Evidence map›Paper›PMID 36948200›Full record

ArticleArquivos de neuro-psiquiatria2023

Neurological symptoms and comorbidity profile of hospitalized patients with COVID-19.

Renata Carvalho Cremaschi, Carla Alessandra Scorza Bahi, Angelo Amato Vincenzo de Paola, Jaquelina Sonoe Ota Arakaki, Paulo Roberto Abrão Ferreira, Nancy Cristina Junqueira Bellei, Vanderci Borges, Fernando Morgadinho Santos Coelho

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In one paragraph

Article in Arquivos de neuro-psiquiatria, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Characteristics of Oral Adverse Effects following COVID-19 Vaccination and Similarities with Oral Symptoms in COVID-19 Patients: Taste and Saliva Secretory Disorders.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
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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

8 authors at 1 institution in 1 country.

Renata Carvalho CremaschiUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0002-8205-4816
Carla Alessandra Scorza BahiUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0001-7810-4748
Angelo Amato Vincenzo de PaolaUniversidade Federal de São Paulo, Departamento de Medicina, São Paulo SP, Brazil.ORCID 0000-0001-9101-3170
Jaquelina Sonoe Ota ArakakiUniversidade Federal de São Paulo, Departamento de Medicina, São Paulo SP, Brazil.ORCID 0000-0002-5350-7679
Paulo Roberto Abrão FerreiraUniversidade Federal de São Paulo, Departamento de Medicina, São Paulo SP, Brazil.ORCID 0000-0003-4858-2778
Nancy Cristina Junqueira BelleiUniversidade Federal de São Paulo, Departamento de Medicina, São Paulo SP, Brazil.ORCID 0000-0001-6080-5693
Vanderci BorgesUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0002-8723-2757
Fernando Morgadinho Santos CoelhoUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0002-8482-3754
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neurological manifestations in COVID-19 adversely impact acute illness and post-disease quality of life. Limited data exist regarding the association of neurological symptoms and comorbid individuals.

objectiveTo assess neurological symptoms in hospitalized patients with acute COVID-19 and multicomorbidities.

methodsBetween June 2020 and July 2020, inpatients aged 18 or older, with laboratory-confirmed COVID-19, admitted to the Hospital São Paulo (Federal University of São Paulo), a tertiary referral center for high complexity cases, were questioned about neurological symptoms. The Composite Autonomic Symptom Score 31 (COMPASS-31) questionnaire was used. The data were analyzed as a whole and whether subjective olfactory dysfunction was present or not.

resultsThe mean age of the sample was 55 ± 15.12 years, and 58 patients were male. The neurological symptoms were mostly xerostomia (71%), ageusia/hypogeusia (50%), orthostatic intolerance (49%), anosmia/hyposmia (44%), myalgia (31%), dizziness (24%), xerophthalmia (20%), impaired consciousness (18%), and headache (16%). Furthermore, 91% of the patients had a premorbidity. The 44 patients with subjective olfactory dysfunction were more likely to have hypertension, diabetes, weakness, shortness of breath, ageusia/hypogeusia, dizziness, orthostatic intolerance, and xerophthalmia. The COMPASS-31 score was higher than that of previously published controls (14.85 ± 12.06 vs. 8.9 ± 8.7). The frequency of orthostatic intolerance was 49% in sample and 63.6% in those with subjective olfactory dysfunction (2.9-fold higher risk compared to those without).

conclusionA total of 80% of inpatients with multimorbidity and acute COVID-19 had neurological symptoms. Chemical sense and autonomic symptoms stood out. Orthostatic intolerance occurred in around two-thirds of the patients with anosmia/hyposmia. Hypertension and diabetes were common, mainly in those with anosmia/hyposmia.

Indexed as

AgeusiaCOVID-19HypertensionOrthostatic IntoleranceXerophthalmiaAdultAgedAnosmiaBrazilComorbidityDizzinessFemaleHumansMaleMiddle AgedQuality of Life

Identifiers

PMID36948200
PMCPMC10033191
OpenAlexW4353054354

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read79
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.