Evidence map›Paper›PMID 32804787›Full record

ArticleCritical care medicine2020

Myoclonus in Patients With Coronavirus Disease 2019: A Multicenter Case Series.

Pria Anand, Asma Zakaria, Karima Benameur, Charlene Ong, Maryann Putman, Sarah O'Shea, David Greer, Anna M Cervantes-Arslanian

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Critical care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Movement Disorders and SARS-CoV-2.Movement disorders clinical practice · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. [COVID 19 and myoclonus, do hemodialysis patients have more risk?]Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Isolated generalized myoclonus immune-mediated by SARS-CoV-2: an illustrative videotaped case.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  14. Article
  15. De Novo Movement Disorders and COVID-19: Exploring the Interface.Movement disorders clinical practice · 2021
    Review
  16. Review
  17. Article
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  19. Article
  20. Review
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.

Pria AnandDepartment of Neurology, Boston University Medical Center, Boston, MA.
Asma ZakariaCritical Care Medicine, INOVA Fairfax Medical Campus, Falls Church, VA.
Karima BenameurDepartment of Neurology, Emory University School of Medicine, Atlanta, GA.
Charlene OngDepartment of Neurology, Boston University Medical Center, Boston, MA.
Maryann PutmanDepartment of Neurology, Emory University School of Medicine, Atlanta, GA.
Sarah O'SheaDepartment of Neurology, Boston University Medical Center, Boston, MA.
David GreerDepartment of Neurology, Boston University Medical Center, Boston, MA.
Anna M Cervantes-ArslanianDepartment of Neurology, Boston University Medical Center, Boston, MA.
Boston University · USEmory University · USBoston Medical Center · USUniversity Medical Center · US

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

objectivesTo describe the risk factors for and outcomes after myoclonus in a cohort of patients with coronavirus disease 2019.

designMulticenter case series.

settingThree tertiary care hospitals in Massachusetts, Georgia, and Virginia. PATIENTS: Eight patients with clinical myoclonus in the setting of coronavirus disease 2019. INTERVENTIONS & MEASUREMENTS AND MAIN

resultsOutcomes in patients with myoclonus were variable, with one patient who died during the study period and five who were successfully extubated cognitively intact and without focal neurologic deficits. In five cases, the myoclonus completely resolved within 2 days of onset, while in three cases, it persisted for 10 days or longer. Seven patients experienced significant metabolic derangements, hypoxemia, or exposure to sedating medications that may have contributed to the development of myoclonus. One patient presented with encephalopathy and developed prolonged myoclonus in the absence of clear systemic provoking factors.

conclusionsOur findings suggest that myoclonus may be observed in severe acute respiratory syndrome coronavirus 2 infected patients, even in the absence of hypoxia. This association warrants further evaluation in larger cohorts to determine whether the presence of myoclonus may aid in the assessment of disease severity, neurologic involvement, or prognostication.

Indexed as

BetacoronavirusAdultAgedCoronavirus InfectionsCOVID-19FemaleFollow-Up StudiesGeorgiaHumansHypoxiaMaleMassachusettsMiddle AgedMyoclonusPandemicsPneumonia, Viral

Identifiers

PMID32804787
PMCPMC7448712
OpenAlexW3049127922

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.