Match!

Guidelines for TMS/tES clinical services and research through the COVID-19 pandemic.

Published on May 12, 2020in Brain Stimulation6.919
· DOI :10.1016/J.BRS.2020.05.010
Marom Bikson60
Estimated H-index: 60
(CCNY: City College of New York),
Colleen A. Hanlon24
Estimated H-index: 24
(Wake Forest University)
+ 38 AuthorsAndrea Antal58
Estimated H-index: 58
(GAU: University of Göttingen)
Sources
Abstract
Abstract Background The COVID-19 pandemic has broadly disrupted biomedical treatment and research including non-invasive brain stimulation (NIBS). Moreover, the rapid onset of societal disruption and evolving regulatory restrictions may not have allowed for systematic planning of how clinical and research work may continue throughout the pandemic or be restarted as restrictions are abated. The urgency to provide and develop NIBS as an intervention for diverse neurological and mental health indications, and as a catalyst of fundamental brain research, is not dampened by the parallel efforts to address the most life-threatening aspects of COVID-19; rather in many cases the need for NIBS is heightened including the potential to mitigate mental health consequences related to COVID-19. Objective To facilitate the re-establishment of access to NIBS clinical services and research operations during the current COVID-19 pandemic and possible future outbreaks, we develop and discuss a framework for balancing the importance of NIBS operations with safety considerations, while addressing the needs of all stakeholders. We focus on Transcranial Magnetic Stimulation (TMS) and low intensity transcranial Electrical Stimulation (tES) - including transcranial Direct Current Stimulation (tDCS) and transcranial Alternating Current Stimulation (tACS). Methods The present consensus paper provides guidelines and good practices for managing and reopening NIBS clinics and laboratories through the immediate and ongoing stages of COVID-19. The document reflects the analysis of experts with domain relevant expertise spanning NIBS technology, clinical services, and basic and clinical research – with an international perspective. We outline regulatory aspects, human resources, NIBS optimization, as well as accommodations for specific demographics. Results A model based on three phases (early COVID-19 impact, current practices, and future preparation) with an 11-step checklist (spanning removing or streamlining in-person protocols, incorporating telemedicine, and addressing COVID-19-associated adverse events) is proposed. Recommendations on implementing social distancing and sterilization of NIBS related equipment, specific considerations of COVID-19 positive populations including mental health comorbidities, as well as considerations regarding regulatory and human resource in the era of COVID-19 are outlined. We discuss COVID-19 considerations specifically for clinical (sub-)populations including pediatric, stroke, addiction, and the elderly. Numerous case-examples across the world are described. Conclusion There is an evident, and in cases urgent, need to maintain NIBS operations through the COVID-19 pandemic, including anticipating future pandemic waves and addressing effects of COVID-19 on brain and mind. The proposed robust and structured strategy aims to address the current and anticipated future challenges while maintaining scientific rigor and managing risk.
  • References (127)
  • Citations (6)
📖 Papers frequently viewed together
3 Citations
170 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References127
Newest
#1Wallace J BrownleeH-Index: 12
#2Dennis Bourdette (OHSU: Oregon Health & Science University)H-Index: 51
Last. Olga Ciccarelli (UCL: University College London)H-Index: 54
view all 5 authors...
The emergence of novel Coronavirus 2019 (COVID-19)1 and the subsequent pandemic present a unique challenge to Neurologists managing patients with multiple sclerosis (MS) and related neuroinflammatory disorders, such as neuromyelitis spectrum disorder (NMOSD).
35 CitationsSource
#1O.M. MurrayH-Index: 1
#2J.M. BissetH-Index: 1
Last. John G. MurrayH-Index: 14
view all 5 authors...
7 CitationsSource
#1Takeshi Moriguchi (University of Yamanashi)H-Index: 5
#2Norikazu Harii (University of Yamanashi)H-Index: 7
Last. Natsuhiko Myose (University of Yamanashi)H-Index: 1
view all 29 authors...
Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found th...
207 CitationsSource
#1Minjung Lee (SNU: Seoul National University)H-Index: 2
#2Myoungsoon You (SNU: Seoul National University)H-Index: 5
Background: The psychological and behavioral responses during the early stage of Coronavirus disease 2019 (COVID-19) in South Korea were investigated to guide the public as full and active participants of public health emergency preparedness (PHEP), which is essential to improving resilience and reducing the population’s fundamental vulnerability. Methods: Data were collected through an online survey four weeks after the Korea Centers for Disease Control and Prevention (KCDC) confirmed the first...
7 CitationsSource
#1Frédéric Dutheil (CNRS: Centre national de la recherche scientifique)H-Index: 19
#2Laurie Mondillon (CNRS: Centre national de la recherche scientifique)H-Index: 4
Last. Valentin Navel (French Institute of Health and Medical Research)H-Index: 4
view all 3 authors...
Since the first cases, the coronavirus disease (COVID-19) rapidly spread around the world, with hundred-thousand cases and thousands of deaths. Post-traumatic stress disorder (PTSD) is a common consequence of major disasters. Exceptional epidemic situations also promoted PTSD in the past. Considering that humanity is undergoing the most severe pandemic since Spanish Influenza, the actual pandemic of COVID-19 is very likely to promote PTSD. Moreover, COVID-19 was renamed severe acute respiratory ...
6 CitationsSource
#1Leonardo Setti (UNIBO: University of Bologna)H-Index: 20
#2Fabrizio Passarini (UNIBO: University of Bologna)H-Index: 27
Last. Alessandro Miani (University of Milan)H-Index: 21
view all 10 authors...
The COVID-19 pandemic caused the shutdown of entire nations all over the world. In addition to mobility restrictions of people, the World Health Organization and the Governments have prescribed maintaining an inter-personal distance of 1.5 or 2 meters (about 6 feet) from each other in order to minimize the risk of contagion through the droplets that we usually disseminate around us from nose and mouth. However, recently published studies support the hypothesis of virus transmission over a distan...
25 CitationsSource
#1Devin M. MannH-Index: 29
#1Devin M. Mann (NYU: New York University)H-Index: 5
Last. Oded NovH-Index: 1
view all 5 authors...
This study provides data on the feasibility and impact of video-enabled telemedicine use among patients and providers and its impact on urgent and non-urgent health care delivery from one large health system (NYU Langone Health) at the epicenter of the COVID-19 outbreak in the United States. Between March 2nd and April 14th 2020, telemedicine visits increased from 369.1 daily to 866.8 daily (135% increase) in urgent care after the system-wide expansion of virtual health visits in response to COV...
18 CitationsSource
Health care does not always take place in a setting of peace, prosperity, and social order, a point that is often overlooked in quotidian medical practice. This has become most evident with the cur...
1 CitationsSource
#1Zhaohai Zheng (ZJU: Zhejiang University)H-Index: 2
#2Fang Peng (ZJU: Zhejiang University)H-Index: 5
Last. Shuqing Liu (ZJU: Zhejiang University)H-Index: 1
view all 15 authors...
Abstract Background An epidemic of Coronavirus Disease 2019 (COVID-19) began in December 2019 and triggered a Public Health Emergency of International Concern (PHEIC). We aimed to find risk factors for the progression of COVID-19 to help reducing the risk of critical illness and death for clinical help. Methods The data of COVID-19 patients until March 20, 2020 were retrieved from four databases. We statistically analyzed the risk factors of critical/mortal and non-critical COVID-19 patients wit...
64 CitationsSource
#1Alberto Paniz-Mondolfi (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 22
#1Alberto Paniz-Mondolfi (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 2
Last. Mary Fowkes (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 11
view all 8 authors...
