Evidence map›Paper›PMID 33901995›Full record

ArticleJournal of the neurological sciences2021

Preparedness and impact of COVID 19 infection at tertiary care neurology centers in Pakistan.

Dureshshahwar Kanwar, Safia Awan, Ali Sajjad, Anjum Farooq, Lal Chand, Awais Bashir Larak, Abdul Malik, Mohammad Wazir, Adnan Aslam, Husnain Hashim and 10 more

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Article in Journal of the neurological sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

20 authors.

Dureshshahwar KanwarAga Khan University, Karachi, Pakistan.
Safia AwanAga Khan University, Karachi, Pakistan.
Ali SajjadAga Khan University, Karachi, Pakistan.
Anjum FarooqBolan University of Medical and Health Sciences, Quetta, Pakistan.
Lal ChandMehar Medical college and civil hospital, Sukkur, Pakistan.
Awais Bashir LarakPeoples Medical university, Nawab Shah, Pakistan.
Abdul MalikLiaquat College of Medicine and Dentistry, Karachi, Pakistan.
Mohammad WazirShaikh Zayed Hospital, Rahim Yar Khan, Pakistan.
Adnan AslamServices Hospital, Lahore, Pakistan.
Husnain HashimFouji Foundation Hospital, Rawalpindi, Pakistan.
Farheen NiaziPakistan air forces hospital, Islamabad, Pakistan.
Mohammad Fateen RasheedFederal General hospital chak Shehzad, Islamabad, Pakistan.
Fozan KhanRehman Medical Institute, Peshawar, Pakistan.
Mazhar HamdaniMuzaffar abad Medical college, Muzaffarabad, Pakistan.
Fahad SaleemNishter Medical college, Multan, Pakistan.
Athar IqbalShaikh Zayed Hospital, Lahore, Pakistan.
Ahmed AsifLiaquat National Hospital, Karachi, Pakistan.
Naila ShahbazDow University of Health Sciences, Pakistan.
Haris MajidPakistan Institute of Medical sciences, Islamabad, Pakistan.
Mohammad WasayAga Khan University, Karachi, Pakistan. Electronic address: Mohammad.wasay@aku.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to assess the response and impact of covid 19 pandemic at tertiary care centers in Pakistan especially pertaining to neurological care, facilities and training.

methodsA pre-tested survey form was sent to 40 neurology tertiary care centers in all the provinces in the country in the first week of July 2020. 33 filled forms were received, out of which 18 were public (government) and 15 were private hospitals.

resultsEstimated 1300 HCW (faculty, medical officers, trainees and nurses) work at these 33 participating centers. There were 17 deaths among HCW (1.3%) at ten centers. Sufficient personal protective equipment (PPE) were provided to 158 HCW (12%). 129 (10%)HCW tested positive for COVID 19 at 31 centers including trainees/medical officers (39), consultants (29) and nursing and other staff (61). Due to low neurology admissions, 23/33 hospitals (70%) posted neurology trainees in COVID 19 units to contribute to covid care. Less than 50% hospitals did covid screening PCR before admission to neurology wards. Only 10% hospitals provide training and regular update to HCW. Neurology tele-health services were started for clinically stable patients at 15 (45%) centers. Only 60% neurology training programs were able to start online training. Ongoing research studies and trials focusing neurological manifestations of COVID-19 were done at 10 (30%) centers. Modification of facilities for COVID patients showed that 24(72%) hospitals strictly reduced the number of attendants accompanying patients. Only 10 (30%) centers had neurophysiological tests being conducted on COVID-19 patients. Mental health support services to HCW were provided at 12 (36%) centers.

conclusionsAmong HCW 10% tested positive for covid and 1.3% died. Mental health support services offered for HCW were available in 36% institutions. Neurology training was substantially affected due to low admissions, limited ward rounds and limited availability of online training.

Indexed as

COVID-19NeurologyHumansPakistanSARS-CoV-2Tertiary Care CentersTertiary Health CareCOVID -19Health care workersNeurology trainingPakistanPersonal protective equipmentTertiary care centers

Identifiers

PMID33901995
PMCPMC8052505

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.