Evidence map›Paper›PMID 33343709›Full record

ReviewTherapeutic advances in neurological disorders2020

COVID-19 and cerebrovascular diseases: a comprehensive overview.

Georgios Tsivgoulis, Lina Palaiodimou, Ramin Zand, Vasileios Arsenios Lioutas, Christos Krogias, Aristeidis H Katsanos, Ashkan Shoamanesh, Vijay K Sharma, Shima Shahjouei, Claudio Baracchini and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in neurological disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
8.5field-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.

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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. COVID-19 and stroke in women: impact on clinical, psychosocial and research aspects.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

16 authors at 9 institutions in 7 countries.

Georgios TsivgoulisSecond Department of Neurology, School of Medicine, National & Kapodistrian University of Athens, Rimini 1, Chaidari, Athens 12462, Greece.ORCID https://orcid.org/0000-0002-0640-3797
Lina PalaiodimouSecond Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, 'Attikon' University Hospital, Athens, Greece.ORCID https://orcid.org/0000-0001-7757-609X
Ramin ZandDepartment of Neurology, Neuroscience Institute, Geisinger Health System, Danville, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-9477-0094
Vasileios Arsenios LioutasDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Christos KrogiasDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, Bochum, Germany.
Aristeidis H KatsanosSecond Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, 'Attikon' University Hospital, Athens, Greece.
Ashkan ShoamaneshDivision of Neurology, McMaster University/Population Health Research Institute, Hamilton, ON, Canada.
Vijay K SharmaDivision of Neurology, Department of Medicine, YLL School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0002-8976-5696
Shima ShahjoueiDepartment of Neurology, Neuroscience Institute, Geisinger Health System, Danville, Pennsylvania, USA.
Claudio BaracchiniStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Charalambos VlachopoulosFirst Department of Cardiology, Hippokration Hospital, University of Athens, Athens, Greece.
Rossetos GournellisSecond Department of Psychiatry, National and Kapodistrian University of Athens, School of Medicine, 'Attikon' University Hospital, Athens, Greece.
Petros P SfikakisFirst Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Else Charlotte SandsetDepartment of Neurology, Stroke Unit, Oslo University Hospital, Oslo, Norway.
Andrei V AlexandrovDepartment of Neurology, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0001-8871-1023
Sotirios TsiodrasFourth Department of Internal Medicine, 'Attikon' University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRGeisinger Health System · USUniversity of Tennessee Health Science Center · USBeth Israel Deaconess Medical Center · USNational University of Singapore · SGOslo University Hospital · NOPopulation Health Research Institute · CASt. Josef-Hospital · DEUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurological manifestations are not uncommon during infection with the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A clear association has been reported between cerebrovascular disease and coronavirus disease 2019 (COVID-19). However, whether this association is causal or incidental is still unknown. In this narrative review, we sought to present the possible pathophysiological mechanisms linking COVID-19 and cerebrovascular disease, describe the stroke syndromes and their prognosis and discuss several clinical, radiological, and laboratory characteristics that may aid in the prompt recognition of cerebrovascular disease during COVID-19. A systematic literature search was conducted, and relevant information was abstracted. Angiotensin-converting enzyme-2 receptor dysregulation, uncontrollable immune reaction and inflammation, coagulopathy, COVID-19-associated cardiac injury with subsequent cardio-embolism, complications due to critical illness and prolonged hospitalization can all contribute as potential etiopathogenic mechanisms leading to diverse cerebrovascular clinical manifestations. Acute ischemic stroke, intracerebral hemorrhage, and cerebral venous sinus thrombosis have been described in case reports and cohorts of COVID-19 patients with a prevalence ranging between 0.5% and 5%. SARS-CoV-2-positive stroke patients have higher mortality rates, worse functional outcomes at discharge and longer duration of hospitalization as compared with SARS-CoV-2-negative stroke patients in different cohort studies. Specific demographic, clinical, laboratory and radiological characteristics may be used as 'red flags' to alarm clinicians in recognizing COVID-19-related stroke.

Indexed as

cerebrovascular diseaseCOVID-19SARS-CoV-2stroke

Identifiers

PMID33343709
PMCPMC7727052
OpenAlexW3111513828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.