Evidence map›Paper›PMID 36351066›Full record

Trial reportRevista Brasileira de terapia intensiva2022

Critical COVID-19 and neurological dysfunction - a direct comparative analysis between SARS-CoV-2 and other infectious pathogens.

Ana Teixeira-Vaz, José Afonso Rocha, David Almeida E Reis, Mafalda Oliveira, Tiago Simões Moreira, Ana Isabel Silva, Matilde Monteiro-Soares, José Artur Paiva

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista Brasileira de terapia intensiva, 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
1.1field-weighted citation impact, top 20% 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, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Ana Teixeira-VazDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0002-4941-8753
José Afonso RochaDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0003-0824-4598
David Almeida E ReisDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0001-7341-6670
Mafalda OliveiraDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0001-5828-565X
Tiago Simões MoreiraDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0002-4962-4063
Ana Isabel SilvaDepartamento de Medicina Física e Reabilitação, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0003-3824-0029
Matilde Monteiro-SoaresRede de Investigação em Saúde, Centro de Investigação em Tecnologias e Serviços de Saúde, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0002-4586-2910
José Artur PaivaDepartamento de Medicina Intensiva, Centro Hospitalar Universitário de São João, Faculdade de Medicina, Universidade do Porto - Porto, Portugal.ORCID http://orcid.org/0000-0003-4323-0220
Weatherford College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether critical SARS-CoV-2 infection is more frequently associated with signs of corticospinal tract dysfunction and other neurological signs, symptoms, and syndromes, than other infectious pathogens.

methodsThis was a prospective cohort study with consecutive inclusion of patients admitted to intensive care units due to primary infectious acute respiratory distress syndrome requiring invasive mechanical ventilation > 48 hours. Eligible patients were randomly assigned to three investigators for clinical evaluation, which encompassed the examination of signs of corticospinal tract dysfunction. Clinical data, including other neurological complications and possible predictors, were independently obtained from clinical records.

resultsWe consecutively included 54 patients with acute respiratory distress syndrome, 27 due to SARS-CoV-2 and 27 due to other infectious pathogens. The groups were comparable in most characteristics. COVID-19 patients presented a significantly higher risk of neurological complications (RR = 1.98; 95%CI 1.23 - 3.26). Signs of corticospinal tract dysfunction tended to be more prevalent in COVID-19 patients (RR = 1.62; 95%CI 0.72 - 3.44).

conclusionOur study is the first comparative analysis between SARS-CoV-2 and other infectious pathogens, in an intensive care unit setting, assessing neurological dysfunction. We report a significantly higher risk of neurological dysfunction among COVID-19 patients. As such, we suggest systematic screening for neurological complications in severe COVID-19 patients.

Indexed as

COVID-19Nervous System DiseasesRespiratory Distress SyndromeHumansProspective StudiesSARS-CoV-2

Identifiers

PMID36351066
PMCPMC9749094
OpenAlexW4308775126

What OpenQuestion holds

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LicenceCC BY
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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.