Evidence map›Paper›PMID 32303672›Full record

ArticleSpinal cord series and cases2020

COVID-19 tsunami: the first case of a spinal cord injury patient in Italy.

Gabriele Righi, Giulio Del Popolo

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Spinal cord series and cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Living With Cervical Spinal Cord Injury During the COVID-19 Pandemic: A Qualitative Study.Archives of rehabilitation research and clinical translation · 2022
    Article
  6. Outcomes of patients with COVID-19 after inpatient rehabilitation.PM & R : the journal of injury, function, and rehabilitation · 2022
    Observational
  7. Article
  8. Hydroxychloroquine: A review of its safety and efficacy in COVID-19.Journal of family medicine and primary care · 2021
    Review
  9. Article
  10. Review
  11. Pulmonary Embolism After Acute Spinal Cord Injury and COVID-19.American journal of physical medicine & rehabilitation · 2020
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Gabriele RighiSpinal Unit, Careggi University Hospital, Firenze, Italy.
Giulio Del PopoloSpinal Unit, Careggi University Hospital, Firenze, Italy. delpopolog@aou-careggi.toscana.it.
Azienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe present the report of the first, to our best knowledge, case of COVID-19 in a tetraplegic person. CASE PRESENTATION: A 56-year-old male with AIS A C4 tetraplegia developed fever during the night, without any prodrome. His general practitioner suspected a urinary tract infection and prescribed him antibiotic therapy. After 2 days of antibiotic therapy the fever still persisted, so the individual was admitted to the local hospital and treated with broad-spectrum antibiotics. After 2 days he was transferred to our spinal unit. Considering the worsening of the chest X-ray and fever despite 48 h of broad-spectrum antibiotic therapy, we strongly suspected viral pneumonia. SARS-CoV-2 was detected and antiviral therapy with Lopinavir/Ritonavir, associated with hydroxychloroquine, was promptly started. Fever ceased after 2 days of therapy. DISCUSSION: Blood test and chest X-ray findings in this patient were similar to previously published findings regarding COVID-19. One difference between this case and the known clinical course of COVID-19 is that did not develop cough. Another interesting feature of our case is that, despite tetraplegia, the clinical course was not severe. Persons with COVID-19 remain asymptomatic, these results underscore the need for rehabilitation and SCI professionals to have a high index of suspicion for COVID-19 in their inpatient and outpatient clients. Only inpatient with fever hase being tested for COVID-19. All new patients are submitted to SARS-COV-2 Test. Moreover, routine testing of patients who have to participate in therapy in common gym areas may be warranted.

Indexed as

Anti-Bacterial AgentsAnti-Retroviral AgentsClinical Laboratory TechniquesCoronavirus InfectionsCoughCOVID-19COVID-19 TestingFeverHospitalizationHumansItalyLopinavirMaleMiddle AgedPandemicsPneumonia, ViralAnti-Bacterial AgentsAnti-Retroviral AgentsLopinavirRitonavir

Identifiers

PMID32303672
PMCPMC7163165
OpenAlexW3016877088

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.