keywords

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We reviewed the clinical features, prevalence, pathophysiology, and prevention and treatment of delirium in patients with coronavirus disease of 2019 (COVID-19). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19, has neurotropic properties, and can penetrate the central nervous system and affect brain neurons. These characteristics may explain the fact that COVID-19 patients may be particularly susceptible to delirium. COVID-19 delirium occurred more frequently in intensive care unit and emergency room settings. Patients with neurologic disorders and the elderly were more vulnerable to delirium. Clinical symptoms of COVID-19 delirium may manifest as a hyper/hypoactive type. Prevention and treatment appear to be similar to conventional treatment strategies. And the patient’s feeling of isolation due to social distancing and a highly intensive labor force of medical personnel must be overcome. Melatonin, alpha-2 agonist, antipsychotics, and valproic acid have been recommended for the treatment of delirium symptoms. However, this article did not go through a systematic literature review.
#섬망 #코로나-19 #코로나바이러스 #노인 #정신착란 #Delirium #COVID-19 #SARS-CoV-2 #Aged #Confusion

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References (62)

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World Health Organization / WHO Director-General’s opening remarks at the media briefing on COVID-19—11 March 2020 google schola Cao Z / 2020 / Clinical characteristics of coronavirus disease 2019 patients in Beijing, China / PLoS One 15:e0234764 google schola Stokes EK / 2020 / Coronavirus disease 2019 case surveillance -United States, January 22-May 30, 2020 / MMWR Morb Mortal Wkly Rep 69:759~765 google schola Mao L / 2020 / Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China / JAMA Neurol 77:683~690 google schola Montalvan V / 2020 / Neurological manifestations of COVID-19 and other coronavirus infections : a systematic review / Clin Neurol Neurosurg 194:105921 google schola

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