PDF(Pubmed)
Abstract：
Background With the advent of the coronavirus disease 2019 (COVID-19) pandemic, some doubts have been raised regarding the potential respiratory problems that patients who previously underwent a phrenic nerve transfer could have. Objectives To analyze the effects of the coronavirus infection on two populations, one from Argentina and another from Taiwan. Specific objectives were: (1) to identify the rate of COVID in patients with a history of phrenic nerve transfer for treatment of palsy; (2) to identify the overall symptom profile; (3) to compare Argentinian versus Taiwanese populations; and (4) to determine if any phrenic nerve transfer patients are at particular risk of more severe COVID. Methods A telephonic survey that included data regarding the number of episodes of acute COVID-19 infection, the symptoms it caused, the presence or absence of potential or life-threatening complications, and the status of COVID-19 vaccination were studied. Intergroup comparisons were conducted using the nonparametric Mann-Whitney U test, with categorical variables conducted using either the Pearson χ2 analysis or the Fisher\'s exact test, as appropriate. Results A total of 77 patients completed the survey, 40 from Taiwan and 37 from Argentina. Fifty-five (71.4%) developed a diagnosis of COVID. However, among these, only four had any level of dyspnea reported (4/55 = 7.3%), all mild. There were also no admissions to hospital or an intensive care unit, no intubations, and no deaths. All 55 patients isolated themselves at home. Conclusions It can be concluded that an acute COVID-19 infection was very well tolerated in our patients. (Level of evidence 3b, case reports).
摘要：
背景随着2019年冠状病毒病（COVID-19）大流行的到来，对于先前接受膈神经转移术的患者可能存在的潜在呼吸问题，人们提出了一些疑问。目的分析冠状病毒感染对两种人群的影响,一个来自阿根廷，另一个来自台湾。具体目标是：（1）确定有膈神经转移治疗麻痹病史的患者中COVID的发生率；（2）确定总体症状特征；（3）比较阿根廷和台湾人群；（4）确定是否有膈神经转移患者特别容易患更严重的COVID。方法一项电话调查，包括有关急性COVID-19感染发作次数的数据，它引起的症状，是否存在潜在或危及生命的并发症，并研究了COVID-19疫苗接种情况。组间比较采用非参数Mann-WhitneyU检验，使用Pearsonχ2分析或Fisher精确检验进行分类变量，视情况而定。结果共有77例患者完成调查,台湾40人，阿根廷37人。55人（71.4%）诊断为COVID。然而,其中,只有4人报告有任何程度的呼吸困难（4/55=7.3％），都是温和的。也没有入院或重症监护室，没有插管,也没有死亡。所有55名患者都在家中隔离。结论可以得出结论，我们的患者对急性COVID-19感染具有很好的耐受性。（证据级别3b，病例报告)。
