Evidence map›Paper›PMID 34491938›Full record

SynthesisThe neurologist2021

Treatment Options for COVID-19-Related Guillain-Barré Syndrome: A Systematic Review of Literature.

Sogand Goudarzi, Shooka Esmaeeli, Juan D Valencia, Maegan E Lu, Riley R Hales, Corey R Fehnel, Christopher M Conley, Sadeq A Quraishi, Ala Nozari

Abstract readSystematic Review
In one paragraph

Synthesis in The neurologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Review
  5. 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

9 authors.

Sogand GoudarziDivision of Cardiovascular Medicine.
Shooka EsmaeeliDepartments of Anesthesiology, Critical Care, and Pain Medicine.
Juan D ValenciaDepartments of Anesthesiology, Critical Care, and Pain Medicine.
Maegan E LuDepartment of Anesthesiology, Boston Medical Center, Boston University School of Medicine.
Riley R HalesDepartment of Anesthesiology, Boston Medical Center, Boston University School of Medicine.
Corey R FehnelNeurology, Beth Israel Deaconess Medical Center, Harvard Medical School.
Christopher M ConleyDepartment of Anesthesiology, Boston Medical Center, Boston University School of Medicine.
Sadeq A QuraishiDepartment of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, MA.
Ala NozariDepartment of Anesthesiology, Boston Medical Center, Boston University School of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCentral nervous system complications are reported in an increasing number of patients with Coronavirus Disease 2019 (COVID-19). COVID-19-related Guillain-Barré syndrome (GBS) is of particular importance given its association with higher mortality rates and prolonged respiratory failure. REVIEW SUMMARY: We conducted a systematic review of published cases for COVID-19-related GBS, and provide a summary of clinical management strategies for these cases. Sixty-three studies, including 86 patients, were included. Seventy-six cases with reported outcome data were eligible for the outcome analysis. Ninety-nine percent of patients were diagnosed with COVID-19 before diagnosis of GBS (median: 14 d prior, interquartile range: 7 to 20). Intravenous immunotherapy (intravenous immunoglobulin: 0.4 g/kg/d for 5 d) was the most frequently used treatment approach. The review indicated that the outcome was not favorable in 26% of cases (persistent neurological deficits). A mortality rate of 3.5% was observed in patients with COVID-19-related GBS.

conclusionsAlthough evidence to support specific treatments is lacking, clinicians should consider the benefits of immunotherapy and plasma exchange in addition to the standard antimicrobial and supportive therapies for patients who meet the diagnostic criteria for acute sensory and motor polyradiculoneuritis. Intravenous immunoglobulin treatment alone is not shown to result in improved outcomes or mortality. More extensive studies aimed at exploring the neurological manifestations and complications of COVID-19 and distinctive treatment options for COVID-19-related GBS are warranted.

Indexed as

COVID-19 Drug TreatmentGuillain-Barre SyndromeImmunoglobulins, IntravenousSARS-CoV-2Thyroid NeoplasmsHumansPlasma ExchangePlasmapheresisImmunoglobulins, Intravenous

Identifiers

PMID34491938
PMCPMC8423032

What Socratic holds

Textmetadata
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 Socratic graph.