COVID-19疫苗接种后神经系统不良反应:一项荟萃分析

S. Ahmad, Yadgar N. Abbas, Jaafar O. Ahmed, Z. Mahmood, F. Kakamad, Hiwa O. Baba, Karzan M. Salih, S. Karim, S. Mohammed, M. N. Hassan, Rawezh Q. Salih, Suhaib H. Kakamad
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摘要

在过去一年中,已记录了与COVID-19疫苗接种相关的各种严重神经系统问题,包括脑病、格林-巴罗综合征、横断面脊髓炎和贝尔氏麻痹。目的系统回顾新冠肺炎疫苗接种后的神经系统并发症报告。当前的荟萃分析旨在为临床医生提供对这一罕见不良事件的全面了解。方法检索Web of Science、MEDLINE on OVID、PubMed和Google Scholar,检索2020年1月1日以后发表的英文论文。结果共纳入30篇文献(21篇病例系列研究,9篇队列研究)。这些研究包括22780名接受COVID-19疫苗接种并至少有1例神经系统不良事件的患者。在大多数事件类型中,女性(54%)报告的不良事件多于男性(40%)。从接种疫苗到出现神经系统症状的中位持续时间在病例系列研究中为12天(0-41天),在队列研究中为10天(0-30天)。中风是迄今为止SARS-CoV-2疫苗最常见的神经系统副作用,其次是贝尔氏麻痹和癫痫发作。越来越多的研究表明,COVID-19疫苗接种会对神经系统产生副作用,这也支持了人们对疫苗安全性的担忧。
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Neurological Adverse Effects Following Administration of COVID-19 Vaccination: A Meta-Analysis
Introduction During the previous year, a variety of serious neurological problems associated with the COVID-19 vaccination have been documented, including encephalopathy, Guillain-Barré syndrome, transverse myelitis, and Bell’s palsy. Objective In the current study, neurological complications reported post-COVID-19 vaccination were systematically reviewed. The current meta-analysis aims to provide clinicians with a comprehensive understanding of this uncommon adverse event. Method Web of Science, MEDLINE on OVID, PubMed, and Google Scholar were searched for English-language papers published after January 1, 2020. Result Thirty articles were included in this study (21 case series and 9 cohort studies). The studies comprised 22,780 patients who got COVID-19 vaccinations and had at least 1 neurological adverse event. Across the majority of event types, females (54%) reported more adverse events than males (40%). The median duration from vaccination to the development of neurological symptoms was 12 days (0-41 days) in case series studies and 10 days (0-30 days) in cohort studies. Stroke is by far the most common neurological side effect of SARS-CoV-2 vaccines, followed by Bell’s palsy and seizures. Conclusion Concerns regarding the safety of COVID-19 vaccinations are being backed up by a growing number of studies that demonstrate neurological side effects.
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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