Evidence map›Paper›PMID 32807425›Full record

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

Subarachnoid hemorrhage guidance in the era of the COVID-19 pandemic - An opinion to mitigate exposure and conserve personal protective equipment.

Thanh N Nguyen, Ashutosh P Jadhav, Hormuzdiyar H Dasenbrock, Raul G Nogueira, Mohamad Abdalkader, Alice Ma, Anna M Cervantes-Arslanian, David M Greer, Ali Daneshmand, Dileep R Yavagal and 3 more

Open access · bronzeAbstract readPractice GuidelineReview
In one paragraph

Guideline 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Aneurysmal Subarachnoid Hemorrhage.Neurologic clinics · 2021
    Review
  10. Article
  11. Roadmap for Resuming Elective Neuroendovascular Procedures Following the First COVID-19 Surge.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 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

13 authors at 7 institutions in 4 countries.

Thanh N NguyenNeurology, Neurosurgery, Radiology, Boston Medical Center/Boston University School of Medicine. Electronic address: thanh.nguyen@bmc.org.
Ashutosh P JadhavNeurology, Neurosurgery, University of Pittsburgh Medical Center. Electronic address: Ashu.jadhav@gmail.com.
Hormuzdiyar H DasenbrockNeurosurgery, Boston Medical Center. Electronic address: Hormuzdiyar.dasenbrock@bmc.org.
Raul G NogueiraNeurology, Neurosurgery, Radiology, Grady Memorial Hospital/Emory University. Electronic address: raul.g.nogueira@emory.edu.
Mohamad AbdalkaderRadiology, Boston Medical Center. Electronic address: Mohamad.abdalkader@bmc.org.
Alice MaRadiology, Boston Medical Center. Electronic address: alice.ma@bmc.org.
Anna M Cervantes-ArslanianNeurology, Boston Medical Center. Electronic address: anna.cervantes@bmc.org.
David M GreerNeurology, Boston Medical Center. Electronic address: David.greer@bmc.org.
Ali DaneshmandNeurology, Boston Medical Center. Electronic address: ali.daneshmand@bmc.org.
Dileep R YavagalNeurology, Neurosurgery, University of Miami Miller School of Medicine. Electronic address: dyavagal@med.miami.edu.
Tudor G JovinNeurology, Cooper University Health Care. Electronic address: tudorjovin@gmail.com.
Osama O ZaidatNeuroscience Institute, Bon Secours Mercy Health System/ St. Vincent Hospital. Electronic address: oozaidat@mercy.com.
Sherry Hsiang-Yi ChouNeurology, Neurosurgery, University of Pittsburgh Medical Center; Neurology, Neurosurgery, Critical Care Medicine, University of Pittsburgh Medical Center. Electronic address: chouh@upmc.edu.
Boston Medical Center · USUniversity of Pittsburgh Medical Center · USBoston University · USCooper University Health Care · USGrady Memorial Hospital · USMercy Health System · USUniversity of Miami · 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

Aneurysmal subarachnoid hemorrhage (SAH) patients require frequent neurological examinations, neuroradiographic diagnostic testing and lengthy intensive care unit stay. Previously established SAH treatment protocols are impractical to impossible to adhere to in the current COVID-19 crisis due to the need for infection containment and shortage of critical care resources, including personal protective equipment (PPE). Centers need to adopt modified protocols to optimize SAH care and outcomes during this crisis. In this opinion piece, we assembled a multidisciplinary, multicenter team to develop and propose a modified guidance algorithm that optimizes SAH care and workflow in the era of the COVID-19 pandemic. This guidance is to be adapted to the available resources of a local institution and does not replace clinical judgment when faced with an individual patient.

Indexed as

AlgorithmsBetacoronavirusClinical ProtocolsCoronavirus InfectionsCOVID-19Critical PathwaysDelivery of Health Care, IntegratedHumansInfectious Disease Transmission, Patient-to-ProfessionalOccupational ExposureOccupational HealthPandemicsPatient SafetyPersonal Protective EquipmentPneumonia, ViralRisk FactorsAneurysmCOVID-19Critical careEndovascularFeverPPESubarachnoid hemorrhageVasospasm

Identifiers

PMID32807425
PMCPMC7274572
OpenAlexW3033567796

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.