Evidence map›Paper›PMID 34237448›Full record

Observational studyWorld neurosurgery2021

Outcomes and Surgical Considerations for Neurosurgical Patients Hospitalized with COVID-19-A Multicenter Case Series.

Lina Marenco-Hillembrand, Young Erben, Paola Suarez-Meade, Camila Franco-Mesa, Wendy Sherman, Benjamin H Eidelman, David A Miller, Nancy L O'Keefe, Bernard R Bendok, Robert J Spinner and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in World neurosurgery, 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. Article
  3. Article
  4. A prospective evaluation of postoperative fever in adult neurosurgery patients in the COVID-19 era.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    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

13 authors.

Lina Marenco-HillembrandDepartment of Neurological Surgery, Mayo Clinic, Jacksonville, Florida.
Young ErbenDivision of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida.
Paola Suarez-MeadeDepartment of Neurological Surgery, Mayo Clinic, Jacksonville, Florida.
Camila Franco-MesaDivision of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida.
Wendy ShermanDepartment of Neurology, Mayo Clinic, Jacksonville, Florida.
Benjamin H EidelmanDepartment of Neurology, Mayo Clinic, Jacksonville, Florida.
David A MillerDepartment of Neurological Surgery, Mayo Clinic, Jacksonville, Florida; Department of Radiology, Mayo Clinic, Jacksonville, Florida.
Nancy L O'KeefeQuality Management Services, Mayo Clinic, Jacksonville, Florida.
Bernard R BendokDepartment of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, USA.
Robert J SpinnerDepartment of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Kaisorn L ChaichanaDepartment of Neurological Surgery, Mayo Clinic, Jacksonville, Florida.
James F MeschiaDepartment of Neurology, Mayo Clinic, Jacksonville, Florida.
Alfredo Quiñones-HinojosaDepartment of Neurological Surgery, Mayo Clinic, Jacksonville, Florida. Electronic address: quinones-hinojosa.Alfredo@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNeurosurgical patients are at a higher risk of having a severe course of coronavirus disease 2019 (COVID-19). The objective of this study was to determine morbidity, hospital course, and mortality of neurosurgical patients during the coronavirus disease 2019 (COVID-19) pandemic in a multicenter health care system.

methodsA retrospective observational study was conducted to identify all hospitalized neurosurgical patients positive for COVID-19 from March 11, 2020 to November 2, 2020 at Mayo Clinic and the Mayo Clinic Health System.

resultsEleven hospitalized neurosurgical patients (0.68%) were positive for COVID-19. Four patients (36.6%) were men and 7 (63.3%) were women. The mean age was 65.7 years (range, 35-81 years). All patients had comorbidities. The mean length of stay was 13.4 days (range, 4-30 days). Seven patients had a central nervous system malignancy (4 metastases, 1 meningioma, 1 glioblastoma, and 1 schwannoma). Three patients presented with cerebrovascular complications, comprising 2 spontaneous intraparenchymal hemorrhages and 1 ischemic large-vessel stroke. One patient presented with an unstable traumatic spinal burst fracture. Four patients underwent neurosurgical/neuroendovascular interventions. Discharge disposition was to home in 5 patients, rehabilitation facility in 3, and hospice in 3. Five patients had died at follow-up, 3 within 30 days from COVID-19 complications and 2 from progression of their metastatic cancer.

conclusionsCOVID-19 is rare among the inpatient neurosurgical population. In all cases, patients had multiple comorbidities. All symptomatic patients from the respiratory standpoint had complications during their hospitalization. Deaths of 3 patients who died within 30 days of hospitalization were all related to COVID-19 complications. Neurosurgical procedures were performed only if deemed emergent.

Indexed as

AdultAgedAged, 80 and overCentral Nervous System NeoplasmsCerebrovascular DisordersComorbidityCOVID-19FemaleHospitalizationHumansLength of StayMaleMiddle AgedNeurosurgical ProceduresPandemicsPatient ReadmissionCoronavirusCOVIDNeurosurgeryNeurosurgical

Identifiers

PMID34237448
PMCPMC8257398

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.