Evidence map›Paper›PMID 35643408›Full record

ArticleWorld neurosurgery2022

Managing Traumatic Brain Injury During the Coronavirus Disease 2019 Pandemic-A Case-Matched Controlled Analysis of Immediate Outcomes.

Intekhab Alam, Kanwaljeet Garg, Amol Raheja, Vivek Tandon, Ravi Sharma, Manmohan Singh, Gyaninder Pal Singh, Shashwat Mishra, Pankaj Kumar Singh, Deepak Agrawal and 4 more

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Article in World neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Intekhab AlamDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Kanwaljeet GargDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Amol RahejaDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Vivek TandonDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drtandonvivek@gmail.com.
Ravi SharmaDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Manmohan SinghDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Gyaninder Pal SinghDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Shashwat MishraDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Pankaj Kumar SinghDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Deepak AgrawalDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Kapil Dev SoniCritical and Intensive Care, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Ashish SuriDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Poodipedi Sarat ChandraDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Shashank Sharad KaleDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe primary objective of this study was to evaluate the outcome of patients with traumatic brain injury (TBI) during the coronavirus disease 2019 (COVID-19) pandemic and to compare their outcome with case-matched controls from the prepandemic phase.

methodsThis is a retrospective case-control study in which all patients with TBI admitted during COVID-19 pandemic phase (Arm A) from March 24, 2020 to November 30, 2020 were matched with age and Glasgow Coma Scale score-matched controls from the patients admitted before March 2020 (Arm B).

resultsThe total number of patients matched in each arm was 118. The length of hospital stay (8 days vs. 5 days; P < 0.001), transit time from emergency room to operation room (150 minutes vs. 97 minutes; P = 0.271), anesthesia induction time (75 minutes vs. 45 minutes; P = 0.002), and operative duration (275 minutes vs. 180 minutes; P = 0.002) were longer in arm A. Although the incidence of fever and pneumonia was significantly higher in arm A than in arm B (50% vs. 26.3%, P < 0.001 and 27.1% vs. 1.7%, P < 0.001, respectively), outcome (Glasgow Outcome Scale-Extended) and mortality (18.6% vs. 14.4% respectively; P = 0.42) were similar in both the groups.

conclusionsThe outcome of the patients managed for TBI during the COVID-19 pandemic was similar to matched patients with TBI managed at our center before the onset of the COVID-19 pandemic. This finding suggests that the guidelines followed during the COVID-19 pandemic were effective in dealing with patients with TBI. This model can serve as a guide for any future pandemic waves for effective management of patients with TBI without compromising their outcome.

Indexed as

Brain Injuries, TraumaticCOVID-19Case-Control StudiesGlasgow Coma ScaleHumansPandemicsRetrospective StudiesCOVID-19OutcomeTraumatic brain injury

Identifiers

PMID35643408
PMCPMC9131442
OpenAlexW4281477486

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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.