Evidence map›Paper›PMID 38436682›Full record

ArticleJournal of neurology2024

Outcome predictors of post-COVID conditions in the European Academy of Neurology COVID-19 registry.

Maurizio Angelo Leone, Raimund Helbok, Elisa Bianchi, Clarissa Lin Yasuda, Maria Konti, Dauren Ramankulov, Maria Lolich, Arijana Lovrencic-Huzjan, Tibor Kovács, Carmel Armon and 15 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. Article
  4. 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

25 authors.

Maurizio Angelo Leone *Department of Neurosciences, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. maurizio.leone@marionegri.it.ORCID http://orcid.org/0000-0002-6339-5738
Raimund Helbok *Department of Neurology, Neurocritical Care Unit, Vienna, Austria. raimund.helbok@kepleruniklinikum.at.
Elisa BianchiDepartment of Neurosciences, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Clarissa Lin YasudaUniversity of Campinas, Campinas, Brazil.
Maria KontiEuropean Academy of Neurology, Vienna, Austria.
Dauren RamankulovEuropean Academy of Neurology, Vienna, Austria.
Maria LolichEuropean Academy of Neurology, Vienna, Austria.
Arijana Lovrencic-HuzjanDepartment of Neurology, UHC Sestre Milosrdnice University Hospital Center, Zagreb, Croatia.
Tibor KovácsDepartment of Neurology, Semmelweis University Budapest, Budapest, Hungary.
Carmel ArmonTel Aviv University School of Medicine and Shamir (Assaf Harofeh), Medical Center, Tel Aviv, Israel.
Maria Sofia CotelliNeurology Unit ASST Valcamonica-Esine, Brescia, Italy.
Francesco CavallieriNeurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Oxana GrosuDiomid Gherman Institute of Neurology and Neurosurgery, Chișinău, Moldova.
Gordana Kiteva-TrenchevskaMedical Faculty, University Clinic for Neurology, University "Ss. Cyril and Methodius", Skopje, North Macedonia.
Ildefonso Rodriguez-LeyvaMedicine Faculty, Head Neurology Program, Hospital Central "Dr. Ignacio Moronnes Prieto", Universidad Autonoma de San Luis Potosi, San Luis Potosi, Mexico.
Marion BoldinghDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Waldemar BrolaDepartment of Neurology, Specialist Hospital Konskie, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
Luís F MaiaDepartment of Neurology, Centro Hospitalar Universitário Do Porto, Porto, Portugal.
Mafalda Maria Laracho de SeabraNeurology Department, Hospital de São João, Porto, Portugal.
Eugenia Irene DavidescuNeurology Department, Colentina Clinical Hospital, Bucharest, Romania.
Bogdan Ovidiu PopescuNeurology Department, Colentina Clinical Hospital, Bucharest, Romania.
Svetlana KopishinskaiaCentre de Recherche du CHU de Québec, Laval University, Quebec, Canada.
Claudio L A BassettiDepartment of Neurology, University Hospital of Bern, Bern, Switzerland.
Elena MoroDivision of Neurology, Centre Hospitalier Universitaire of Grenoble, Grenoble Alpes University, Grenoble Institute of Neuroscience, Grenoble, France.
ENERGY Study Group (§)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several neurological manifestations are part of the post-COVID condition. We aimed to: (1) evaluate the 6-month outcome in the cohort of patients with neurological manifestations during the COVID-19 acute phase and surviving the infection, and find outcome predictors; (2) define the prevalence and type of neurological symptoms persistent at six months after the infection. Data source was an international registry of patients with COVID-19 infection and neurological symptoms, signs or diagnoses established by the European Academy of Neurology. Functional status at six-month follow-up was measured with the modified Rankin scale (mRS), and defined as: "stable/improved" if the mRS at six months was equal as or lower than the baseline score; "worse" if it was higher than the baseline score. By October 30, 2022, 1,003 lab-confirmed COVID-19 patients were followed up for a median of 6.5 months. Compared to their pre-morbid status, 522 patients (52%) were stable/improved, whereas 465 (46%) were worse (functional status missing for 16). Age, hospitalization, several pre-COVID-19 comorbidities, and COVID-19 general complications were predictors of a worse status. Amongst neurological manifestations, stroke carried the highest risk for worse outcome (OR 5.96), followed by hyperactive delirium (2.8), and peripheral neuropathies (2.37). On the other hand, hyposmia/hypogeusia (0.38), headache (0.40), myalgia (0.45), and COVID-19 vaccination (0.52) were predictors of a favourable prognosis. Persisting neurological symptoms or signs were reported by 316/1003 patients (31.5%), the commonest being fatigue (n = 133), and impaired memory or concentration (n = 103). Our study identified significant long-term prognostic predictors in patients with COVID-19 and neurological manifestations.

Indexed as

COVID-19Nervous System DiseasesRegistriesAdultAgedAged, 80 and overComorbidityEuropeFemaleFollow-Up StudiesHumansMaleMiddle AgedNeurologyPrognosisNeurological conditionsOutcomePost-CovidPrognosis

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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.