Evidence map›Paper›PMID 32344321›Full record

Observational studyJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2020

Prognostic value of interleukin-6, C-reactive protein, and procalcitonin in patients with COVID-19.

Fang Liu, Lin Li, MengDa Xu, Juan Wu, Ding Luo, YuSi Zhu, BiXi Li, XiaoYang Song, Xiang Zhou

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04507867 (Effect of a Nutritional Support System to Reduce Complications in Patients With Covid-19 and Comorbidities in Stage III), which is not on this map. Cited by 593 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
593citing papers in PubMed, 8 pooled it
26.4field-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.

NCT04507867 nacompletednot on this map

Effect of a Nutritional Support System to Reduce Complications in Patients With Covid-19 and Comorbidities in Stage III

TypeinterventionalSponsorAnahuac UniversityRan2020 to 2021Enrolled80ConditionsCOVID19, Diabetes Mellitus, Hypertension, ObesityArmsNutritional support system (NSS), Conventional nutritional support designed by hospital nutritionists
3 · Its place in the literature

Who cites it

593 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,186 citations in OpenAlex.

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  15. The effect of oral protein and carbohydrate solution administration on NLR, IL-6 and CRP levels in patients undergoing surgery.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
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533 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

9 authors at 2 institutions in 1 country.

Fang LiuDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
Lin LiDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
MengDa XuDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
Juan WuDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
Ding LuoDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
YuSi ZhuDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
BiXi LiDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
XiaoYang SongDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China.
Xiang ZhouDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, China. Electronic address: zhouxiang188483@126.com.
Wuhan General Hospital of Guangzhou · CNCentral Hospital of Wuhan · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe inflammatory response plays a critical role in coronavirus disease 2019 (COVID-19), and inflammatory cytokine storm increases the severity of COVID-19.

objectiveTo investigate the ability of interleukin-6 (IL-6), C-reactive protein (CRP), and procalcitonin (PCT) to predict mild and severe cases of COVID-19. STUDY

designThis retrospective cohort study included 140 patients diagnosed with COVID-19 from January 18, 2020, to March 12, 2020. The study population was divided into two groups according to disease severity: a mild group (MG) (n = 107) and a severe group (SG) (n = 33). Data on demographic characteristics, baseline clinical characteristics, and the levels of IL-6, CRP, and PCT on admission were collected.

resultsAmong the 140 patients, the levels of IL-6, CRP, and PCT increased in 95 (67.9 %), 91 (65.0 %), and 8 (5.7 %) patients on admission, respectively. The proportion of patients with increased IL-6, CRP, and PCT levels was significantly higher in the SG than in the MG. Cox proportional hazard model showed that IL-6 and CRP could be used as independent factors to predict the severity of COVID-19. Furthermore, patients with IL-6 > 32.1 pg/mL or CRP > 41.8 mg/L were more likely to have severe complications.

conclusionThe serum levels of IL-6 and CRP can effectively assess disease severity and predict outcome in patients with COVID-19.

Indexed as

AdultAgedAged, 80 and overBetacoronavirusBiomarkersChinaCoronavirus InfectionsCOVID-19C-Reactive ProteinFemaleHumansInterleukin-6MaleMiddle AgedPandemicsPneumonia, ViralBiomarkersC-Reactive ProteinIL6 protein, humanInterleukin-6ProcalcitoninCOVID-19C-reactive proteinInterleukin-6ProcalcitoninPrognosis

Identifiers

PMID32344321
PMCPMC7194648
OpenAlexW3017287557

What OpenQuestion holds

Textmetadata
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.