Evidence map›Paper›PMID 32315487›Full record

ArticleClinical and translational science2020

Clinical and Autoimmune Characteristics of Severe and Critical Cases of COVID-19.

Yaqing Zhou, Tao Han, Jiaxin Chen, Can Hou, Lei Hua, Shu He, Yi Guo, Sheng Zhang, Yanjun Wang, Jinxia Yuan and 8 more

Abstract read
In one paragraph

Article in Clinical and translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 18 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

180 citing papers in PubMed, 18 syntheses or guidelines pooled it.

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  4. Antibiotic prescribing in patients with COVID-19: rapid review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
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  13. Comorbidities and the risk of severe or fatal outcomes associated with coronavirus disease 2019: A systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
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120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Yaqing ZhouDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Tao HanDepartment of Intensive Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiaxin ChenDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Can HouDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Lei HuaDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Shu HeDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yi GuoDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Sheng ZhangDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yanjun WangDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jinxia YuanDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Chenhui ZhaoDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jing ZhangDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Qiaowei JiaDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Xiangrong ZuoDepartment of Intensive Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jinhai LiDepartment of Intensive Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Liansheng WangDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Quan CaoDepartment of Intensive Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Enzhi JiaDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Funding

National Natural Science Foundations of China 30400173National Natural Science Foundations of China 30971257National Natural Science Foundations of China 81170180National Natural Science Foundations of China 81970302Priority Academic Program Development of Jiangsu Higher Education Institutions
6 · The paper itself

Abstract

In this study we report on the clinical and autoimmune characteristics of severe and critical novel coronavirus pneumonia caused by severe acute respiratory syndrome-associated coronavirus 2 (SARS-CoV-2). The clinical, autoimmune, and laboratory characteristics of 21 patients who had laboratory-confirmed severe and critical cases of coronavirus disease 2019 (COVID-19) from the intensive care unit of the Huangshi Central Hospital, Hubei Province, China, were investigated. A total of 21 patients (13 men and 8 women), including 8 (38.1%) severe cases and 13 (61.9%) critical cases, were enrolled. Cough (90.5%) and fever (81.0%) were the dominant symptoms, and most patients (76.2%) had at least one coexisting disorder on admission. The most common characteristics on chest computed tomography were ground-glass opacity (100%) and bilateral patchy shadowing (76.2%). The most common findings on laboratory measurement were lymphocytopenia (85.7%) and elevated levels of C-reactive protein (94.7%) and interleukin-6 (89.5%). The prevalence of anti-52 kDa SSA/Ro antibody, anti-60 kDa SSA/Ro antibody, and antinuclear antibody was 20%, 25%, and 50%, respectively. We also retrospectively analyzed the clinical and laboratory data from 21 severe and critical cases of COVID-19. Autoimmune phenomena exist in COVID-19 subjects, and the present results provide the rationale for a strategy of preventing immune dysfunction and optimal immunosuppressive therapy.

Indexed as

AutoimmunitySARS-CoV-2AdultAgedAged, 80 and overAutoantibodiesCOVID-19FemaleHumansMaleMiddle AgedRetrospective StudiesAutoantibodies

Identifiers

PMID32315487
PMCPMC7264560

What OpenQuestion holds

Textmetadata
LicenceCC BY-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 OpenQuestion graph.