Evidence map›Paper›PMID 32790215›Full record

Observational studyHeadache2020

Frequency and Type of Red Flags in Patients With Covid-19 and Headache: A Series of 104 Hospitalized Patients.

David García-Azorín, Javier Trigo, Blanca Talavera, Enrique Martínez-Pías, Álvaro Sierra, Jesús Porta-Etessam, Juan F Arenillas, Ángel L Guerrero

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Headache, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05704335 (INFLUENCEF STUDY), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT05704335 unknown statusnot on this mapstarted 2022, after this paper: background citation

INFLUENCEF STUDY: Epidemiology, Risk Factors and Clinical Phenotype of Headache Associated With Influenza Infection

TypeobservationalSponsorHospital Clínico Universitario de ValladolidRan2022 to 2024Enrolled100ConditionsHeadache Disorders, Influenza -Like Illness, Head Pain, MigraineArmsQuestionnaire administration
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Headache in COVID-19 and Long COVID: to Know Facts for Clinical Practice.Current neurology and neuroscience reports · 2023
    Review
  9. Article
  10. Post-COVID Headache: A Literature Review.Current pain and headache reports · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Observational
  20. Observational
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

8 authors at 4 institutions in 1 country.

David García-AzorínHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.ORCID 0000-0002-3132-1064
Javier TrigoHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Blanca TalaveraHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Enrique Martínez-PíasHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.ORCID 0000-0001-6507-9862
Álvaro SierraHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Jesús Porta-EtessamHeadache Unit, Department of Neurology, Institute of Neurosciences, Hospital Clínico San Carlos, IdISSC, Madrid, Spain.ORCID 0000-0002-7034-682X
Juan F ArenillasHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Ángel L GuerreroHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Hospital Clínico Universitario de Valladolid · ESUniversidad de Valladolid · ESInstituto de Investigación Biomédica de Salamanca · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this study, we aimed to evaluate the frequency of the main red flags in patients with headache who do have Covid-19.

backgroundHeadache is one of the most frequent neurologic symptoms of Coronavirus disease 2019 (Covid-19). Diagnosis of secondary headache disorders is still based on the presence of red flags. DESIGN AND

methodsCross-sectional study of hospitalized patients with confirmed Covid-19 disease. We interrogated every patient about the presence of headache and if so, a headache expert conducted a structured interview assessing the presence and type of the main red flags. We evaluated the presence of laboratory abnormalities on admission.

resultsWe screened 576 consecutive patients, 130/576 (22.6%) described headache, and 104 were included in the study. Mean age of patients was 56.7 (standard deviation: 11.2) and 66/104 (63.4%) were female. Red flags concerning prior medical history were present in 79/104 (76.0%) cases, and those related to the headache itself were observed in 99/104 (95.2%) patients. All patients 104/104 (100%) described systemic symptoms and 86/104 (82.7%) some neurologic symptoms. Laboratory results were abnormal in 98/104 (94.2%) cases. The most frequent red flags were fever, in 93/104 (89.4%) patients, cough, in 89/104 (85.6% cases), and increased C-reactive protein in 84/100 (84.0%) cases.

conclusionIn patients with Covid-19 that described the headache red flags were present in most cases. There was not any universal red flag, being necessary the comprehensive evaluation of all of them.

Indexed as

InpatientsSARS-CoV-2AgedAge FactorsBiomarkersCardiovascular DiseasesComorbidityCoughCOVID-19COVID-19 TestingC-Reactive ProteinCross-Sectional StudiesDiabetes MellitusExanthemaFemaleFeverBiomarkersC-Reactive ProteincoronavirusCovid-19diagnosisheadacheneurology

Identifiers

PMID32790215
PMCPMC7436570
OpenAlexW3048409594

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.