Evidence map›Paper›PMID 34404266›Full record

SynthesisJournal of primary care & community health

The Influence of Coronavirus Disease-2019 (COVID-19) On Parkinson's Disease: An Updated Systematic Review.

Vikash Jaiswal, Danah Alquraish, Zouina Sarfraz, Azza Sarfraz, Shavy Nagpal, Prakriti Singh Shrestha, Dattatreya Mukherjee, Prathima Guntipalli, Diana F Sánchez Velazco, Arushee Bhatnagar and 4 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

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

  1. Pooled it
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  3. Review
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  5. Article
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  7. Review
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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

14 authors at 8 institutions in 6 countries.

Vikash JaiswalResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Danah AlquraishResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Zouina SarfrazResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.ORCID 0000-0002-5132-7455
Azza SarfrazResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.ORCID 0000-0001-8206-5745
Shavy NagpalThe Research Institute of St. Joe's Hamilton, Hamilton, ON, Canada.
Prakriti Singh ShresthaResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Dattatreya MukherjeeJinan University, Guangzhou, P.R. China.
Prathima GuntipalliResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Diana F Sánchez VelazcoCayetano Heredia Peruvian University, Lima, Peru.ORCID 0000-0002-7529-4109
Arushee BhatnagarResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Saloni SavaniResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Elmjedina HalilajResearch & Academic Affairs, Larkin Health System, South Miami, FL, USA.
Samir RuxmohanNeurology, Larkin Community Hospital, South Miami, FL, USA.
Wilson CuevaNeurology, Larkin Community Hospital, South Miami, FL, USA.
Larkin University · USLarkin Community Hospital · USAga Khan University · PKAMA Computer University · PHFatima Jinnah Medical University · PKJinan University · CNSt. Joseph’s Healthcare Hamilton · CAUniversidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has affected global communities with multiple neurological complications in addition to other critical medical issues. COVID-19 binds to the host's angiotensin-converting enzyme 2 (ACE2) receptors, which are expressed in the neurons and glial cells, acting as an entry port to the central nervous system (CNS). ACE2 receptors are abundantly expressed on dopamine neurons, which may worsen the prognosis of motor symptoms in Parkinson's disease (PD). SARS-CoV-2 may lead to an indirect response via immune-mediated cytokine storms and propagate through the CNS leading to damage. In this systematic review, we aim to provide thorough analyses of associations between COVID-19 and neurological outcomes for patients with PD.

methodsUsing PRISMA statement 2020, a systematic review was conducted to isolate confirmed COVID-19 patients and analyze the PD-associated neurological outcomes using the following databases: PubMed, Science Direct, Google Scholar, and Cochrane databases. The following keywords were used "COVID19, SARS-CoV-2, Parkinson's disease, Pandemic, Mortality." A modified Delphi process was employed.

resultsOf the 355 studies located during the initial round of screening, 16 were included in the final synthesis. Of PD patients who tested positive for SARS-CoV-2, worsening motor symptoms and other viral-associated symptoms were reported. These symptoms included bradykinesia, tremors, gait disturbances, delirium and dementia, and severe spasms of arms and legs. Encephalopathy was presented in 2 of the included studies. Increased mortality rates were identified for hospitalized patients due to COVID-19 and PD as compared to other patient groups.

conclusionPatients with PD may experience substantial worsening of symptoms due to COVID 19. Given the novelty of neurological-viral associations, clinical studies in the future ought to explore the disease severity and neurological outcomes in COVID-19 positive patients with PD as compared to non-PD patients, in addition to understanding the role of ACE2 in increased vulnerability to contracting the infection and as a treatment modality.

Indexed as

COVID-19Parkinson DiseaseHumansPandemicsSARS-CoV-2ACE2COVID-19neurologicalParkinson’s diseaseSARS-CoV-2

Identifiers

PMID34404266
PMCPMC8377313
OpenAlexW3193901438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.