Evidence map›Paper›PMID 39799313›Full record

ArticleBMC neurology2025

Impact of the COVID-19 pandemic on cerebral venous sinus thrombosis in China: a comparative study.

Xiaoming Zhang, Kun Fang, Duo Lan, Xiangqian Huang, Xunming Ji, Ran Meng, Da Zhou

Abstract readComparative Study
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Xiaoming ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Kun FangCapital Medical University, Beijing, 100069, China.
Duo LanDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Xiangqian HuangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Xunming JiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Ran MengDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. victor65@126.com.ORCID http://orcid.org/0000-0003-1190-4710
Da ZhouDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. popdoctor@foxmail.com.ORCID http://orcid.org/0000-0003-1376-4213

Funding

National Natural Science Foundation of China 82101390National Natural Science Foundation of China 82171297
6 · The paper itself

Abstract

backgroundCerebral venous sinus thrombosis (CVST) is a rare yet significant neurological disorder with high mortality. Understanding its evolving characteristics, risk factors, and outcomes, particularly in Chinese patients after the COVID-19 pandemic, is critical for developing effective preventive and therapeutic strategies.

methodsA retrospective analysis was conducted on 471 CVST cases from Xuanwu Hospital, comparing data before (2013-2017, n = 243) and after (2021-2023, n = 228) the COVID-19 pandemic. Data on demographics, clinical features, risk factors, and outcomes were evaluated, with subgroup analyses based on gender and age.

resultsThe mean patient age was 38 ± 14 years, with a female preponderance (55.0%). After the COVID-19 pandemic, significant changes in symptoms and neuroimaging findings were observed, including increased visual impairment and decreased headache, neurological deficits, and seizures. Infection emerged as a prominent risk factor, including eight cases related to COVID-19 or vaccination. At discharge, favorable outcomes (mRS 0-2) were noted in 86.6% of patients. Poor outcomes were associated with central nervous system (CNS) infection, oral contraceptive use or hormone replacement therapy (HRT), hematologic disorders, anemia, and prothrombotic conditions. Anemia was identified as an independent predictor of survival.

conclusionsThe pandemic has significantly altered the clinical and epidemiological profile of CVST in China. Infections have emerged as key risk factors, while anemia remains a critical prognostic indicator. These findings highlight the need for targeted clinical strategies to improve outcomes.

trial registrationThis study protocol was reviewed and approved by the ethics committee of Xuanwu Hospital, Capital Medical University (No. 2022-004, dated on November 20, 2022). The clinical trial was registered at Chinese Clinical Trial Registry (ChiCTR2200057621).

Indexed as

COVID-19Sinus Thrombosis, IntracranialAdolescentAdultChinaFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Young AdultCerebral venous sinus thrombosisChinese patientsCOVID-19 pandemicOutcomesRisk factors

Identifiers

PMID39799313
PMCPMC11724590

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.