Evidence map›Paper›PMID 12816821›Full record

ArticleBMJ (Clinical research ed.)2003

Haematological manifestations in patients with severe acute respiratory syndrome: retrospective analysis.

Raymond S M Wong, Alan Wu, K F To, Nelson Lee, Christopher W K Lam, C K Wong, Paul K S Chan, Margaret H L Ng, L M Yu, David S Hui and 3 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 337 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
337citing papers in PubMed, 13 pooled it
21.8field-weighted citation impact, top 1% 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.

NCT04470583 unknown statusnot on this mapstarted 2020, after this paper: background citation

Evaluation of Clinical Parameters Following COVID-19 Infection in Pregnancy (COpregVID)

TypeobservationalSponsorChelsea and Westminster NHS Foundation TrustRan2020 to 2021Enrolled116ConditionsCOVID-19, 2019 Novel Coronavirus Infection, COVID-19 Infection
NCT04505774 phase4completednot on this mapstarted 2020, after this paper: background citation

A Multicenter, Adaptive, Randomized Controlled Platform Trial of the Safety and Efficacy of Antithrombotic and Additional Strategies in Hospitalized Adults With COVID-19

TypeinterventionalSponsorMatthew Neal MDRan2020 to 2024Enrolled3,591ConditionsCovid19Armstheraputic heparin, prophylactic heparin, P2Y12, Crizanlizumab Injection, SGLT2 inhibitor
3 · Its place in the literature

Who cites it

337 citing papers in PubMed, 13 syntheses or guidelines pooled it, 585 citations in OpenAlex.

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  3. Clinical and laboratory findings of COVID-19: A systematic review and meta-analysis.Journal of the Formosan Medical Association = Taiwan yi zhi · 2021
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  14. Compartmental immunophenotyping in COVID-19 ARDS: A case series.The Journal of allergy and clinical immunology · 2021
    Trial
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  20. COVID-19: a vascular nightmare unfolding.Frontiers in immunology · 2025
    Review

277 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Raymond S M WongDepartment of Medicine and Therapeutics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, China.
Alan Wu
K F To
Nelson Lee
Christopher W K Lam
C K Wong
Paul K S Chan
Margaret H L Ng
L M Yu
David S Hui
John S Tam
Gregory Cheng
Joseph J Y Sung
Prince of Wales Hospital · CNChinese University of Hong Kong · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the haematological findings of patients with severe acute respiratory syndrome (SARS).

designAnalysis of the demographic, clinical, and laboratory characteristics of patients with SARS.

settingPrince of Wales Hospital, Hong Kong. Subjects All patients with a diagnosis of SARS between 11 March and 29 March 2003 who had no pre-existing haematological disorders.

main outcome measuresClinical end points included the need for intensive care and death. Univariate and multivariate analyses were performed to examine factors associated with adverse outcome.

results64 male and 93 female patients were included in this study. The most common findings included lymphopenia in 153 (98%) of the 157 patients, neutrophilia in 129 (82%), thrombocytopenia in 87 patients (55%), followed by thrombocytosis in 77 (49%), and isolated prolonged activated partial thromboplastin time in 96 patients (63%). The haemoglobin count dropped by more than 20 g/l from baseline in 95 (61%) patients. Four patients (2.5%) developed disseminated intravascular coagulation. Lymphopenia was shown in haemato-lymphoid organs at postmortem examination. Multivariate analysis showed that advanced age and a high concentration of lactate dehydrogenase at presentation were independent predictors of an adverse outcome. Subsets of peripheral blood lymphocytes were analysed in 31 patients. The counts of CD4 positive and CD8 positive T cells fell early in the course of illness. Low counts of CD4 and CD8 cells at presentation were associated with adverse outcomes.

conclusionsAbnormal haematological variables were common among patients with SARS. Lymphopenia and the depletion of T lymphocyte subsets may be associated with disease activity.

Indexed as

Blood CoagulationCritical CareFemaleHematologic DiseasesHemoglobinsHumansLymphocyte CountLymphopeniaMaleMultivariate AnalysisNeutropeniaPlatelet CountRetrospective StudiesSevere Acute Respiratory SyndromeThrombocytopeniaHemoglobins

Identifiers

PMID12816821
PMCPMC162124
OpenAlexW2130450914

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.