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(searched for: ("Covid-19") OR ("SARS-CoV-2") OR ("coronavirus") OR ("2019-nCoV"))
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Daniel Richter, Dirk Bartig, Christos Krogias, Sciprofile linkLars Tönges
Neurological Research and Practice, Volume 2, pp 1-3; doi:10.1186/s42466-020-00069-x

Abstract:
The current coronavirus disease 2019 (COVID-19) pandemic has global significance. From a neurological point of view, COVID-19 patients frequently present with neurological symptoms [1]. Moreover, patients with chronic neurological diseases such as Parkinson’s disease (PD) are particularly challenged as this pandemic affects PD patient care, routine visits, medical supply issues and causes disruption to PD research [2]. Most importantly, PD patients often fall into the core population which is at risk for COVID-19. The risk profile for COVID-19 is confirmed very specifically in recent data from an own analysis of PD patients in Germany [3]. We here analyzed current data of all inpatient PD patients in Germany as coded in the German Diagnosis-Related Groups (G-DRG) system which is relevant for reimbursement of inpatient treatment cost. For the year 2018, we extracted the data of PD patients to determine the presence of comorbidities with known high risk for a severe course of COVID-19 [4] such as hypertension, cardiovascular disease, cerebrovascular disease, diabetes, hepatitis B infection, chronic obstructive pulmonary disease, and chronic kidney disease. We also analyzed the proportion of PD patients who are in need of care measures. Overall, this analysis provides data of 45.345 inpatient cases with primary diagnosis PD in the year 2018. We found a strikingly high prevalence of these risk comorbidities in the PD cohort, especially in the patient subgroup without presence of motor fluctuations. This specifically supports the hypothesis that PD patients in general and some subgroups could be at a higher risk for a severe course of COVID-19. Moreover, we found a high level of care dependency of PD patients which makes it impossible to completely limit contacts to other people or self-isolate because of their need for care staff (Table 1). We additionally analyzed the inpatient prevalence of non-aspiration and aspiration pneumonia in which PD was coded only as secondary diagnosis to differentiate pneumonia subtypes [3]. Interestingly, non-aspiration pneumonia was the most common admission primary diagnosis (8256 cases) while aspiration pneumonia was coded to a less numerous extent (3777 cases; data not shown). This indicates that aspiration is not the most common cause for pneumonia in PD. In clinical practice, the differentiation between aspiration and non-aspiration pneumonia may be difficult because silent aspiration can also occur in patients with swallowing disorders such as PD and there is no precise diagnostic to differentiate the two entities. Importantly, the more frequently coded non-aspiration pneumonia in PD represents a spectrum of diseases including bacterial and fungal but also viral pneumonias. Thus, we consider PD patients to have an increased risk also for viral pneumonias including Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). In summary, this nationalwide data from Germany points out several clinical characteristics of inpatient PD patients that are risk factors for a more severe course of COVID-19. Apart from the increased occurrence of pulmonary infections, strict social distancing is often difficult due to care dependency. We do not consider PD itself to represent a risk factor for COVID-19 and a diagnosis of PD should not lead to any difference in decisions making to treat COVID-19 in these patients. The frequent comorbidities with PD rather highlight the importance of preventive strategies such as telemedicine consultations and preventive testing of care staff. Neurologists and movement disorders specialists should consider a very careful attitude in the treatment of Parkinson’s patients with prudent prevention of infections in these challenging times. The G-DRG datasets analysed during the current study are available online from the Federal Statistical Office (DRG-statistic 2018, Federal Statistical Office, www.destatis.de). Coronavirus disease 2019 German Diagnosis- Related Groups Parkinson’s disease Severe Acute Respiratory Syndrome Coronavirus 2 Pleasure, S. J., Green, A. J., & Josephson, S. A. (2020). The spectrum of neurologic disease in the severe acute respiratory syndrome coronavirus 2 pandemic infection: neurologists move to the frontlines. JAMA Neurology. https://doi.org/10.1001/jamaneurol.2020.1065. Papa, S. M., Brundin, P., Fung, V. S., Kang, U. J., Burn, D. J., Colosimo, C., Chiang, H. L., Alcalay, R. N., Trenkwalder, C., & MDS-Scientific Issues Committee. (2020). Impact of the COVID-19 pandemic on Parkinson’s disease and movement disorders. Movement Disorders. https://doi.org/10.1002/mds.28067. Tönges, L., Bartig, D., Muhlack, S., Jost, W., Gold, R., & Krogias, C. (2019). Characteristics and dynamics of inpatient treatment of patients with Parkinson’s disease in Germany : analysis of 1.5 million patient cases from 2010 to 2015. Nervenarzt, 90(2), 167–174. https://doi.org/10.1007/s00115-018-0590-5. Article PubMed Google Scholar Guan, W. J., Liang, W. H., Zhao, Y., Liang, H. R., Chen, Z. S., Li, Y. M., Liu, X. Q., Chen, R. C., Tang, C. L., Wang, T., Ou, C. Q., Li, L., Chen, P. Y., Sang, L., Wang, W., Li, J. F., Li, C. C., Ou, L. M., Cheng, B., Xiong, S., Ni, Z. Y., Xiang, J., Hu, Y., Liu, L., Shan, H., Lei, C. L., Peng, Y. X., Wei, L., Liu, Y., Hu, Y. H., Peng, P., Wang, J. M., Liu, J. Y., Chen, Z., Li, G., Zheng, Z. J., Qiu, S. Q., Luo, J., Ye, C. J., Zhu, S. Y., Cheng, L. L., Ye, F., Li, S. Y., Zheng, J. P., Zhang, N. F., Zhong, N. S., He, J. X., & China Medical Treatment Expert Group for Covid-19. (2020). Comorbidity and its impact on 1590 patients with Covid-19 in China: a nationwide analysis. European Respiratory Journal. https://doi.org/10.1183/13993003.00547-2020. Download references We thank Destatis and the “H1-Gesundheit” department for data acquisition. None. Department of Neurology, St. Josef-Hospital, Ruhr University Bochum, Gudrunstr. 56, 44791, Bochum, Germany...
Na Li, Sciprofile linkXiang Yu
Risk Management and Healthcare Policy, Volume 13, pp 1095-1102; doi:10.2147/rmhp.s268178

