Impactos globais da infecção por COVID-19 em pacientes com a doença de Parkinson: uma revisão integrativa
DOI:
https://doi.org/10.33448/rsd-v10i1.12043Palavras-chave:
Pandemias; Infecções por Coronavirus; Doença de Parkinson.Resumo
O surto pandêmico de infecção pelo Coronavírus 2019-nCoV (COVID-19) é alvo pesquisas para compreender suas repercussões em pacientes com doenças neurológicas, como a doença de Parkinson. Este artigo visa discutir as evidências na literatura científica sobre os riscos e complicações da pandemia por COVID-19 sobre portadores de Parkinson. Foram realizadas buscas de artigos em inglês, português ou espanhol por meio das bases de dados PubMed, PubMed, Lilacs, ScienceDirect e SciElo, usando os descritores de forma associada: Coronavirus Infections” OR “COVID-19” AND “Parkinson Disease” sobre os anos de 2019 e 2020. Foram encontrados 268 resultados que, após aplicados critérios de inclusão e exclusão, foram reduzidos a 23 artigos. A análise dos itens indica que a pandemia contribui para estresse psicológico e está relacionado com a piora de sintomas não-motores e motores. Os sintomas são agravados por dificuldades de acesso ao atendimento de saúde, acesso às medicações e da manutenção de tratamentos especializados. Em pacientes com infecção por COVID-19 esta pode levar a desregulação imune, morte neuronal e alterações no metabolismo dopaminérgico além de que a ativação inflamatória poderia agravar a sinucleinopatia. A doença de Parkinson por si não representa um aumento de risco de infecção, no entanto a idade média dos pacientes e comorbidades desse grupo são fatores que aumentam as chances de hospitalização e morte após contrair COVID-19. Nessa perspectiva, estratégias protetoras como exercício físico, fisioterapia, dinâmicas psicossociais e ferramentas de telemedicina são essenciais e tem de ser adaptadas para promover o cuidado de saúde em tempos isolamento.Incluir o resumo.
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