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10.1212/NXI.0000000000000835

http://scihub22266oqcxt.onion/10.1212/NXI.0000000000000835
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32646885!7357412!32646885
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suck abstract from ncbi


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pmid32646885      Neurol+Neuroimmunol+Neuroinflamm 2020 ; 7 (5): ä
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  • COVID-19 outcomes in MS: Observational study of early experience from NYU Multiple Sclerosis Comprehensive Care Center #MMPMID32646885
  • Parrotta E; Kister I; Charvet L; Sammarco C; Saha V; Charlson RE; Howard J; Gutman JM; Gottesman M; Abou-Fayssal N; Wolintz R; Keilson M; Fernandez-Carbonell C; Krupp LB; Zhovtis Ryerson L
  • Neurol Neuroimmunol Neuroinflamm 2020[Sep]; 7 (5): ä PMID32646885show ga
  • OBJECTIVE: To report outcomes on patients with multiple sclerosis (MS) and related disorders with coronavirus disease 2019 (COVID-19) illness. METHODS: From March 16 to April 30, 2020, patients with MS or related disorders at NYU Langone MS Comprehensive Care Center were identified with laboratory-confirmed or suspected COVID-19. The diagnosis was established using a standardized questionnaire or by review of in-patient hospital records. RESULTS: We identified 76 patients (55 with relapsing MS, of which 9 had pediatric onset; 17 with progressive MS; and 4 with related disorders). Thirty-seven underwent PCR testing and were confirmed positive. Of the entire group, 64 (84%) patients were on disease-modifying therapy (DMT) including anti-CD20 therapies (n = 34, 44.7%) and sphingosine-1-phosphate receptor modulators (n = 10, 13.5%). The most common COVID-19 symptoms were fever and cough, but 21.1% of patients had neurologic symptom recrudescence preceding or coinciding with the infection. A total of 18 (23.7%) were hospitalized; 8 (10.5%) had COVID-19 critical illness or related death. Features more common among those hospitalized or with critical illness or death were older age, presence of comorbidities, progressive disease, and a nonambulatory status. No DMT class was associated with an increased risk of hospitalization or fatal outcome. CONCLUSIONS: Most patients with MS with COVID-19 do not require hospitalization despite being on DMTs. Factors associated with critical illness were similar to the general at-risk patient population. DMT use did not emerge as a predictor of poor COVID-19 outcome in this preliminary sample.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antiviral Agents/adverse effects/therapeutic use[MESH]
  • |Betacoronavirus/*drug effects[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Coronavirus Infections/complications/*drug therapy[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/adverse effects/therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Multiple Sclerosis/*complications[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/*drug therapy[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Time Factors[MESH]


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