Evidence map›Paper›PMID 34731719›Full record

ArticleEpilepsy & behavior : E&B2021

COVID-19 prevalence and mortality in people with epilepsy: A nation-wide multicenter study.

Alvaro Sanchez-Larsen, Estefanía Conde-Blanco, Alejandro Viloria-Alebesque, Cristina Sánchez-Vizcaíno Buendía, Tatiana Espinosa Oltra, Amanda Alvarez-Noval, Angel Aledo-Serrano, Raquel Martin-Garcia, María E Ramos-Araque, Dulce Campos and 14 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Epilepsy & behavior : E&B, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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, 23 citations in OpenAlex.

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  15. Seizure control during the COVID-19 pandemic: Correlating Responsive Neurostimulation System data with patient reports.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
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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

24 authors at 14 institutions in 1 country.

Alvaro Sanchez-LarsenDepartment of Neurology, Albacete University Hospital Complex, Albacete, Spain. Electronic address: aa.sanchezlarsen@gmail.com.
Estefanía Conde-BlancoEpilepsy Program, Department of Neurology, Hospital Clínic de Barcelona, EpiCARE: European Reference Network for Epilepsy, Institut D'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Alejandro Viloria-AlebesqueInstituto de Investigación Sanitaria (IIS) Aragón, Department of Neurology, Hospital General de la Defensa, Zaragoza, Spain.
Cristina Sánchez-Vizcaíno BuendíaDepartment of Neurology, Cartagena University Hospital Complex, Murcia, Spain.
Tatiana Espinosa OltraDepartment of Neurology, Cartagena University Hospital Complex, Murcia, Spain.
Amanda Alvarez-NovalDepartment of Neurology, Ribera Povisa Hospital, Vigo, Spain.
Angel Aledo-SerranoEpilepsy Program, Department of Neurology, Ruber International Hospital, Madrid, Spain.
Raquel Martin-GarciaDepartment of Neurology, Puerta de Hierro University Hospital, Madrid, Spain.
María E Ramos-AraqueInstituto de Investigación Biomédica de Salamanca (IBSAL), University Assistance Complex of Salamanca, Salamanca, Spain; Department of Neurology, University Assistance Complex of Salamanca, Salamanca, Spain.
Dulce CamposDepartment of Neurology, Valladolid University Clinical Hospital, Valladolid, Spain.
Gonzalo Valle-PeñacobaDepartment of Neurology, Valladolid University Clinical Hospital, Valladolid, Spain.
Alicia Sierra-GómezDepartment of Neurology, University Assistance Complex of Salamanca, Salamanca, Spain.
Pablo De Ceballos-CerrajeríaDepartment of Neurology, Urduliz Hospital, Bilbao, Spain.
Marta Agundez-SarasolaDepartment of Neurology, Urduliz Hospital, Bilbao, Spain.
Mariam KhawajaEpilepsy Program, Department of Neurology, Hospital Clínic de Barcelona, Barcelona, Spain.
Kevin G HampelDepartment of Neurology, La Fe University Hospital, Valencia, Spain.
Maria Serra-MartínezDepartment of Neurology, Son Llàtzer University Hospital, Mallorca, Spain.
Clara Arbós-BarberDepartment of Neurology, Son Llàtzer University Hospital, Mallorca, Spain.
Asier Gómez-IbáñezDepartment of Neurology, Clínica Universidad de Navarra, Madrid, Spain.
Rafael Villino-BoqueteDepartment of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.
Pablo Cabezudo-GarcíaInstituto de Investigación Biomédica de Málaga (IBIMA), Department of Neurology, Regional University Hospital of Málaga, Málaga, Spain.
Ignacio Rodríguez-LavadoInstituto de Investigación Biomédica de Málaga (IBIMA), Department of Neurology, Regional University Hospital of Málaga, Málaga, Spain.
Alessandro PrincipeEpilepsy Unit, Department of Neurology, Hospital del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, Spain.
David Sopelana-GarayDepartment of Neurology, Albacete University Hospital Complex, Albacete, Spain.
Clinica Universidad de Navarra · ESHospital Clínic de Barcelona · ESHospital Son Llatzer · ESInstituto de Investigación Biomédica de Málaga · ESSanta Lucía University General Hospital · ESUniversidad de Salamanca · ESUniversidad de Valladolid · ESHospital General Universitario de Albacete · ESHospital Ruber Internacional · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstituto de Investigación Sanitaria Aragón · ESPovisa Hospital · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the prevalence, severity, and mortality of COVID-19 in people with epilepsy (PWE) and evaluate seizure control in PWE during and after COVID-19.

methodsRetrospective, observational, multicenter study conducted in 14 hospitals. Medical records of randomly selected PWE followed at neurology outpatient clinics were reviewed. Proportion of PWE with a positive test for SARS-CoV-2 during 2020 was calculated. Risk factors associated with COVID-19 and its morbimortality were evaluated.

results2751 PWE were included, mean age 48.8 years (18-99), 72.4% had focal epilepsy, and 35% were drug-refractory. COVID-19 prevalence in PWE was 5.53%, while in the Spanish population was 4.26%. Proportion of admissions to hospital, ICU, and deaths in PWE were 17.1%, 2%, and 4.61% of COVID-19 cases, while in Spanish population were 10.81%, 0.95%, and 2.57%, respectively. A severe form of COVID-19 occurred in 11.8%; dyslipidemia, institutionalization at long-term care facilities, intellectual disability, and older age were associated risk factors. Older age, hypertension, dyslipidemia, cardiac disease, and institutionalization were associated with mortality from COVID-19. Seizure control was stable in 90.1% of PWE during acute COVID-19, while 8.6% reported an increase in seizure frequency. During post-COVID-19 follow-up, 4.6% reported seizure control worsening.

conclusionsCOVID-19 was moderately prevalent in PWE. One out of 5 patients required medical attention and 4.6% died due to COVID-19. Older age, dyslipidemia, institutionalization, and intellectual disability were significant risk factors associated with severe COVID-19. Seizure control remained stable during COVID-19 and throughout long-term follow-up in most PWE who contracted the infection.

Indexed as

COVID-19EpilepsyAgedHumansMiddle AgedPrevalenceRetrospective StudiesSARS-CoV-2Coronavirus, SARS-CoV-2COVID-19EpilepsyPrevalenceSeizures

Identifiers

PMID34731719
PMCPMC9759834
OpenAlexW3207399328

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.