Evidence map›Paper›PMID 33137571›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2020

Neuromuscular involvement in COVID-19 critically ill patients.

Lidia Cabañes-Martínez, Marta Villadóniga, Liliana González-Rodríguez, Lesly Araque, Alba Díaz-Cid, Ignacio Ruz-Caracuel, Héctor Pian, Susana Sánchez-Alonso, Samira Fanjul, Marta Del Álamo and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05572853 (Analysis of Electrical Activity of Respiratory Muscles in Patients Undergoing Oxygen Therapy With COVID-19), which is not on this map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 2% 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.

NCT05572853 completednot on this mapstarted 2021, after this paper: background citation

Analysis of Electrical Activity of Respiratory Muscles in Patients Undergoing Oxygen Therapy With COVID-19: Cross-sectional Study

TypeobservationalSponsorUniversity of PernambucoRan2021 to 2023Enrolled74ConditionsCOVID-19 Respiratory Infection
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. COVID-19 associated cranial nerve neuropathy: A systematic review.Bosnian journal of basic medical sciences · 2022
    Pooled it
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  10. Postacute Sequelae of SARS-CoV-2: Musculoskeletal Conditions and Pain.Physical medicine and rehabilitation clinics of North America · 2023
    Review
  11. [The problem of long/post-COVID in expert assessments].Unfallchirurgie (Heidelberg, Germany) · 2023
    Review
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Lidia Cabañes-MartínezClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain. Electronic address: lidia.cabanes@salud.madrid.org.
Marta VilladónigaClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Liliana González-RodríguezClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Lesly AraqueClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Alba Díaz-CidClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Ignacio Ruz-CaracuelPathology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain; Research Group in Muscle Regeneration, University of Cordoba, Córdoba, Spain.
Héctor PianPathology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Susana Sánchez-AlonsoIntensive Care Unit, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Samira FanjulNeurology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Marta Del ÁlamoNeurosurgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Ignacio RegidorClinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Hospital Universitario Ramón y Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoronavirus disease 2019 (COVID-19) has a high incidence of intensive care admittance due to the severe acute respiratory syndrome (SARS). Intensive care unit (ICU)-acquired weakness (ICUAW) is a common complication of ICU patients consisting of symmetric and generalised weakness. The aim of this study was to determine the presence of myopathy, neuropathy or both in ICU patients affected by COVID-19 and whether ICUAW associated with COVID-19 differs from other aetiologies.

methodsTwelve SARS CoV-2 positive patients referred with the suspicion of critical illness myopathy (CIM) or polyneuropathy (CIP) were included between March and May 2020. Nerve conduction and concentric needle electromyography were performed in all patients while admitted to the hospital. Muscle biopsies were obtained in three patients.

resultsFour patients presented signs of a sensory-motor axonal polyneuropathy and seven patients showed signs of myopathy. One muscle biopsy showed scattered necrotic and regenerative fibres without inflammatory signs. The other two biopsies showed non-specific myopathic findings.

conclusionsWe have not found any distinctive features in the studies of the ICU patients affected by SARS-CoV-2 infection. SIGNIFICANCE: Further studies are needed to determine whether COVID-19-related CIM/CIP has different features from other aetiologies. Neurophysiological studies are essential in the diagnosis of these patients.

Indexed as

Intensive Care UnitsSARS-CoV-2AgedBiopsyCOVID-19Critical IllnessElectromyographyFemaleHumansMaleMiddle AgedMuscle, SkeletalMuscle WeaknessMuscular DiseasesNeural ConductionPolyneuropathiesCOVID-19Critical illness neuromyopathyNeuromuscular disordersNeurophysiologyPandemic

Identifiers

PMID33137571
PMCPMC7558229
OpenAlexW3092805396

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.