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@article{2292749,
author = {Skřivanová, Kateřina and Smetana, Karel and Korbička, Tomáš and Hudec, Jan and Jaborník, Martin and Procházka, Vladimír},
article_location = {Praha},
article_number = {3},
doi = {http://dx.doi.org/10.48095/ccko2023234},
keywords = {psychological care; SARS-CoV-2; anxiety; interleukin 6; C-reactive protein; neuroinflammation; brain hypoxia; intensive care unit},
language = {eng},
issn = {0862-495X},
journal = {Klinická onkologie},
title = {Psychological care reflecting the specifics of the course of viral infection in SARS-CoV-2 oncological patients with oxygenation disorder - a case series},
url = {https://www.linkos.cz/english-summary/klinicka-onkologie-journal/2023-06-15-3-en/psychologicka-pece-reflektujici-prubeh-a-specifika-virove-infekce-sars-cov-2-u-o-1/},
volume = {36},
year = {2023}
}
TY - JOUR
ID - 2292749
AU - Skřivanová, Kateřina - Smetana, Karel - Korbička, Tomáš - Hudec, Jan - Jaborník, Martin - Procházka, Vladimír
PY - 2023
TI - Psychological care reflecting the specifics of the course of viral infection in SARS-CoV-2 oncological patients with oxygenation disorder - a case series
JF - Klinická onkologie
VL - 36
IS - 3
SP - 234-240
EP - 234-240
PB - Česká lékařská společnost J. E. Purkyně
SN - 0862495X
KW - psychological care
KW - SARS-CoV-2
KW - anxiety
KW - interleukin 6
KW - C-reactive protein
KW - neuroinflammation
KW - brain hypoxia
KW - intensive care unit
UR - https://www.linkos.cz/english-summary/klinicka-onkologie-journal/2023-06-15-3-en/psychologicka-pece-reflektujici-prubeh-a-specifika-virove-infekce-sars-cov-2-u-o-1/
N2 - During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, patients treated with acute coronavirus disease 2019 (COVID-19) in intensive care units (ICU) have suffered from neuropsychiatric complications such as anxiety, depression, and confusion. Conditions related to the environment have the potential to worsen these symptoms. In combination with virus-dependent neuroinflammation, they form a “toxic” mixture. Discussion and planning strategies for providing psychological care in the ICU during the pandemic have revealed a great current challenge. Case series: We share our experience concerning psychological interventions for oncological patients with oxygen saturation depletion. Our observation of two SARS-CoV-2 patients suggests a close time-related association between the increase in inflammatory markers interleukin 6 (IL-6) and C-reactive protein (CRP) and intensive anxiety in the fast development of breath shortening in acute COVID-19 infection due to brain hypoxia and potential neuroinflammation. Conclusion: As cytokine IL-6 regulates induction of CRP gene expression, the changes in IL-6 concentrations associated with anxiety symptoms and breath shortening in the observed cluster can be detected hours earlier than changes in CRP levels, with a diagnostic implication for the clinicians. The SARS-CoV-2 patients with oncological diseases treated in our ICU asked for personal bedside contact with clinical psychologists, considered it irreplaceable and reported this psychological care as beneficial.
ER -
SKŘIVANOVÁ, Kateřina, Karel SMETANA, Tomáš KORBIČKA, Jan HUDEC, Martin JABORNÍK and Vladimír PROCHÁZKA. Psychological care reflecting the specifics of the course of viral infection in SARS-CoV-2 oncological patients with oxygenation disorder - a case series (Psychologická péče reflektující průběh a specifika virové infekce SARS-CoV-2 u onkologických pacientů s oxygenační poruchou - série kazuistik). \textit{Klinická onkologie}. Praha: Česká lékařská společnost J. E. Purkyně, 2023, vol.~36, No~3, p.~234-240. ISSN~0862-495X. Available from: https://dx.doi.org/10.48095/ccko2023234.
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