Evidence map›Paper›PMID 34975905›Full record

ArticleFrontiers in immunology2021

Validation of the Clinical Assessment Scale in Autoimmune Encephalitis in Chinese Patients.

Yingchi Zhang, Ewen Tu, Chenxiao Yao, Jia Liu, Qiang Lei, Wei Lu

Erratum issuedOpen access · goldAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of the clinical assessment scale for autoimmune encephalitis (CASE) in a retrospective cohort and a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  10. Longitudinal changes in [European journal of nuclear medicine and molecular imaging · 2026
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  11. Early psychiatric manifestations in pediatric autoimmune encephalitis: clinical data from a tertiary center.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Yingchi ZhangDepartment of Neurology, The Second Xiangya Hospital, Central South University, Changsha, China.
Ewen TuDepartment of Neurology, The Second Hospital of Hunan Province, Hunan University of Chinese Medicine, Changsha, China.
Chenxiao YaoDepartment of Neurology, The Second Hospital of Hunan Province, Hunan University of Chinese Medicine, Changsha, China.
Jia LiuDepartment of Neurology, The Second Xiangya Hospital, Central South University, Changsha, China.
Qiang LeiDepartment of Neurology, The Second Xiangya Hospital, Central South University, Changsha, China.
Wei LuDepartment of Neurology, The Second Xiangya Hospital, Central South University, Changsha, China.
Central South University · CNSecond Affiliated Hospital of Hunan University of Traditional Chinese Medicine · CNSecond Xiangya Hospital of Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: The Clinical Assessment Scale in Autoimmune Encephalitis (CASE) is a scale for assessing severity in autoimmune encephalitis. We aimed to validate the CASE score in a Chinese population and evaluate its clinical significance. Methods: Patients diagnosed with autoimmune encephalitis were recruited between June 2014 and May 2019 from two hospitals. CASE and modified Rankin Scale (mRS) scores were obtained. Data regarding clinical features, treatment, and available information were gathered from the hospital information system. Results: Of the 176 patients with autoimmune encephalitis, 11 died and 14 had tumors. Ten patients received second-line treatment. The CASE scores of patients receiving second-line treatment were significantly higher (median CASE: 15) than in those receiving first-line treatment (median CASE: 8) (p<0.001). Twenty-two patients had poor functional status (mRS>2). Areas under the curve of CASE on whether functional status was poor at 1 year were 0.89 (p<0.001). Sixty patients were admitted to the intensive care unit (ICU), and the CASE scores were positively correlated with days in the ICU (r=0.58, p<0.001). There was no statistically significant association between the CASE scores and relapse (p=0.39>0.05). Additionally, the CASE scores were positively associated with the mRS scores (r=0.85 p<0.001). Conclusions: The CASE score is suitable for the comprehensive assessment of Chinese patients with autoimmune encephalitis, which may help clinicians to select the appropriate intervention and estimate the disease severity and prognosis.

Indexed as

Decision Support TechniquesSymptom AssessmentAdolescentAdultAgedAged, 80 and overAsian PeopleAutoimmune DiseasesChildChinaClinical Decision-MakingEncephalitisHumansMaleMiddle AgedPredictive Value of Testsautoimmune encephalitisCASE scoresmRS scoresprognosisvalidation

Identifiers

PMID34975905
PMCPMC8718556
OpenAlexW4200444381

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.