COVID-19: extrapulmonary impairments (own data of infection hospital of FSBI FSSCC FMBA of Russia) and experience of use different profile specialists to working in hospitals

Abramov VG, Gaygolnik TV, Fetisov AO, Pinzhina VN, Osipova TM, Bezdenezhnykh AF, Morozov DN
About authors

Federal State Financed Institution Federal Siberian Research Clinical Centre, Federal Medical-Biological Agency of Russia, Krasnoyarsk, Russia

Received: 2020-07-09 Accepted: 2020-08-13 Published online: 2020-09-22

Introduction. This article describes the extrapulmonary manifestations of COVID-19 and proposes a simple and quick patient self-completed questionnaire for identifying such symptoms in the affected patients.
Materials and methods: The study was conducted in 93 patients who gave consent to participate. The questionnaire included questions about age and sex, 3 open-ended questions and 92 tick-a-box closed-ended questions about the possible symptoms. All symptoms listed in the closed-ended section of the questionnaire can be classified into 9 major domains (groups): pain, febrility, respiratory symptoms, neurological symptoms, digestive symptoms, skin symptoms, renal and urological symptoms, cardiac symptoms, apathy and asthenia.
Results and discussion:  Apathy, asthenia, fever, and respiratory symptoms were the most common. manifestations of COVID-19.  Less frequent were neurological, digestive and cardiovascular symptoms. However, with apathy, asthenia and headache included in the neurological domain, neurological symptoms ranked first in their prevalence (97.75%). Symptoms indicating kidney and skin involvement were significantly less common.
Conclusions: Extrapulmonary manifestations of the disease were observed in the majority of our patients. The authors plan to continue their research and aim to compare the results of laboratory and instrumental tests with presenting complaints, investigate the associations between the received therapy and the complaints, and propose optimization strategies for the management of COVID-19 patients (inviting specialty physicians to work with COVID-19 hospital teams during an escalating epidemic and providing specialized consultations to patients as the epidemic subsides).

Keywords: pain, COVID-19, hyposmia, extra-pulmonary manifestations, neurological damage, digestive symptoms, apathy, asthenia, medical care