Evidence map›Paper›PMID 33624380›Full record

ArticleThe European journal of neuroscience2021

Neurological manifestations in patients hospitalized with COVID-19: A retrospective analysis from a large cohort in Northern Italy.

Giovanna Travi, Roberto Rossotti, Marco Merli, Federico D'Amico, Stefania Chiappetta, Giuditta Giussani, Adelaide Panariello, Matteo Corradin, Marta Vecchi, Alessandro Raimondi and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in The European journal of neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Syncope and COVID-19 disease - A systematic review.Autonomic neuroscience : basic & clinical · 2021
    Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Review
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  9. Article
  10. Neuro-Immune Interactions in Severe COVID-19 Infection.Pathogens (Basel, Switzerland) · 2022
    Review
  11. Neurological toll of COVID-19.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  12. Article
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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

23 authors at 2 institutions in 1 country.

Giovanna TraviDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Roberto RossottiDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0003-4965-8789
Marco MerliDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Federico D'AmicoDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Stefania ChiappettaDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Giuditta GiussaniDepartment of Neurology and Stroke Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Adelaide PanarielloDepartment of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Matteo CorradinHealthcare Management Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Marta VecchiDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Alessandro RaimondiDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Chiara BaigueraDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Benedetta NocitaDepartment of Internal Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Oscar Massimiliano EpisRheumatology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Paolo TarsiaPneumology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Filippo GalbiatiDepartment of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Fabrizio ColomboDepartment of Internal Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Roberto FumagalliDepartment of Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Francesco ScaglioneChemical-Clinical and Microbiological Analysis, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Mauro MorenoHealthcare Management Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Mauro Emilio PercudaniDepartment of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Elio Clemente AgostoniDepartment of Neurology and Stroke Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Massimo PuotiDepartment of Infectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Niguarda COVID-19 Group
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV2 infection is a systemic disease that may involve multiple organs, including the central nervous system (CNS). Aims of our study are to describe prevalence and clinical features of neurological manifestations, mortality and hospital discharge in subjects hospitalized with COVID-19. All individuals admitted for to our hospital COVID-19 were retrospectively included. Patients were classified according to the symptoms at hospital entry in (1) isolated respiratory, (2) combined respiratory and neurologic, (3) isolated neurologic and (4) stroke manifestations. Descriptive statistics and nonparametric tests to compare the groups were calculated. Kaplan Meier probability curves and multivariable Cox regression models for survival and hospital discharge were applied. The analysis included 901 patients: 42.6% showed a severe or critical disease with an overall mortality of 21.2%. At least one neurological symptom or disease was observed in 30.2% of subjects ranging from dysgeusia/anosmia (9.1%) to postinfective diseases (0.8%). Patients with respiratory symptoms experienced a more severe disease and a higher in-hospital mortality compared to those who showed only neurologic symptoms. Kaplan Meier estimates displayed a statistically significant different survival among groups (p = 0.003): subjects with stroke had the worst. After adjusting for risk factors such as age, sex and comorbidity, individuals with isolated neurologic manifestations exhibited a better survival (aHR 0.398, 95% CI [0.206, 0.769], p = 0.006). Neurologic manifestations in COVID-19 are common but heterogeneous and mortality in subjects with isolated neurologic manifestations seems lower than in those with respiratory symptoms.

Indexed as

COVID-19Nervous System DiseasesHumansItalyRetrospective StudiesRNA, ViralSARS-CoV-2RNA, ViralCOVID-19dizzinessGuillain-Barré syndromeseizuresstrokesyncope

Identifiers

PMID33624380
PMCPMC8013571
OpenAlexW3131431348

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.