Impact of the SARS-CoV-2 pandemic on the ...
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Article dans une revue scientifique: Article original
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Title :
Impact of the SARS-CoV-2 pandemic on the health of individuals with intoxication-type metabolic diseases - data from the E-IMD consortium.
Author(s) :
Mütze, U. [Auteur]
Gleich, F. [Auteur]
Barić, I. [Auteur]
Baumgartner, M. [Auteur]
Burlina, A. [Auteur]
Chapman, K. A. [Auteur]
Chien, Y. [Auteur]
Cortès-Saladelafont, E. [Auteur]
De Laet, C. [Auteur]
Dobbelaere, Dries [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Eysken, F. [Auteur]
Gautschi, M. [Auteur]
Santer, R. [Auteur]
Häberle, J. [Auteur]
Joaquín, C. [Auteur]
Karall, D. [Auteur]
Lindner, M. [Auteur]
Lund, A. M. [Auteur]
Mühlhausen, C. [Auteur]
Murphy, E. [Auteur]
Roland, D. [Auteur]
Ruiz Gomez, A. [Auteur]
Skouma, A. [Auteur]
Grünert, S. C. [Auteur]
Wagenmakers, M. [Auteur]
Garbade, S. F. [Auteur]
Kölker, S. [Auteur]
Boy, N. [Auteur]
Gleich, F. [Auteur]
Barić, I. [Auteur]
Baumgartner, M. [Auteur]
Burlina, A. [Auteur]
Chapman, K. A. [Auteur]
Chien, Y. [Auteur]
Cortès-Saladelafont, E. [Auteur]
De Laet, C. [Auteur]
Dobbelaere, Dries [Auteur]

Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Eysken, F. [Auteur]
Gautschi, M. [Auteur]
Santer, R. [Auteur]
Häberle, J. [Auteur]
Joaquín, C. [Auteur]
Karall, D. [Auteur]
Lindner, M. [Auteur]
Lund, A. M. [Auteur]
Mühlhausen, C. [Auteur]
Murphy, E. [Auteur]
Roland, D. [Auteur]
Ruiz Gomez, A. [Auteur]
Skouma, A. [Auteur]
Grünert, S. C. [Auteur]
Wagenmakers, M. [Auteur]
Garbade, S. F. [Auteur]
Kölker, S. [Auteur]
Boy, N. [Auteur]
Journal title :
J Inherit Metab Dis
Abbreviated title :
J Inherit Metab Dis
Volume number :
46
Pages :
220-231
Publication date :
2022-10-23
ISSN :
1573-2665
English keyword(s) :
coronavirus
COVID-19
E-IMD
IMD
intoxication-type inherited metabolic diseases
pandemic
SARS-CoV-2
survey
COVID-19
E-IMD
IMD
intoxication-type inherited metabolic diseases
pandemic
SARS-CoV-2
survey
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
The SARS-CoV-2 pandemic challenges healthcare systems worldwide. Within inherited metabolic disorders (IMDs) the vulnerable subgroup of intoxication-type IMDs such as organic acidurias (OA) and urea cycle disorders (UCD) ...
Show more >The SARS-CoV-2 pandemic challenges healthcare systems worldwide. Within inherited metabolic disorders (IMDs) the vulnerable subgroup of intoxication-type IMDs such as organic acidurias (OA) and urea cycle disorders (UCD) show risk for infection-induced morbidity and mortality. This study (observation period February 2020 to December 2021) evaluates impact on medical health care as well as disease course and outcome of SARS-CoV-2 infections in patients with intoxication-type IMDs managed by participants of the European Registry and Network for intoxication type metabolic diseases Consortium (E-IMD). Survey's respondents managing 792 patients (n = 479 pediatric; n = 313 adult) with intoxication-type IMDs (n = 454 OA; n = 338 UCD) in 14 countries reported on 59 (OA: n = 36; UCD: n = 23), SARS-CoV-2 infections (7.4%). Medical services were increasingly requested (95%), mostly alleviated by remote technologies (86%). Problems with medical supply were scarce (5%). Regular follow-up visits were reduced in 41% (range 10%–50%). Most infected individuals (49/59; 83%) showed mild clinical symptoms, while 10 patients (17%; n = 6 OA including four transplanted MMA patients; n = 4 UCD) were hospitalized (metabolic decompensation in 30%). ICU treatment was not reported. Hospitalization rate did not differ for diagnosis or age group (p = 0.778). Survival rate was 100%. Full recovery was reported for 100% in outpatient care and 90% of hospitalized individuals. SARS-CoV-2 impacts health care of individuals with intoxication-type IMDs worldwide. Most infected individuals, however, showed mild symptoms and did not require hospitalization. SARS-CoV-2-induced metabolic decompensations were usually mild without increased risk for ICU treatment. Overall prognosis of infected individuals is very promising and IMD-specific or COVID-19-related complications have not been observed.Show less >
Show more >The SARS-CoV-2 pandemic challenges healthcare systems worldwide. Within inherited metabolic disorders (IMDs) the vulnerable subgroup of intoxication-type IMDs such as organic acidurias (OA) and urea cycle disorders (UCD) show risk for infection-induced morbidity and mortality. This study (observation period February 2020 to December 2021) evaluates impact on medical health care as well as disease course and outcome of SARS-CoV-2 infections in patients with intoxication-type IMDs managed by participants of the European Registry and Network for intoxication type metabolic diseases Consortium (E-IMD). Survey's respondents managing 792 patients (n = 479 pediatric; n = 313 adult) with intoxication-type IMDs (n = 454 OA; n = 338 UCD) in 14 countries reported on 59 (OA: n = 36; UCD: n = 23), SARS-CoV-2 infections (7.4%). Medical services were increasingly requested (95%), mostly alleviated by remote technologies (86%). Problems with medical supply were scarce (5%). Regular follow-up visits were reduced in 41% (range 10%–50%). Most infected individuals (49/59; 83%) showed mild clinical symptoms, while 10 patients (17%; n = 6 OA including four transplanted MMA patients; n = 4 UCD) were hospitalized (metabolic decompensation in 30%). ICU treatment was not reported. Hospitalization rate did not differ for diagnosis or age group (p = 0.778). Survival rate was 100%. Full recovery was reported for 100% in outpatient care and 90% of hospitalized individuals. SARS-CoV-2 impacts health care of individuals with intoxication-type IMDs worldwide. Most infected individuals, however, showed mild symptoms and did not require hospitalization. SARS-CoV-2-induced metabolic decompensations were usually mild without increased risk for ICU treatment. Overall prognosis of infected individuals is very promising and IMD-specific or COVID-19-related complications have not been observed.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Collections :
Submission date :
2024-06-25T21:36:51Z
2024-10-15T12:10:09Z
2024-10-15T12:10:09Z
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