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Impact of the COVID‐19 lockdown on patients and families with Dravet syndrome

机译:Covid-19锁定对Dravet综合征患者和家庭的影响

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摘要

We explored the impact of coronavirus virus 2019 (COVID‐19) pandemic on patients with Dravet syndrome (DS) and their family. With European patient advocacy groups (PAGs), we developed an online survey in 10 languages to question health status, behavior, personal protection, and health services before and after lockdown. Approximately 538 European PAG members received electronic invitations. Survey ran from April 14, to May 17, 2020, with 219 answers; median age 9 year 10 months. Protection against infection was highly used prior to COVID‐19, but 88% added facemask‐use according to pandemic recommendations. Only one patient was tested positive for COVID‐19. Most had stable epilepsy during lockdown, and few families (4%) needed emergency care during lockdown. However, behavior disorder worsened in over one‐third of patients, regardless of epilepsy changes. Half of appointments scheduled prior to lockdown were postponed; 12 patients (11%) had appointments fulfilled; and 39 (36%) had remote consultations. Responders welcomed remote consultations. Half of responders were unsatisfied with psychological remote support as only few (21 families) received this support. None of the five of patient in clinical trials stopped investigational treatment. Prior adoption of protective measures against general infection might have contributed to avoiding COVID‐19 infections. Protocols for the favored remote contact ought to now be prepared.
机译:我们探讨了冠状病毒病毒2019(Covid-19)大流行对Dravet综合征(DS)及其家庭患者的影响。凭借欧洲患者倡导团体(PAG),我们在锁定前后质疑健康状况,行为,个人保护和保健服务,在线调查。大约538名欧洲PAG成员收到了电子邀请。调查从4月14日开始,到2020年5月17日,有219个答案;中位年龄9年10个月。在Covid-19之前,对感染的保护非常使用,但根据大流行建议,额外的面罩使用了88%的面罩。只有一个患者对Covid-19进行了阳性。在锁定期间大多数均具有稳定的癫痫,很少有家庭(4%)在锁定期间需要紧急护理。然而,不管癫痫发生变化,超过三分之一的患者的行为障碍症恶化。在锁定之前预约的一半预约被推迟; 12名患者(11%)已达成约会; 39(36%)有远程咨询。响应者欢迎远程咨询。一半的响应者对心理远程支持不满意,因为只有很少(21个家庭)获得了这一支持。临床试验中的五名患者均未停止调查治疗。在防止一般感染的保护措施之前可能导致避免Covid-19感染。现在应该准备好的远程联系的协议。

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