Evidence map›Paper›PMID 34738586›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Reorganizing stroke and neurological intensive care during the COVID-19 pandemic in Germany.

Niklas Alexander Kämpfer, Andrea Naldi, Nicola Luigi Bragazzi, Klaus Fassbender, Martin Lesmeister, Piergiorgio Lochner

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 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
0.4field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

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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

6 authors at 3 institutions in 3 countries.

Niklas Alexander KämpferDepartment of Neurology, Saarland University Medical Center, Homburg, Germany. n.a.kaempfer@gmail.com.
Andrea NaldiDepartment of Neuroscience Rita Levi Montalcini, University of Turin, Italy. naldi.andrea@yahoo.it.
Nicola Luigi Bragazzia:1:{s:5:"en_US";s:15:"York University";}. bragazzi@yorku.ca.
Klaus FassbenderDepartment of Neurology, Saarland University Medical Center, Homburg, Germany. klaus.fassbender@uks.eu.
Martin LesmeisterDepartment of Neurology, Saarland University Medical Center, Homburg, Germany. martin.lesmeister@uks.eu.
Piergiorgio LochnerDepartment of Neurology, Saarland University Medical Center, Homburg, Germany. piergiorgio.lochner@uks.eu.
Saarland University · DEEuropean Brain Research Institute · ITYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outbreak of coronavirus disease 19 (COVID-19) has dramatically imposed healthcare systems to reorganize their departments, including neurological wards. We aimed to describe the rearrangements made by stroke units (SU) and neurological intensive care units (ICU) in several German community and university hospitals facing the pandemic. This cross-sectional, survey-based, nationwide study collected data of 15 university and 4 community hospitals in Germany, being part of IGNITE Study Group, from April 1 to April 6, 2020. The rearrangements and implementation of safety measures in SUs, intermediate care units (IMC), and neurological ICUs were compared. 84.2% of hospitals implemented a separated area for patients awaiting their COVID-19 test results and 94.7% had a dedicated zone for their management. Outpatient treatment was reduced in 63.2% and even suspended in 36.8% of the hospitals. A global reduction of bed capacity was observed. Hospitals reported compromised stroke treatment (52.6%) and reduction of thrombolysis and thrombectomy rates (36.8%). All hospitals proposed special training for COVID-19 management, recurrent meetings and all undertook measures improving safety for healthcare workers. In an unprecedented global healthcare crisis, knowledge of the initial reorganization and response of German hospitals to COVID-19 may help finding effective strategies to face the ongoing pandemic.

Indexed as

COVID-19StrokeCritical CareCross-Sectional StudiesGermanyHospitals, UniversityHumansIntensive Care UnitsPandemicsSARS-CoV-2

Identifiers

PMID34738586
PMCPMC8689326
OpenAlexW3210892658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.