Evidence map›Paper›PMID 14633867›Full record

ArticleClinical chemistry2003

Quantitative analysis and prognostic implication of SARS coronavirus RNA in the plasma and serum of patients with severe acute respiratory syndrome.

Enders K O Ng, David S Hui, K C Allen Chan, Emily C W Hung, Rossa W K Chiu, Nelson Lee, Alan Wu, Stephen S C Chim, Yu K Tong, Joseph J Y Sung and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical chemistry, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
11.3field-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.

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

92 citing papers in PubMed, 2 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Effects of early corticosteroid treatment on plasma SARS-associated Coronavirus RNA concentrations in adult patients.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2004
    Trial
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
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  14. Article
  15. Article
  16. Prognostic Value of "Cycle Threshold" in Confirmed COVID-19 Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  17. Maintaining plasma quality and safety in the state of ongoing epidemic - The role of pathogen reduction.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021
    Review
  18. Review
  19. Predictive Immunological, Virological, and Routine Laboratory Markers for Critical COVID-19 on Admission.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
  20. Low prevalence of SARS-CoV-2 in plasma of COVID-19 patients presenting to the emergency department.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Article

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

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

12 authors at 3 institutions in 2 countries.

Enders K O NgDepartment of Chemical Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong Special Administrative Region, China.
David S Hui
K C Allen Chan
Emily C W Hung
Rossa W K Chiu
Nelson Lee
Alan Wu
Stephen S C Chim
Yu K Tong
Joseph J Y Sung
John S Tam
Y M Dennis Lo
Chinese University of Hong Kong · CNTherapeutics Clinical Research · USPrince of Wales Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe availability of an early diagnostic tool for severe acute respiratory syndrome (SARS) would have major public health implications. We investigated whether the SARS coronavirus (SARS-CoV) can be detected in serum and plasma samples during the early stages of SARS and studied the potential prognostic implications of such an approach.

methodsWe developed two real-time quantitative reverse transcription-PCR (RT-PCR) assays, one for the polymerase and the other for the nucleocapsid region of the virus genome, for measuring the concentration of SARS-CoV RNA in serum/plasma samples from SARS patients. Plasma samples were obtained from 12 confirmed SARS patients on the day of hospital admission, as well as on days 7 and 14 after fever onset. Serum samples were also obtained from 23 confirmed SARS patients on the day of hospital admission, 11 of whom subsequently required intensive care. Viral RNA was extracted from the plasma/serum samples. The extracted RNA was subjected to analysis by the RT-PCR assays.

resultsThe RT-PCR system for the polymerase region detected SARS-CoV RNA in 50% of plasma and 78% of serum samples from SARS patients during the first week of illness. The detection rates for plasma dropped to 25% at day 14 after fever onset. The median serum SARS-CoV concentrations in patients who required and did not require intensive care unit admission during the course of hospitalization were 5800 and 140 copies/mL, respectively (Mann-Whitney test, P <0.005). These data were confirmed by the RT-PCR system for the nucleocapsid region, which showed an even higher detection rate of 87%. The correlation between the results obtained by the two RT-PCR systems was high (Pearson correlation analysis, r = 0.998; P <0.001).

conclusionPlasma/serum SARS-CoV quantification represents a potentially useful early diagnostic and prognostic tool for SARS.

Indexed as

HumansPrognosisReverse Transcriptase Polymerase Chain ReactionRNA, ViralSevere Acute Respiratory SyndromeSevere acute respiratory syndrome-related coronavirusRNA, Viral

Identifiers

PMID14633867
PMCPMC7108161
OpenAlexW2128200839

What OpenQuestion holds

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Registered trials

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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.