Evidence map›Paper›PMID 32364127›Full record

GuidelineNeurologia2020

Acute stroke care during the COVID-19 pandemic. Ictus Madrid Program recommendations.

J Rodríguez-Pardo, B Fuentes, M Alonso de Leciñana, J Campollo, P Calleja Castaño, J Carneado Ruiz, J Egido Herrero, R García Leal, A Gil Núñez, J F Gómez Cerezo and 8 more

Open access · goldAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Neurologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-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

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Observational
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  11. Review on 3D printing: Fight against COVID-19.Materials chemistry and physics · 2021
    Article
  12. Article
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  14. Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Article
  15. Article
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  17. Review
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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

18 authors at 9 institutions in 1 country.

J Rodríguez-PardoServicio de Neurología, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPaz, Madrid, España. Electronic address: jrpardodedonlebun@salud.madrid.org.
B FuentesServicio de Neurología, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPaz, Madrid, España.
M Alonso de LeciñanaServicio de Neurología, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPaz, Madrid, España.
J CampolloServicio de Radiología (Sección de Neurorradiología), Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, España.
P Calleja CastañoServicio de Neurología, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, España.
J Carneado RuizServicio de Neurología, Hospital Universitario Puerta de Hierro, Universidad Autónoma de Madrid, Madrid, España.
J Egido HerreroServicio de Neurología, Hospital Universitario Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España.
R García LealServicio de Neurocirugía, Hospital Universitario Gregorio Marañón, Universidad Autónoma de Madrid, Madrid, España.
A Gil NúñezServicio de Neurología, Hospital Universitario Gregorio Marañón, Universidad Autónoma de Madrid, Madrid, España.
J F Gómez CerezoServicio de Medicina Interna, Hospital Universitario Infanta Sofía, Madrid, España.
A Martín MartínezServicio de Urgencias Hospitalarias, Hospital Severo Ochoa, Madrid, España.
J Masjuán VallejoServicio de Neurología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
B Palomino AguadoServicio de Medicina Física y Rehabilitación, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
N Riera LópezServicio de Urgencias Médicas de Madrid, SUMMA-112, Madrid, España.
R Simón de Las HerasServicio de Neurología (Sección Neuropediatría), Hospital Universitario 12 de Octubre, Madrid, España.
J Vivancos MoraServicio de Neurología, Hospital Universitario La Princesa, Universidad Autónoma de Madrid, Madrid, España.
E Díez TejedorServicio de Neurología, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPaz, Madrid, España. Electronic address: exuperio.diez@salud.madrid.org.
en nombre del Grupo Multidisciplinar del Plan Ictus Madrid
Hospital Universitario La Paz · ESUniversidad Autónoma de Madrid · ESHospital Universitario 12 De Octubre · ESUniversidad Complutense de Madrid · ESUniversidad de Alcalá · ESHospital Universitario de La Princesa · ESHospital Universitario Infanta Sofía · ESHospital Universitario Severo Ochoa · ESMadrid Health Service · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has resulted in complete saturation of healthcare capacities, making it necessary to reorganise healthcare systems. In this context, we must guarantee the provision of acute stroke care and optimise code stroke protocols to reduce the risk of SARS-CoV-2 infection and rationalise the use of hospital resources. The Madrid Stroke multidisciplinary group presents a series of recommendations to achieve these goals.

methodsWe conducted a non-systematic literature search using the keywords "stroke" and "COVID-19" or "coronavirus" or "SARS-CoV-2." Our literature review also included other relevant studies known to the authors. Based on this literature review, a series of consensus recommendations were established by the Madrid Stroke multidisciplinary group and its neurology committee.

resultsThese recommendations address 5 main objectives: 1) coordination of action protocols to ensure access to hospital care for stroke patients; 2) recognition of potentially COVID-19-positive stroke patients; 3) organisation of patient management to prevent SARS-CoV-2 infection among healthcare professionals; 4) avoidance of unnecessary neuroimaging studies and other procedures that may increase the risk of infection; and 5) safe, early discharge and follow-up to ensure bed availability. This management protocol has been called CORONA (Coordinate, Recognise, Organise, Neuroimaging, At home).

conclusionsThe recommendations presented here may assist in the organisation of acute stroke care and the optimisation of healthcare resources, while ensuring the safety of healthcare professionals.

Indexed as

PandemicsAcute DiseaseBrain IschemiaClinical Laboratory TechniquesCommunity-Acquired InfectionsContainment of BiohazardsCoronavirus InfectionsCOVID-19COVID-19 TestingCross InfectionDecision Making, SharedDisease ManagementEmergency Service, HospitalHealth Services AccessibilityHealth Services Needs and DemandHospitalizationCoronavirusCOVID-19IctusSARS-CoV-2Stroke

Identifiers

PMID32364127
PMCPMC7180371
OpenAlexW3017670535

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.