Evidence map›Paper›PMID 32730975›Full record

ArticleWorld neurosurgery2020

"Staying Home"-Early Changes in Patterns of Neurotrauma in New York City During the COVID-19 Pandemic.

Jacques Lara-Reyna, Kurt A Yaeger, Christina P Rossitto, Divaldo Camara, Raymond Wedderburn, Saadi Ghatan, Joshua B Bederson, Konstantinos Margetis

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In one paragraph

Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Impact of COVID-19 Pandemic on Trauma CT Imaging.Radiology research and practice · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jacques Lara-ReynaDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: jacques.lara.r@gmail.com.
Kurt A YaegerDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Christina P RossittoDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Divaldo CamaraDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Raymond WedderburnDepartment of Surgery, Mount Sinai Morningside, New York, New York, USA.
Saadi GhatanDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Joshua B BedersonDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Konstantinos MargetisDepartment of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNew York City is the epicenter of the novel coronavirus disease 2019 (COVID-19) pandemic in the United States. Traumatic brain injury accounts for a significant proportion of admissions to our trauma center. We sought to characterize the effect of the pandemic on neurotraumas, given the cancellation of nonessential activities during the crisis.

methodsRetrospective and prospective reviews were performed from November 2019 to April 2020. General demographics, clinical status, mechanism of trauma, diagnosis, and treatment instituted were recorded. We dichotomized the data between pre-COVID-19 (before 1 March) and COVID-19 periods and compared the differences between the 2 groups. We present the timeline of events since the beginning of the crisis in relation to the number of neurotraumas.

resultsA total of 150 patients composed our cohort with a mean age of 66.2 years (standard deviation ±18.9), and 66% were male. More males sustained neurotrauma in the COVID-19 period compared with the pre-COVID-19 (60.4% vs. 77.6%, P = 0.03). The most common mechanism of trauma was mechanical fall, but it was observed less frequently compared with the pre-COVID-19 period (61.4% vs. 40.8; P = 0.03). Subdural hematoma, traumatic subarachnoid hemorrhage, and intracerebral contusion accounted for the most common pathologies in both periods. Nonoperative management was selected for most patients (79.2 vs. 87.8%, P = 0.201) in both periods.

conclusionsA decrease in the frequency of neurotraumas was observed during the COVID-19 crisis concomitant with the increase in COVID-19 patients in the city. This trend began after the cancellation of nonessential activities and implementation of social distancing recommendations.

Indexed as

AdultAgedCohort StudiesCOVID-19FemaleHumansMaleMiddle AgedNeurosurgeryNew York CityPsychological DistanceRetrospective StudiesSARS-CoV-2Wounds and InjuriesYoung AdultCoronavirusCOVID-19TraumaTraumatic brain injury

Identifiers

PMID32730975
PMCPMC7383169

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Registered trials

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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.