Neurologic sequelae can be devastating complications of respiratory viral infections. We report the presence of virus in neural and capillary endothelial cells in frontal lobe tissue obtained at postmortem examination from a patient infected with Severe Acute Respiratory Syndrome Coronavirus-2. Our observations of virus in neural tissue, in conjunction with clinical correlates of worsening neurologic symptoms, pave the way to a closer understanding of the pathogenic mechanisms underlying CNS inv...
43 CitationsSource
Cited By6
Newest
#1Leonardo Setti (UNIBO: University of Bologna)H-Index: 20
#2Fabrizio Passarini (UNIBO: University of Bologna)H-Index: 27
Last. Alessandro Miani (University of Milan)H-Index: 21
view all 10 authors...
The COVID-19 pandemic caused the shutdown of entire nations all over the world. In addition to mobility restrictions of people, the World Health Organization and the Governments have prescribed maintaining an inter-personal distance of 1.5 or 2 meters (about 6 feet) from each other in order to minimize the risk of contagion through the droplets that we usually disseminate around us from nose and mouth. However, recently published studies support the hypothesis of virus transmission over a distan...
25 CitationsSource
#1Julia B. Finkelstein (Boston Children's Hospital)H-Index: 2
#2Caleb P. Nelson (Boston Children's Hospital)H-Index: 30
Last. Carlos R. Estrada (Boston Children's Hospital)H-Index: 26
view all 3 authors...
Summary The COVID pandemic has incited the rapid implementation of telehealth services. Through telemedicine, pediatric urologists can counsel children and their families about genitourinary tract conditions, while adhering to social distancing requirements and keeping families safe at home. With the accelerated use of telemedicine, it is crucial to maintain standards of providing high-quality and secure urologic care. Clinicians must practice effective virtual communication or ‘webside’ manner....
3 CitationsSource
#1Cuiyan Wang (Huaibei Normal University)H-Index: 2
#2Riyu Pan (Huaibei Normal University)H-Index: 2
Last. Vijay K. Sharma (NUS: National University of Singapore)H-Index: 30
view all 11 authors...
In addition to being a public physical health emergency, Coronavirus disease 2019 (COVID-19) affected global mental health, as evidenced by panic-buying worldwide as cases soared. Little is known about changes in levels of psychological impact, stress, anxiety and depression during this pandemic. This longitudinal study surveyed the general population twice - during the initial outbreak, and the epidemic's peak four weeks later, surveying demographics, symptoms, knowledge, concerns, and precauti...
65 CitationsSource
#1Motti HaimiH-Index: 3
#1Motti Haimi (Clalit Health Services)H-Index: 5
Last. Yehezkel Waisman (TAU: Tel Aviv University)H-Index: 14
view all 4 authors...
BACKGROUND: Telemedicine and telephone-triage may compromise patient safety, particularly if urgency is underestimated. We aimed to explore the level of safety of a pediatric telemedicine service, with particular reference to the appropriateness of the medical diagnoses made by the online physicians and the reasonableness of their decisions. METHODS: This retrospective multi-method study investigated the decision-making process of physicians in a pediatric tele-triage service provided in Israel....
3 CitationsSource
Last. Ulf ZiemannH-Index: 87
view all 31 authors...
Abstract A group of European experts reappraised the guidelines on the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS) previously published in 2014 [Lefaucheur et al., Clin Neurophysiol 2014;125:2150–206]. These updated recommendations take into account all rTMS publications, including data prior to 2014, as well as currently reviewed literature until the end of 2018. Level A evidence (definite efficacy) was reached for: high-frequency (HF) rTMS of the primary motor c...
19 CitationsSource
#1Francesco Fisicaro (University of Catania)H-Index: 3
#2Giuseppe Lanza (University of Catania)H-Index: 26
Last. Manuela Pennisi (University of Catania)H-Index: 25
view all 7 authors...
Acute brain ischemia causes changes in several neural networks and related cortico-subcortical excitability, both in the affected area and in the apparently spared contralateral hemisphere. The mod...
9 CitationsSource