Abstract:
Outbreak and Regression of COVID-19 Epidemic Among Chinese Medical Staff
Md Sondra S. Crosby
Annals of Internal Medicine; doi:10.7326/m20-5126

Carmela Nappi, Rosario Megna, Wanda Acampa, Roberta Assante, Emilia Zampella, Valeria Gaudieri, Teresa Mannarino, Roberta Green, Valeria Cantoni, Mario Petretta, et al.
European Journal of Nuclear Medicine and Molecular Imaging pp 1-7; doi:10.1007/s00259-020-04994-6

The publisher has not yet granted permission to display this abstract.
Sciprofile linkDomenico Solari, Ilaria Bove, Felice Esposito, Paolo Cappabianca, Luigi M. Cavallo
Acta Neurochirurgica pp 1-5; doi:10.1007/s00701-020-04518-z

The publisher has not yet granted permission to display this abstract.
Liliana L. Bove, Sciprofile linkSabine Benoit
Published: 11 August 2020
Journal of Service Management; doi:10.1108/josm-05-2020-0157

The publisher has not yet granted permission to display this abstract.
Sciprofile linkSimon Hazée, Yves Van Vaerenbergh
Published: 11 August 2020
Journal of Service Management; doi:10.1108/josm-04-2020-0129

The publisher has not yet granted permission to display this abstract.
Celine Perier
Published: 11 August 2020
by PubPub
Rapid Reviews COVID-19; doi:10.21428/2e3983f5.52fcd41d

Abstract:
The portable diagnostic platform presented is an indispensable molecular diagnostic solution for COVID-19. Built with secure cloud connectivity, it can enable real-time case identification and epidemiological surveillance. Comparisons are needed.
Lee W. Riley
Published: 11 August 2020
by PubPub
Rapid Reviews COVID-19; doi:10.21428/2e3983f5.b4530cf4

Abstract:
As one of the only large-scale, population-based national serosurveys reported to date, this study makes significant contributions to our understanding of COVID-19 on populations including seroprevalance between age groups and sociodemographic differences.
Pamela Silver, Jeffrey Way
Published: 11 August 2020
by PubPub
Rapid Reviews COVID-19; doi:10.21428/2e3983f5.c54095d3

Abstract:
Study claims the S1-Fc vaccine provides protective activity against COVID-19 live infection. Given the urgent need for a vaccine, this data is worth publishing but the study has some defects, including the need for controls to enhance the quality of the study.
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