Evidence map›Paper›PMID 32501751›Full record

SynthesisInternational journal of stroke : official journal of the International Stroke Society2020

Cerebral ischemic and hemorrhagic complications of coronavirus disease 2019.

Ahmad Sweid, Batoul Hammoud, Kimon Bekelis, Symeon Missios, Stavropoula I Tjoumakaris, Michael R Gooch, Nabeel A Herial, Hekmat Zarzour, Victor Romo, Maureen DePrince and 2 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International journal of stroke : official journal of the International Stroke Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 7 pooled it
10.8field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 7 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
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  4. Stroke as a Neurological Complication of COVID-19: A Systematic Review and Meta-Analysis of Incidence, Outcomes and Predictors.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Pooled it
  5. Stroke in COVID-19: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
  6. Intracranial hemorrhage in coronavirus disease 2019 (COVID-19) patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
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  17. Recombinant tissue plasminogen activator (rTPA) management for first onset acute ischemic stroke with covid -19 and non-covid -19 patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
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4 more citing papers are in PubMed but not listed here.

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

12 authors at 3 institutions in 1 country.

Ahmad SweidDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Batoul HammoudDepartment of Pediatric Endocrinology, Children Hospital of Philadelphia, Philadelphia, USA.
Kimon BekelisDepartment of Neurosurgery, Good Samaritan Hospital Medical Center, West Islip, USA.
Symeon MissiosDepartment of Neurosurgery, Good Samaritan Hospital Medical Center, West Islip, USA.
Stavropoula I TjoumakarisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Michael R GoochDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Nabeel A HerialDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Hekmat ZarzourDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Victor RomoDepartment of Anesthesia, Thomas Jefferson University Hospital, Philadelphia, USA.
Maureen DePrinceDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Robert H RosenwasserDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.
Pascal JabbourDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, USA.ORCID 0000-0002-8965-2413
Thomas Jefferson University Hospital · USGood Samaritan University Hospital · USChildren's Hospital of Philadelphia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 is associated with neurological manifestations including stroke.

objectivesWe present a case series of coronavirus disease 2019 patients from two institutions with acute cerebrovascular pathologies. In addition, we present a pooled analysis of published data on large vessel occlusion in the setting of coronavirus disease 2019 and a concise summary of the pathophysiology of acute cerebrovascular disease in the setting of coronavirus disease 2019.

methodsA retrospective study across two institutions was conducted between 20 March 2020 and 20 May 2020, for patients developing acute cerebrovascular disease and diagnosed with coronavirus disease 2019. We performed a literature review using the PubMed search engine.

resultsThe total sample size was 22 patients. The mean age was 59.5 years, and 12 patients were female. The cerebrovascular pathologies were 17 cases of acute ischemic stroke, 3 cases of aneurysm rupture, and 2 cases of sinus thrombosis. Of the stroke and sinus thrombosis patients, the mean National Institute of Health Stroke Scale was 13.8 ± 8.0, and 16 (84.2%) patients underwent a mechanical thrombectomy procedure. A favorable thrombolysis in cerebral infarction score was achieved in all patients. Of the 16 patients that underwent a mechanical thrombectomy, the mortality incidence was five (31.3%). Of all patients (22), three (13.6%) patients developed hemorrhagic conversion requiring decompressive surgery. Eleven (50%) patients had a poor functional status (modified Rankin Score 3-6) at discharge, and the total mortality incidence was eight (36.4%).

conclusionsDespite timely intervention and favorable reperfusion, the mortality rate in coronavirus disease 2019 patients with large vessel occlusion was high in our series and in the pooled analysis. Notable features were younger age group, involvement of both the arterial and venous vasculature, multivessel involvement, and complicated procedures due to the clot consistency and burden.

Indexed as

BetacoronavirusAcute DiseaseAdultAgedBrain IschemiaCoronavirus InfectionsCOVID-19FemaleHumansIntracranial HemorrhagesMaleMiddle AgedPandemicsPneumonia, ViralRetrospective StudiesSARS-CoV-2angiotensin (1–7)angiotensin-converting enzyme 2cerebral venous thrombosiscerebrovascular diseaseCoronavirus disease 2019hypercoagulablesevere acute respiratory syndrome coronavirus 2strokethrombectomy

Identifiers

PMID32501751
PMCPMC7534206
OpenAlexW3033296452

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.