Evidence map›Paper›PMID 35626923›Full record

ArticleChildren (Basel, Switzerland)2022

Neurological Manifestations in Pediatric Patients Hospitalized for COVID-19: Experiences of the National Medical Center "20 de Noviembre" in Mexico City.

Brian Javier López-Pérez, Diana Alejandra Cruz-Chávez, Elsa Solórzano-Gómez, José Antonio Venta-Sobero, Iván Alejandro Tapia-García, Christian Gabriel Toledo-Lozano, Andrea Torres-Vallejo, Gabriela Vianney Castro-Loza, Yazmín Evelyn Flores-Jurado, Cristal Lucero Hernández-Soriano and 4 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Neurological manifestations associated with SARS-CoV-2 infection in pediatric patients: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
    Pooled it
  3. Article
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

14 authors at 3 institutions in 1 country.

Brian Javier López-PérezDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Diana Alejandra Cruz-ChávezDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Elsa Solórzano-GómezDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
José Antonio Venta-SoberoDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Iván Alejandro Tapia-GarcíaDepartment of Pediatric Infectology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Christian Gabriel Toledo-LozanoDepartment of Clinical Research, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.ORCID 0000-0001-7418-1228
Andrea Torres-VallejoDepartment of Pediatric Endocrinology, Instituto Nacional de Pediatría, Mexico City 03700, Mexico.
Gabriela Vianney Castro-LozaDepartment of Urdergraduate Research, Hospital Militar de Especialidades de la Mujer y Neonatología, Mexico City 11200, Mexico.
Yazmín Evelyn Flores-JuradoDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Cristal Lucero Hernández-SorianoDepartment of Pediatric Neurology, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Sofía Lizeth Alcaraz-EstradaDepartment of Genomic Medicine, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Paul Mondragón-TeránDepartment of Clinical Research, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Juan Antonio Suárez-CuencaDepartment of Clinical Research, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.
Silvia GarciaDepartment of Clinical Research, Centro Médico Nacional "20 de Noviembre", ISSSTE, Mexico City 03229, Mexico.ORCID 0000-0003-1760-3150
Institute for Social Security and Services for State Workers · MXHospital de Especialidades · MXInstituto Nacional de Pediatria · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 has affected millions of children and, while it was previously considered as a respiratory disease, neurologic involvement has also been documented. The objective of this study was to identify the neurological manifestations (NMs) and the outcomes of children with COVID-19 who attended the National Medical Center "20 de Noviembre".

methodsA retrospective cohort study of children hospitalized for COVID-19 from April 2020 to March 2021 was conducted. Clinical-demographic data were registered. Neurologic manifestations were defined as any clinical neurological expression of the central and/or peripheral nervous system that occurred during admission or hospitalization.

resultsIn total, 46 children with a confirmed COVID-19 result, 26 (56.5%) boys and 20 (43.5%) girls with a median age of 8.9 ± 4.6 years, constituted the study population. Half of the children showed some NMs, and this group of patients concomitantly showed acute lymphoblastic leukemia (ALL, 56%), obesity (17.3%), or acute myeloblastic leukemia (AML, 4.3%). The most frequently described NMs were headache (13, 56%), encephalopathy (10, 43.47%), and epilepsy (4, 17.39%). The mortality rate in children with NMs was 21.7% and they had a higher mortality rate when compared to those without NM

conclusionsNMs occurred predominantly in male children aged 6 to 12 years; ALL was the most frequent comorbidity. Headache prevailed and hypoxemia, hypocalcemia, elevated ferritin, and C-reactive protein were associated with NM. Finally, NMs were a risk factor for mortality.

Indexed as

childrenCOVID-19neurological manifestationsSARS-CoV-2

Identifiers

PMID35626923
PMCPMC9139781
OpenAlexW4280636690

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.