Clinical characteristics and outcomes of multiple sclerosis patients with COVID-19 in Toronto, Canada.


Journal

Multiple sclerosis and related disorders
ISSN: 2211-0356
Titre abrégé: Mult Scler Relat Disord
Pays: Netherlands
ID NLM: 101580247

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 01 11 2021
revised: 14 12 2021
accepted: 06 01 2022
pubmed: 15 1 2022
medline: 3 3 2022
entrez: 14 1 2022
Statut: ppublish

Résumé

To report clinical characteristics and outcomes of people with multiple sclerosis (PwMS) who developed COVID-19 infection in Toronto, Canada. Descriptive, retrospective, single-center study that included all known PwMS at the St. Michael's Hospital MS Clinic who had PCR-confirmed COVID-19 infection between March 2020 and May 2021. Of 7000 PwMS in our clinic, 80 (1.1%) tested positive for SARS-CoV-2. Fifty-four (67.5%) were on disease-modifying therapy (DMT) without over-representation of any single treatment. Seventy-one patients (88.8%) had mild symptoms, but nine (11.3%) were hospitalized and one 70-year-old male patient not on treatment died. Of those hospitalized, one-third were treated with ocrelizumab. In Toronto, PwMS did not appear to have higher prevalence of COVID-19 infection compared to the general population, but disease severity may be affected by DMT use. Our findings add to the accumulating global data regarding COVID-19 infection in PwMS.

Identifiants

pubmed: 35030366
pii: S2211-0348(22)00024-4
doi: 10.1016/j.msard.2022.103509
pmc: PMC8741626
pii:
doi:

Types de publication

Case Reports Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

103509

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Auteurs

Jacqueline M Solomon (JM)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada; Division of Neurology, Department of Medicine, Hamilton Health Sciences, McMaster University, 237 Barton St E, Hamilton, Ontario L8L 2X2, Canada. Electronic address: solomonja@hhsc.ca.

Ashley Jones (A)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: ashley.jones@unityhealth.to.

Marika Hohol (M)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: marika.Hohol@unityhealth.to.

Kristen M Krysko (KM)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: kristen.krysko@mail.utoronto.ca.

Alexandra Muccilli (A)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: alexandra.muccilli@unityhealth.to.

Alexandra Roll (A)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: alexandra.roll@unityhealth.to.

Dalia Rotstein (D)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: dalia.rotstein@unityhealth.to.

Raphael Schneider (R)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada; Keenan Research Centre for Biomedical Science, St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada. Electronic address: raphael.schneider@unityhealth.to.

Daniel Selchen (D)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: daniel.selchen@unityhealth.to.

Reza Vosoughi (R)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: reza.vosoughi@unityhealth.to.

Stefan D Baral (SD)

Department of Epidemiology, Johns Hopkins School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA. Electronic address: sbaral@jhu.edu.

Jiwon Oh (J)

Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, 36 Queen St E, Toronto, Ontario M5B 1W8, Canada. Electronic address: ohjiw@smh.ca.

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Classifications MeSH