Evidence map›Paper›PMID 32689588›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2020

Hemorrhagic stroke and anticoagulation in COVID-19.

Siddhant Dogra, Rajan Jain, Meng Cao, Seda Bilaloglu, David Zagzag, Sarah Hochman, Ariane Lewis, Kara Melmed, Katherine Hochman, Leora Horwitz and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 9 pooled it
15.5field-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

97 citing papers in PubMed, 9 syntheses or guidelines pooled it, 190 citations in OpenAlex.

  1. Pooled it
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  4. Stroke in COVID-19: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
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  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
  7. Clinical Characteristics of Stroke with COVID-19: A Systematic Review and Meta-Analysis.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Pooled it
  8. Neurological manifestations of COVID-19: a systematic review and meta-analysis of proportions.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Pooled it
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  15. Acute Neurological Complications of Coronavirus Disease.Neuroimaging clinics of North America · 2023
    Review
  16. Article
  17. Cerebrovascular Manifestations of SARS-CoV-2: A Comprehensive Review.Current treatment options in neurology · 2023
    Review
  18. Review
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  20. Ischemic and Hemorrhagic Cerebrovascular Events Related to COVID-19 Coagulopathy and Hypoxemia.International journal of environmental research and public health · 2022
    Review

37 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 1 institution in 1 country.

Siddhant DograDepartment of Radiology, New York University Langone Health, New York, NY, United States. Electronic address: Siddhant.dogra@nyulangone.org.
Rajan JainDepartment of Radiology, New York University Langone Health, New York, NY, United States; Department of Neurosurgery, New York University Langone Health, New York, NY, United States. Electronic address: rajan.jain@nyulangone.org.
Meng CaoDepartment of Medicine, New York University Langone Health, New York, NY, United States. Electronic address: meng.cao@nyulangone.org.
Seda BilalogluDepartment of Population Health, New York University Langone Health, New York, NY, United States. Electronic address: seda.bilaloglu@nyulangone.org.
David ZagzagDepartment of Neurosurgery, New York University Langone Health, New York, NY, United States; Department of Pathology, New York University Langone Health, New York, NY, United States. Electronic address: David.zagzag@nyulangone.org.
Sarah HochmanDepartment of Infectious Disease, New York University Langone Health, New York, NY, United States. Electronic address: sarah.hochman@nyulangone.org.
Ariane LewisDepartment of Neurosurgery, New York University Langone Health, New York, NY, United States; Department of Neurology, New York University Langone Health, New York, NY, United States. Electronic address: Ariane.lewis@nyulangone.org.
Kara MelmedDepartment of Neurology, New York University Langone Health, New York, NY, United States. Electronic address: kara.melmed@nyulangone.org.
Katherine HochmanDepartment of Medicine, New York University Langone Health, New York, NY, United States. Electronic address: Katherine.hochman@nyulangone.org.
Leora HorwitzDepartment of Population Health, New York University Langone Health, New York, NY, United States. Electronic address: Leora.Horwitz@nyulangone.org.
Steven GalettaDepartment of Neurology, New York University Langone Health, New York, NY, United States. Electronic address: Steven.galetta@nyulangone.org.
Jeffrey BergerDepartment of Cardiology, New York University Langone Health, New York, NY, United States. Electronic address: Jeffrey.berger@nyulangone.org.
NYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePatients with the Coronavirus Disease of 2019 (COVID-19) are at increased risk for thrombotic events and mortality. Various anticoagulation regimens are now being considered for these patients. Anticoagulation is known to increase the risk for adverse bleeding events, of which intracranial hemorrhage (ICH) is one of the most feared. We present a retrospective study of 33 patients positive for COVID-19 with neuroimaging-documented ICH and examine anticoagulation use in this population.

methodsPatients over the age of 18 with confirmed COVID-19 and radiographic evidence of ICH were included in this study. Evidence of hemorrhage was confirmed and categorized by a fellowship trained neuroradiologist. Electronic health records were analyzed for patient information including demographic data, medical history, hospital course, laboratory values, and medications.

resultsWe identified 33 COVID-19 positive patients with ICH, mean age 61.6 years (range 37-83 years), 21.2% of whom were female. Parenchymal hemorrhages with mass effect and herniation occurred in 5 (15.2%) patients, with a 100% mortality rate. Of the remaining 28 patients with ICH, 7 (25%) had punctate hemorrhages, 17 (60.7%) had small- moderate size hemorrhages, and 4 (14.3%) had a large single site of hemorrhage without evidence of herniation. Almost all patients received either therapeutic dose anticoagulation (in 22 [66.7%] patients) or prophylactic dose (in 3 [9.1] patients) prior to ICH discovery.

conclusionsAnticoagulation therapy may be considered in patients with COVID-19 though the risk of ICH should be taken into account when developing a treatment regimen.

Indexed as

AdultAgedAged, 80 and overAnticoagulantsBetacoronavirusBlood CoagulationCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentFemaleHost Microbial InteractionsHumansIntracranial HemorrhagesMaleMiddle AgedPandemicsAnticoagulantsAnticoagulationCOVID-19Hemorrhagic strokeIntracranial hemorrhage

Identifiers

PMID32689588
PMCPMC7245254
OpenAlexW3028473115

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.