Evidence map›Paper›PMID 33745041›Full record

Observational studyNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2021

Effects of COVID-19 on the admissions of aneurysmal subarachnoid hemorrhage: the West Greece experience.

Andreas Theofanopoulos, Dionysia Fermeli, Spyros Boulieris, George Kalantzis, Zinovia Kefalopoulou, Vasilios Panagiotopoulos, Dimitrios Papadakos, Constantine Constantoyannis

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
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

8 authors at 2 institutions in 1 country.

Andreas TheofanopoulosDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
Dionysia FermeliDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
Spyros BoulierisDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
George KalantzisDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
Zinovia KefalopoulouDepartment of Neurology, University Hospital of Patras, 26504, Rio, Patras, Greece.
Vasilios PanagiotopoulosDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
Dimitrios PapadakosDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece.
Constantine ConstantoyannisDepartment of Neurosurgery, University Hospital of Patras, 26504, Rio, Patras, Greece. cconst@upatras.gr.ORCID http://orcid.org/0000-0003-3030-8439
General University Hospital of Patras · GRUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute subarachnoid hemorrhage (SAH) due to aneurysmal rupture is a devastating vascular disease accounting for 5% of strokes. COVID-19 pandemic resulted in a decrease in elective and emergency admissions in the majority of neurosurgical centers. The main hypothesis was that fear of COVID-19 may have prevented patients with critical medical or surgical emergencies from actively presenting in emergency departments and outpatient clinics.

methodsWe conducted a single-center, retrospective, observational study searching our institutional data regarding the incidence of spontaneous subarachnoid hemorrhage (SAH) and compare the admissions in two different periods: the pre COVID-19 with the COVID-19 period.

resultsThe study cohort was comprised of a total of 99 patients. The mean (SD) weekly case rate of patients with SAH was 1.1 (1.1) during the pre-COVID-19 period, compared to 1.7 (1.4) during the COVID-19 period. Analysis revealed that the volume of admitted patients with SAH was 1.5-fold higher during the COVID period compared to the pre-COVID period and this was statistically significant (ExpB = 1.5, CI 95% 1-2.3, p = 0.044). Difference in mortality did not reach any statistical significance between the two periods (p = 0.097), as well as patients' length of stay (p = 0.193).

conclusionsThe presented data cover a more extended time period than so far published reports; it is reasonable that our recent experience may well be demonstrating a general realistic trend of overall increase in aneurysmal rupture rates during lockdown. Hospitalization of patients with SAH cannot afford any reductions in facilities, equipment, or personnel if optimum outcomes are desirable.

Indexed as

COVID-19Subarachnoid HemorrhageCommunicable Disease ControlGreeceHospitalizationHumansPandemicsRetrospective StudiesSARS-CoV-2admission rateaneurysmCoronavirus disease 19 (COVID-19)Subarachnoid hemorrhage (SAH)

Identifiers

PMID33745041
PMCPMC7981384
OpenAlexW3136633199

What OpenQuestion holds

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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.