Evidence map›Paper›PMID 32689645›Full record

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

Optimization of resources and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic.

Thomas Ford, Gioacchino Curiale, Thanh N Nguyen, Hugo Aparicio, Emily K Hamlyn, Suhas Gangadhara, Anna M Cervantes-Arslanian, David Greer, Jose Rafael Romero, Julie G Shulman

Abstract 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic - An opinion to mitigate exposure and conserve personal protective equipment.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Guideline
  2. Article
  3. Article
  4. Review
  5. Review
  6. Containing COVID-19 in a specialised neurology centre: the risks of presymptomatic transmission.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    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

10 authors.

Thomas FordDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Thomas.Ford@bmc.org.
Gioacchino CurialeDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Gioacchino.Curiale@bmc.org.
Thanh N NguyenDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Thanh.Nguyen@bmc.org.
Hugo AparicioDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States; NHLBI's Framingham Heart Study, Framingham, MA, United States. Electronic address: Hugo.Aparicio@bmc.org.
Emily K HamlynDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Emily.Hamlyn@bmc.org.
Suhas GangadharaDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Suhas.Gangadhara@bmc.org.
Anna M Cervantes-ArslanianDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: Anna.Cervantes@bmc.org.
David GreerDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: David.Greer@bmc.org.
Jose Rafael RomeroDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States; NHLBI's Framingham Heart Study, Framingham, MA, United States. Electronic address: Joromero@bu.edu.
Julie G ShulmanDepartment of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States. Electronic address: julie.Shulman@bmc.org.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare worker safety in the face of limited resources. Boston Medical Center has been particularly affected due to the underserved patient population we care for and the increased risk of ischemic stroke in patients with COVID-19 infection.

methodsWe present protocol modifications developed to manage patients with acute ischemic stroke in a safe and effective manner while prioritizing judicious use of personal protective equipment and intensive care unit resources.

conclusionWe feel this information will benefit other organizations facing similar obstacles in caring for the most vulnerable patient populations during this ongoing public health crisis.

Indexed as

Endovascular ProceduresRadiography, InterventionalThrombolytic TherapyBetacoronavirusBostonBrain IschemiaClinical Decision-MakingCoronavirus InfectionsCOVID-19Critical PathwaysHealth Services Needs and DemandHost Microbial InteractionsHumansNeeds AssessmentPandemicsPneumonia, ViralAcute ischemic strokeCOVID-19Interventional neuroradiologyThrombolysis

Identifiers

PMID32689645
PMCPMC7245329

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.