Evidence map›Paper›PMID 34455823›Full record

Observational studyStroke2021

Impact of COVID-19 Infection on the Outcome of Patients With Ischemic Stroke.

Joan Martí-Fàbregas, Daniel Guisado-Alonso, Raquel Delgado-Mederos, Alejandro Martínez-Domeño, Luis Prats-Sánchez, Marina Guasch-Jiménez, Pere Cardona, Ana Núñez-Guillén, Manuel Requena, Marta Rubiera and 32 more

Abstract readObservational Study
In one paragraph

Observational study in Stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Is the stroke-COVID link solid? A critical analysis of AghamiriJournal of family medicine and primary care · 2026
    Article
  4. Observational
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  12. Review
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  14. COVID-19 and stroke in women: impact on clinical, psychosocial and research aspects.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  15. Article
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  17. Observational
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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

42 authors.

Joan Martí-FàbregasDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).ORCID 0000-0001-9229-8649
Daniel Guisado-AlonsoDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).ORCID 0000-0002-5799-3184
Raquel Delgado-MederosDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).
Alejandro Martínez-DomeñoDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).
Luis Prats-SánchezDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).ORCID 0000-0002-3192-4631
Marina Guasch-JiménezDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).ORCID 0000-0001-6024-8348
Pere CardonaDepartment of Neurology, Hospital Universitari de Bellvitge, L'Hospitalet del Llobregat, Spain (P.C., A.N.-G.).
Ana Núñez-GuillénDepartment of Neurology, Hospital Universitari de Bellvitge, L'Hospitalet del Llobregat, Spain (P.C., A.N.-G.).
Manuel RequenaDepartment of Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain (M. Requena, M. Rubiera, M.O.).ORCID 0000-0002-5671-6484
Marta RubieraDepartment of Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain (M. Requena, M. Rubiera, M.O.).ORCID 0000-0001-8100-9477
Marta OlivéDepartment of Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain (M. Requena, M. Rubiera, M.O.).ORCID 0000-0003-4637-1598
Alejandro BustamanteDepartment of Neurology, Hospital Germans Trias i Pujol, Badalona, Spain (A.B., M.G.).ORCID 0000-0003-4390-8900
Meritxell GomisDepartment of Neurology, Hospital Germans Trias i Pujol, Badalona, Spain (A.B., M.G.).
Sergio AmaroDepartment of Neurology, Hospital Universitari Clinic, Barcelona, Spain (S.A., L.L.).ORCID 0000-0001-6838-6390
Laura LlullDepartment of Neurology, Hospital Universitari Clinic, Barcelona, Spain (S.A., L.L.).
Xavier UstrellDepartment of Neurology, Hospital Universitari Joan XXIII, Tarragona, Spain (X.U., G.C.d.O., L.S.).ORCID 0000-0003-3906-8574
Gislaine Castilho de OliveiraDepartment of Neurology, Hospital Universitari Joan XXIII, Tarragona, Spain (X.U., G.C.d.O., L.S.).
Laia SeróDepartment of Neurology, Hospital Universitari Joan XXIII, Tarragona, Spain (X.U., G.C.d.O., L.S.).
Manuel Gomez-ChocoDepartment of Neurology, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain (M.G.-C., L.M.).ORCID 0000-0002-4191-7574
Luis MenaDepartment of Neurology, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain (M.G.-C., L.M.).
Joaquín SerenaDepartment of Neurology, Hospital Universitari Dr. Josep Trueta, Girona, Spain (J.S., S.B.V.).ORCID 0000-0002-4478-7744
Saima Bashir ViturroDepartment of Neurology, Hospital Universitari Dr. Josep Trueta, Girona, Spain (J.S., S.B.V.).ORCID 0000-0002-2019-467X
Francisco PurroyStroke Unit, Hospital Universitari Arnau de Vilanova, Lleida, Spain (F.P., M.V.).ORCID 0000-0002-1808-5968
Mikel VicenteStroke Unit, Hospital Universitari Arnau de Vilanova, Lleida, Spain (F.P., M.V.).ORCID 0000-0002-5445-7853
Ana Rodríguez-CampelloDepartment of Neurology, Hospital del Mar, Barcelona, Spain (A.R.-C., A.O., A.M.).ORCID 0000-0001-8621-1420
Angel OisDepartment of Neurology, Hospital del Mar, Barcelona, Spain (A.R.-C., A.O., A.M.).ORCID 0000-0002-1375-5950
Esther CatenaDepartment of Neurology, Hospital comarcal de l'Alt Penedès, Vilafranca del Penedès, Spain (E.C.).
Maria Carmen Garcia-CarreiraDepartment of Neurology, Hospital Universitari Parc Taulí, Sabadell, Spain (M.C.G.-C., O.B.).
Oriol BarrachinaDepartment of Neurology, Hospital Universitari Parc Taulí, Sabadell, Spain (M.C.G.-C., O.B.).ORCID 0000-0002-8519-0784
Ernest PalomerasDepartment of Neurology, Hospital de Mataró, Spain (E.P.).
Jerzky KrupinskiDepartment of Neurology, Hospital Universitari Mútua de Terrassa, Spain (J.K., M.A.).
Marta AlmeriaDepartment of Neurology, Hospital Universitari Mútua de Terrassa, Spain (J.K., M.A.).
Josep ZaragozaDepartment of Neurology, Hospital de Tortosa Verge de la Cinta, Spain (J.Z., P.E.).
Patricia EsteveDepartment of Neurology, Hospital de Tortosa Verge de la Cinta, Spain (J.Z., P.E.).ORCID 0000-0003-4154-6133
Dolores CochoDepartment of Neurology, Hospital General de Granollers, Spain (D.C.).ORCID 0000-0003-2151-6068
Antia MoreiraDepartment of Neurology, Hospital del Mar, Barcelona, Spain (A.R.-C., A.O., A.M.).ORCID 0000-0002-6395-5184
Cecile van EendenburgDepartment of Neurology, Hospital de Figueres, Spain (C.v.E.).
Javier Emilio CodasDepartment of Neurology, Consorci Sanitari de Terrassa, Spain (J.E.C.).ORCID 0000-0001-8300-1356
Natalia Pérez de la OssaStroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (N.P.d.l.O., M.S.).
Mercè SalvatStroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (N.P.d.l.O., M.S.).ORCID 0000-0003-0994-6567
Pol Camps-RenomDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F., D.G.-A., R.D.-M., A.M.-D., L.P.-S., M.G.-J., P.C.-R.).ORCID 0000-0001-6587-6271
COVICTUS Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeWe evaluated whether stroke severity, functional outcome, and mortality are different in patients with ischemic stroke with or without coronavirus disease 2019 (COVID-19) infection.

