Evidence map›Paper›PMID 33797054›Full record

ArticleActa neurologica Belgica2021

Case series of COVID-19 in patients with myasthenia gravis: a single institution experience.

Sven Županić, Martina Perić Šitum, Maja Majdak, Mirna Karakaš, Silvio Bašić, Davor Sporiš

Open access · bronzeAbstract read
In one paragraph

Article in Acta neurologica Belgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  9. Acute neuromuscular syndromes with respiratory failure during COVID-19 pandemic: Where we stand and challenges ahead.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
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  14. The relationship between myasthenia gravis and COVID-19: a systematic review.The Egyptian journal of neurology, psychiatry and neurosurgery · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sven ŽupanićDepartment of Neurology, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000, Zagreb, Republic of Croatia. szupanic1@kbd.hr.ORCID http://orcid.org/0000-0002-7053-5460
Martina Perić ŠitumDepartment of Neurology, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000, Zagreb, Republic of Croatia.
Maja MajdakDepartment of Neurology, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000, Zagreb, Republic of Croatia.
Mirna KarakašDepartment of Neurology, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000, Zagreb, Republic of Croatia.
Silvio BašićDepartment of Neurology and Neurosurgery, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Republic of Croatia.
Davor SporišDepartment of Neurology, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10000, Zagreb, Republic of Croatia.
University Hospital Dubrava · HRUniversity of Osijek · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19), caused by the late 2019 outbreak of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causes a respiratory disease which could put myasthenia gravis patients at a greater risk of developing severe disease course. This paper presents a single-institution case series of hospitalized myasthenia gravis patients with COVID 19. We identified eight patients previously diagnosed with myasthenia gravis, four of whom presented with clear signs of myasthenia gravis symptom worsening on admission. No form of respiratory support was needed during the complete duration of stay for three patients, oxygen therapy was administered to two patients, while the remaining three patients required mechanical ventilation. Treatment was successful for seven patients, six of whom were discharged without any myasthenia gravis symptoms. One patient died after eleven days of intensive care unit treatment. Although treatment of patients with myasthenia gravis and COVID-19 patients is challenging, case series of myasthenia gravis patients with COVID-19 treated in our institution demonstrates relatively favorable treatment outcome. Our data seem to support the notion that immunosuppressive medication does not seem to result in worse outcomes. Our data also support the notion that intravenous immunoglobulin treatment is safe and should be administered to patients with myasthenia gravis and COVID-19 in case of myasthenia gravis worsening since benefits seem to greatly outweigh the risks.

Indexed as

COVID-19CroatiaFemaleHumansImmunoglobulins, IntravenousMaleMiddle AgedMyasthenia GravisSARS-CoV-2Immunoglobulins, IntravenousCOVID-19ImmunosuppressionMyasthenia gravisNeuromuscular disordersSARS-CoV-2

Identifiers

PMID33797054
PMCPMC8016150
OpenAlexW3141866361

What OpenQuestion holds

Textmetadata
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.