Evidence map›Paper›PMID 35492258›Full record

ArticleCritical care explorations2022

Neurologic Manifestations of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Hospitalized Patients During the First Year of the COVID-19 Pandemic.

Anna M Cervantes-Arslanian, Chakradhar Venkata, Pria Anand, Joseph D Burns, Charlene J Ong, Allison M LeMahieu, Phillip J Schulte, Tarun D Singh, Alejandro A Rabinstein, Neha Deo and 16 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 19 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

26 authors at 17 institutions in 1 country.

Anna M Cervantes-ArslanianDepartment of Neurology, Boston University School of Medicine and Boston Medical Center, Boston, MA.
Chakradhar VenkataDepartment of Critical Care Medicine, Mercy Hospital, St. Louis, MO.
Pria AnandDepartment of Neurology, Boston University School of Medicine and Boston Medical Center, Boston, MA.
Joseph D BurnsDepartment of Neurology, Lahey Hospital and Medical Center, Burlington, MA.
Charlene J OngDepartment of Neurology, Boston University School of Medicine and Boston Medical Center, Boston, MA.
Allison M LeMahieuDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Phillip J SchulteDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Tarun D SinghDepartment of Neurology, Mayo Clinic, Rochester, MN.
Alejandro A RabinsteinDepartment of Neurology, Mayo Clinic, Rochester, MN.
Neha DeoMayo Clinic Alix School of Medicine, Rochester, MN.
Vikas BansalDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Karen BomanSociety of Critical Care Medicine, Mount Prospect, IL.
Juan Pablo Domecq GarcesDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Donna Lee ArmaignacCenter for Advanced Analytics, Baptist Health South Florida, Coral Gables, FL.
Amy B ChristieAtrium Health Navicent, Macon, GA.
Roman R MelamedAbbott Northwestern Hospital, Allina Health, Minneapolis, MN.
Yasir TarabichiCenter for Clinical Informatics Research and Education, MetroHealth Medical Center, Cleveland, OH.
Sreekanth R CherukuDepartment of Anesthesiology and Medical Center, UT Southwestern Medical Center, Dallas, TX.
Ashish K KhannaWake Forest University School of Medicine, Winston-Salem, NC.
Joshua L DensonSection of Pulmonary, Critical Care, and Environmental Medicine, Tulane University School of Medicine, New Orleans, LA.
Valerie M Banner-GoodspeedDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Brookline, MA.
Harry L AndersonDepartment of Surgery, St. Joseph Mercy, Ann Arbor, MI.
Ognjen GajicDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Vishakha K KumarSociety of Critical Care Medicine, Mount Prospect, IL.
Allan WalkeyDepartment of Medicine, Section of Pulmonary, Allergy, and Critical Care Medicine, Boston University School of Medicine and Boston Medical Center, Boston MA.
Rahul KashyapDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic · USBoston Medical Center · USBoston University · USMayo Clinic in Florida · USSociety of Critical Care Medicine · USAbbott Northwestern Hospital · USAtrium Health Wake Forest Baptist · USBaptist Hospital of Miami · USBeth Israel Deaconess Medical Center · USMercy Hospital · USMetroHealth · USNavicent Health · USSouthwestern Medical Center · USTrinity Health Ann Arbor Hospital · USTufts University · USTulane University · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

To describe the prevalence, associated risk factors, and outcomes of serious neurologic manifestations (encephalopathy, stroke, seizure, and meningitis/encephalitis) among patients hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

designProspective observational study.

settingOne hundred seventy-nine hospitals in 24 countries within the Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study COVID-19 Registry. PATIENTS: Hospitalized adults with laboratory-confirmed SARS-CoV-2 infection.

interventionsNone.

resultsOf 16,225 patients enrolled in the registry with hospital discharge status available, 2,092 (12.9%) developed serious neurologic manifestations including 1,656 (10.2%) with encephalopathy at admission, 331 (2.0%) with stroke, 243 (1.5%) with seizure, and 73 (0.5%) with meningitis/encephalitis at admission or during hospitalization. Patients with serious neurologic manifestations of COVID-19 were older with median (interquartile range) age 72 years (61.0-81.0 yr) versus 61 years (48.0-72.0 yr) and had higher prevalence of chronic medical conditions, including vascular risk factors. Adjusting for age, sex, and time since the onset of the pandemic, serious neurologic manifestations were associated with more severe disease (odds ratio [OR], 1.49;

conclusionsEncephalopathy at admission is common in hospitalized patients with SARS-CoV-2 infection and is associated with worse outcomes. While serious neurologic manifestations including stroke, seizure, and meningitis/encephalitis were less common, all were associated with increased ICU support utilization, more severe disease, and worse outcomes.

Indexed as

COVID-19encephalitismeningitisseizuresevere acute respiratory syndrome coronavirus 2stroke

Identifiers

PMID35492258
PMCPMC9042584
OpenAlexW4224314857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.