Patient Management in Neurology Intensive Care During COVID-19 Pandemic Period/COVID-19 Pandemi Sürecinde Nöroloji Yogun Bakimda Hasta Yönetimi

Objective: This study aims to evaluate data from coronavirus disease-2019 (COVID-19) patients with neurological manifestations hospitalized in the intensive care unit (ICU). Materials and Methods: The study included data from COVID-19 patients with neurological manifestations hospitalized in ICU. Patients' demographic characteristics, risk factors, laboratory results, treatment methods, mechanical ventilation methods, use of non-invasive techniques to meet [O.sub.2] requirements, clinical outcome at discharge and after three months, and mortality rates were evaluated. Results: The study included 25 patients. Mean age of the patients was 66.76[+ or -]12.93. Fifty two percent of the patients were male. Of the patients 96% had a positive polymerase chain reaction test, and 92% had lung involvement. The comorbidities of the patients were hypertension (48%), diabetes mellitus (28%), coronary artery disease (28%), cerebrovascular disease (20%), cancer (20%), and chronic obstructive pulmonary disease (12%). Seventy two percent of the patients presented with stroke. Of the patients %12 presented with encephalopathy, whereas patients with epilepsy and myasthenia gravis accounted for 8%. Patients' average length of stay in ICU was 13.16[+ or -]12.44 days. Pressure-synchronized intermittent mandatory ventilation mode was used in 56% of patients. Number of intubation days was 9.5[+ or -]12.26. All patients were treated with favipiravir and antiaggregant, 92% with steroids and antibacterial therapy, 52% with antiaggregant, 20% with plasma therapy, 8% with cytokine filter and immunoglobulin therapy, and 4% with monoclonal antibody therapy. During hospitalization, mortality rate was 48%, good clinical outcome rate was 36%. Conclusion: The rates of poor clinical outcomes are seen to be high during in-hospital treatment and follow-up of COVID-19 patients presenting with neurological symptoms, as well as at discharge. Keywords: COVID-19, neurointensive care, stroke, seizure, encephalopathy, myasthenia gravis Amaç: Bu çalismada yogun bakim ünitesine (YBÃoe) yatan nörolojik manifestasyonlari olan koronavirüs hastaligi-2019 (COVID-19) hastalarinin verilerini degerlendirmeyi amaçladik. Gereç ve Yöntem: Çalismaya nöroloji YBÃoe'de nörolojik manifestasyonlar ile yatan COVID-19 hastalarinin verileri dahil edildi. Hastalarin demografik özellikleri, risk faktörleri, laboratuvar sonuçlari, tedavi yöntemleri, mekanik ventilasyon süreçleri, [O.sub.2] ihtiyacini karsila