Evidence map›Paper›PMID 33585705›Full record

ArticleeNeurologicalSci2021

Therapeutic plasma exchange for persistent encephalopathy associated with Covid-19.

Chakrapani Ranganathan, Shelley D Fusinski, Imad M Obeid, Khaled M Ismail, Derrick T Ferguson, Mindy F Raminick, Sean M Dawes

Abstract readCase Reports
In one paragraph

Article in eNeurologicalSci, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

7 authors.

Chakrapani RanganathanAscension Macomb-Oakland Hospital, Neurology, USA.
Shelley D FusinskiAscension Macomb-Oakland Hospital, Neurology, USA.
Imad M ObeidAscension Macomb-Oakland Hospital, Pulmonary/Critical Care Medicine, USA.
Khaled M IsmailAscension Macomb-Oakland Hospital, Nephrology, USA.
Derrick T FergusonAscension Macomb-Oakland Hospital, Pulmonary/Critical Care Medicine, USA.
Mindy F RaminickAscension Macomb-Oakland Hospital, Nephrology, USA.
Sean M DawesAscension Macomb-Oakland Hospital, Pulmonary/Critical Care Medicine, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients infected with COVID-19 virus, show a highly variable symptomatology which can include central nervous system (CNS) dysfunction. One of the most disabling CNS manifestations is persistent severe encephalopathy seen for weeks after the resolution of the acute viral pneumonia and associated acute systemic illnesses. The precise pathophysiology of this persistent Post COVID Encephalopathy is unknown but may involve direct viral invasion of microvascular endothelium, microvascular thrombosis, toxic neuronal effects of inflammatory products, vasoactive pathology at arteriolar level or leptomeningeal inflammation. Currently, there are no established specific treatments for Post COVID -19 encephalopathy. We present a case series of three patients that underwent Therapeutic Plasma Exchange (TPE) with salinized albumin that suggests a positive therapeutic effect. We believe that the results warrant further evaluation for the role of TPE with a prospective randomized trial in persistent Post COVID -19 encephalopathy syndrome.

Identifiers

PMID33585705
PMCPMC7868106

What OpenQuestion holds

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Registered trials

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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.