Evidence map›Paper›PMID 32270359›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

Acute stroke management pathway during Coronavirus-19 pandemic.

Claudio Baracchini, Alessio Pieroni, Federica Viaro, Vito Cianci, Anna M Cattelan, Ivo Tiberio, Marina Munari, Francesco Causin

Abstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Stroke network performance during the first COVID-19 pandemic stage: A meta-analysis based on stroke network models.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
  2. Guideline
  3. Guideline
  4. Article
  5. Article
  6. Article
  7. Article
  8. Changing the stroke network during pandemic scenarios does not affect the management of patients with a positive Cincinnati prehospital stroke scale.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Exploring the Need for Mobile Application in Stroke Management by Informal Caregivers: A Qualitative Study.International journal of environmental research and public health · 2022
    Article
  18. Article
  19. Did COVID-19 impact stroke services? A multicenter study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Observational
  20. Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Claudio BaracchiniStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Alessio PieroniStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy. pieroni.md@gmail.com.ORCID https://orcid.org/0000-0002-7094-2445
Federica ViaroStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Vito CianciEmergency Department, Padua University Hospital, Padua, Italy.
Anna M CattelanTropical and Infectious Diseases Unit, Padua University Hospital, Padua, Italy.
Ivo TiberioIntensive Care Unit, Padua University Hospital, Padua, Italy.
Marina MunariNeuro-Intensive Care Unit, Padua University Hospital, Padua, Italy.
Francesco CausinNeuroradiology Unit, Padua University Hospital, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the outbreak of the COVID-19 epidemic which in our region, Veneto (Italy), dates back to February, we were confronted with several challenges, but with a constant aim of keeping our Stroke Unit COVID-free. For this reason, in addition to creating a dedicated hot-spot as a pre-triage just outside the Emergency Department, together with the Neuroradiology Unit we obtained a mobile CT unit that could be used by COVID-positive or COVID-suspected patients. Furthermore, thanks to the collaboration with colleagues from different specialties (Infectious Disease, Internal Medicine, Intensive Care, Emergency Medicine), dedicated areas for COVID patients were activated. This led to a substantial change of our acute stoke management pathway. As the number of COVID patients increased, and the WHO declared a state of pandemic, this new stroke pathway has been fully tested. We would like to share our experience and send a clear message to keep a high attention on stroke as an emergency condition, because we have observed a decreased number of patients with minor strokes and TIAs, longer onset-to-door and door-to-treatment times for major strokes, and a reduced number of transfers from spokes. We strongly believe that the general population and family doctors are rightly focused on COVID. However, to remain at home with stroke symptoms does not mean to "stay safe at home".

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Disease ManagementDisease OutbreaksEmergency Service, HospitalItalyPandemicsPneumonia, ViralSARS-CoV-2StrokeAcute strokeCoronavirusCOVID-19Stroke Unit

Identifiers

PMID32270359
PMCPMC7141930

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.