Evidence map›Paper›PMID 39932563›Full record

Observational studyJournal of neurology2025

Differences in functional outcome of COVID-19 and non-COVID-19 patients with critical illness polyneuropathy/ myopathy: a multicenter cohort study.

Michael Klein, Bernadette Einhäupl, Eva Grill, Gergana Drunin, Simone Schmidt, Cay Cordes, Marion Egger, Hans-Jürgen Gdynia, Anna Gorsler, Danae Götze and 8 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Michael Klein *Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.
Bernadette Einhäupl *Department of Neurology, University Hospital, LMU Munich, Munich, Germany. Bernadette.Einhaeupl@med.uni-muenchen.de.ORCID http://orcid.org/0009-0009-0109-0451
Eva GrillInstitute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.
Gergana DruninDepartment of Anesthesiology, Bezirkskrankenhaus Günzburg, Günzburg, Germany.
Simone SchmidtBDH-Klinik Hessisch Oldendorf gGmbH, Institut Für Neurorehabilitative Forschung (InFo), Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH), Hessisch Oldendorf, Germany.
Cay CordesDr. Becker Kiliani-Klinik, Bad Windsheim, Germany.
Marion EggerInstitute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.
Hans-Jürgen GdyniaM&I-Fachklinik Enzensberg, Füssen, Germany.
Anna GorslerKliniken Beelitz, Beelitz-Heilstätten, Germany.
Danae GötzeDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Jens Dieter RollnikBDH-Klinik Hessisch Oldendorf gGmbH, Institut Für Neurorehabilitative Forschung (InFo), Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH), Hessisch Oldendorf, Germany.
Martin Justinus RosenfelderDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Ernst WaltherDepartment of Neurology and Early Rehabilitation, Asklepios Klinik St. Georg, Hamburg, Germany.
Daniel WertheimerSchoen Clinic Hamburg Eilbek, Hamburg, Germany.
Corinna WimmerDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Peter YoungMedical Park Reithofpark, Bad Feilnbach, Germany.
Klaus Jahn *German Center for Vertigo and Balance Disorders, University of Munich, Munich, Germany.
Andreas Bender *Department of Neurology, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 80% of intensive care unit (ICU) patients suffer from neuromuscular disorders like critical illness polyneuropathy/myopathy (CIP/CIM), requiring further rehabilitation.

objectiveThis study investigates differences in the clinical course between Coronavirus Disease 2019 (COVID-19) and non-COVID-19 patients with CIP/CIM undergoing post-acute neurological rehabilitation (PANR) and the impact of COVID-19 on rehabilitation outcomes.

methodsA multicenter observational study was conducted in nine German PANR facilities. The clinical course and outcome were compared between COVID-19 and non-COVID-19 patients at rehabilitation admission and discharge. Functional outcomes were measured with the modified Ranking Scale (mRS) and the Barthel Index (BI). Functional independence was defined as either mRS Score < 3 or BI > 75 at discharge, discharged home without nursing support with a BI > 65, or discharged to further rehabilitation (phase D). To analyze outcome predictors, Cox regression was used.

resultsA total of 323 patients (COVID-19 n = 166) after an ICU stay were enrolled, and outcome measures were available for 298. 56 of them achieved functional independence at discharge. COVID-19 patients had better functional scores at admission and discharge and a shorter length of stay as the non-COVID group. Pre-existing diabetes was significantly negatively associated with functioning at discharge.

conclusionsThis analysis provides the first evidence for differences and predictors of the clinical course and outcome for COVID-19 and non-COVID-19 patients with CIP/CIM in the phase of post-acute rehabilitation. Our results offer valuable impulses for rehabilitation strategies for these patients. https://drks.de/search/de , German Clinical Trials Register, ID DRKS00022845, registered on September 1, 2020.

Indexed as

COVID-19Muscular DiseasesNeurological RehabilitationPolyneuropathiesAgedCohort StudiesCritical IllnessFemaleGermanyHumansIntensive Care UnitsMaleMiddle AgedTreatment OutcomeCIP/CIMCOVID-19FunctioningNeurologyNeuromuscularRehabilitation

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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.