methodsA prospective, observational, multicentre cohort study in Catalonia, Spain. Recruitment was consecutive from mid-March to mid-May 2020. Patients had an acute ischemic stroke within 48 hours and a previous modified Rankin Scale (mRS) score of 0 to 3. We collected demographic data, vascular risk factors, prior mRS score, National Institutes of Health Stroke Scale score, rate of reperfusion therapies, logistics, and metrics. Primary end point was functional outcome at 3 months. Favourable outcome was defined depending on the previous mRS score. Secondary outcome was mortality at 3 months. We performed mRS shift and multivariable analyses.

resultsWe evaluated 701 patients (mean age 72.3±13.3 years, 60.5% men) and 91 (13%) had COVID-19 infection. Median baseline National Institutes of Health Stroke Scale score was higher in patients with COVID-19 compared with patients without COVID-19 (8 [3-18] versus 6 [2-14],

conclusionsPatients with ischemic stroke and COVID-19 infection have more severe strokes and a higher mortality than patients with stroke without COVID-19 infection. However, functional outcome is comparable in both groups.

Indexed as

Functional StatusAgedAged, 80 and overAge FactorsAnticoagulantsCase-Control StudiesCOVID-19FemaleHumansIschemic StrokeLogistic ModelsMaleMiddle AgedMortalityMultivariate AnalysisPrognosisAnticoagulantscerebrovascular diseasecoronaviruspandemicsprognosisreperfusionstrokethrombectomy

Identifiers

PMID34455823
PMCPMC8607902

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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.