Evidence map›Paper›PMID 40801236›Full record

ArticleImmunity, inflammation and disease2025

Clinical Features of Central Nervous System Complications Caused by the SARS-CoV-2 Omicron Variant.

Tingting Li, Zhirong Deng, Qinfu Zhang, Xiaoying Qi, Wei Deng, Zunge Wu, Chuli Xiao, Weiqiang Zheng, Chuanghong Ke, Huanqin Han

Abstract read
In one paragraph

Article in Immunity, inflammation and disease, 2025. 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
–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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Tingting LiDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Zhirong DengDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Qinfu ZhangDepartment of Infectious Disease, People's Hospital of Longhua, Shenzhen, China.
Xiaoying QiDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Wei DengDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Zunge WuDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Chuli XiaoDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Weiqiang ZhengDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Chuanghong KeChildren's Medical Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Huanqin HanDepartment of Infectious Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.ORCID https://orcid.org/0000-0002-2333-1561

Funding

This study was supported by the Big Data Platform of Affiliated Hospital of Guangdong Medical University; Guangdong Medical University Clinical + Basic Science and Technology Innovation Special Program (GDMULCJC2024004); Guangdong Provincial Basic and Applied Basic Research Fund (2022A1515220083), Zhanjiang Science and Technology Project (2022A01154), and Guangdong Medical University Affiliated Hospital Clinical Research Funding Project (LCYJ2020B001).
6 · The paper itself

Abstract

backgroundThis study investigated clinical characteristics and cerebrospinal fluid (CSF) features of central nervous system (CNS) complications in adults caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant.

methodsWe retrospectively examined adult patients with coronavirus disease-2019 (COVID-19), with or without CNS complications, hospitalized in China from December 2022 to August 2023.

resultsTwenty-five patients with CNS complications (9 severe, 16 non-severe) and 50 patients without CNS complications were examined. The percentage of patients with severe/critical COVID-19 was relatively higher in the CNS complications group (24% [6/25] vs. 12% [6/50]). Procalcitonin and creatine kinase levels, and leukocyte and neutrophil counts were significantly higher in patients with CNS complications. Having severe CNS complications was associated with older age, comorbidities, and elevated creatine kinase and d-dimer levels. Among 22 patients with CNS complications who underwent CSF testing, 10 (45%) had abnormal CSF cytology or biochemistry-including 9 (41%) with elevated protein levels-and 2 (9%) had increased white blood cell counts. Among the CSF samples tested, 2 (12%) and 3 (18%) tested positive for SARS-CoV-2 and autoantibodies respectively.

conclusionsOlder age, comorbidities, and elevated serum creatine kinase and d-dimer levels were risk factors for severe CNS complications in adult patients with COVID-19. SARS-CoV-2 was not detected in the CSF of most patients with CNS complications.

Indexed as

COVID-19SARS-CoV-2AdultAgedChinaCreatine KinaseFemaleFibrin Fibrinogen Degradation ProductsHumansLeukocyte CountMaleMiddle AgedPandemicsProcalcitoninRetrospective StudiesCreatine KinaseFibrin Fibrinogen Degradation Productsfibrin fragment DProcalcitoninadultcerebrospinal fluidclinical featuresCNS complicationsomicron variant

Identifiers

PMID40801236
PMCPMC12344576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.