Evidence map›Paper›PMID 33158011›Full record

ReviewJournal of clinical medicine2020

Thyroid Storm in Head and Neck Emergency Patients.

Mohamed A Radhi, Basaviah Natesh, Paul Stimpson, Jonathan Hughes, Francis Vaz, Raghav C Dwivedi

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Mohamed A RadhiHead and Neck Centre, University College London Hospitals NHS Trust, Euston Road, London NW1 2PG, UK.ORCID 0000-0002-5770-395X
Basaviah NateshDepartment of ENT and Head Neck Surgery, University Hospital Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK.
Paul StimpsonHead and Neck Centre, University College London Hospitals NHS Trust, Euston Road, London NW1 2PG, UK.
Jonathan HughesHead and Neck Centre, University College London Hospitals NHS Trust, Euston Road, London NW1 2PG, UK.
Francis VazHead and Neck Centre, University College London Hospitals NHS Trust, Euston Road, London NW1 2PG, UK.
Raghav C DwivediHead and Neck Centre, University College London Hospitals NHS Trust, Euston Road, London NW1 2PG, UK.
University College London Hospitals NHS Foundation Trust · GBUniversity Hospital Coventry · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThyroid storm is a rare but life-threatening emergency that prompts urgent intervention to halt its potentially disastrous outcomes. There is not much literature available on thyroid storm in head neck trauma and non-thyroid/parathyroid head neck surgery. Due to rarity of thyroid storm in head and neck trauma/surgery patients, its diagnosis becomes challenging, is often misdiagnosed and causes delay in the diagnosis and management. Therefore, the aim of this work was to compile, analyze and present details to develop a consensus and augment available literature on thyroid storm in this group of patients. MATERIALS AND

methodsA comprehensive literature search of the last 30 years was performed on PUBMED/MEDLINE, EMBASE, CINAHL and Science Citation Index for thyroid storm using MeSH words and statistical analyses were performed.

resultsSeven articles describing seven cases of thyroid storm were reviewed. All patients required medical management and one patient (14.3%) required adjunctive surgical management. Burch and Wartofsky Diagnostic criteria for thyroid storm were used in diagnosis of 42% patients. Time of diagnosis varied from immediately upon presentation to formulating a retrospective diagnosis of having a full-blown thyroid storm at 4 days post presentation. It was misdiagnosed and unthought of initially in majority of these cases, (71.4%) were not diagnosed in the first day of hospital stay.

conclusionEarly recognition of thyroid storm in head and neck patients markedly reduce morbidity/mortality. Albeit unexpected, it should be ruled out in any symptomatic head and neck trauma or post-surgery patient.

Indexed as

head neckhead neck foreign bodyhead neck surgeryhead neck traumarapid sequence intubationstrangulationsuicide attemptthyroid crisisthyroid stormthyrotoxicosis

Identifiers

PMID33158011
PMCPMC7692751
OpenAlexW3095815879

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.