Evidence map›Paper›PMID 35207494›Full record

ReviewLife (Basel, Switzerland)2022

Pathomechanisms and Treatment Implications for Stroke in COVID-19: A Review of the Literature.

Brian Stamm, Deborah Huang, Regina Royan, Jessica Lee, Joshua Marquez, Masoom Desai

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Household income is associated with functional outcomes in a multi-institutional cohort of patients with ischemic stroke and COVID-19.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  6. Stroke in the COVID-19 pandemic era.Postepy psychiatrii neurologii · 2022
    Review
  7. 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

6 authors at 2 institutions in 1 country.

Brian StammDepartment of Neurology, School of Medicine, Northwestern University Feinberg, Chicago, IL 60611, USA.ORCID 0000-0002-0862-9650
Deborah HuangDepartment of Neurology, School of Medicine, Northwestern University Feinberg, Chicago, IL 60611, USA.ORCID 0000-0002-2658-912X
Regina RoyanDepartment of Emergency Medicine, School of Medicine, Northwestern University Feinberg, Chicago, IL 60611, USA.ORCID 0000-0002-2645-5412
Jessica LeeDepartment of Neurology, School of Medicine, Northwestern University Feinberg, Chicago, IL 60611, USA.
Joshua MarquezDepartment of Neurology, School of Medicine, University of New Mexico, Albuquerque, NM 87144, USA.ORCID 0000-0002-4367-5601
Masoom DesaiDepartment of Neurology, School of Medicine, University of New Mexico, Albuquerque, NM 87144, USA.ORCID 0000-0002-6316-8404
Northwestern University · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke in patients with COVID-19 has received increasing attention throughout the global COVID-19 pandemic, perhaps due to the substantial disability and mortality that can result when the two conditions co-occur. We reviewed the existing literature and found that the proposed pathomechanism underlying COVID-19-associated ischemic stroke is broadly divided into the following three categories: vasculitis, endothelialitis, and endothelial dysfunction; hypercoagulable state; and cardioembolism secondary to cardiac dysfunction. There has been substantial debate as to whether there is a causal link between stroke and COVID-19. However, the distinct phenotype of COVID-19-associated strokes, with multivessel territory infarcts, higher proportion of large vessel occlusions, and cryptogenic stroke mechanism, that emerged in pooled analytic comparisons with non-COVID-19 strokes is compelling. Further, in this article, we review the various treatment approaches that have emerged as they relate to the proposed pathomechanisms. Finally, we briefly cover the logistical challenges, such as delays in treatment, faced by providers and health systems; the innovative approaches utilized, including the role of tele-stroke; and the future directions in COVID-19-associated stroke research and healthcare delivery.

Indexed as

acute ischemic strokeCOVID-19cryptogenic strokeintracerebral hemorrhagemanagement of strokepathomechanismspathomechanism strokepathophysiologySARS-CoV-2treatments

Identifiers

PMID35207494
PMCPMC8877423
OpenAlexW4210376076

What Socratic 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 Socratic graph.