Evidence map›Paper›PMID 32379077›Full record

ArticleThe American journal of forensic medicine and pathology2020

COVID-19: Postmortem Diagnostic and Biosafety Considerations.

J Matthew Lacy, Erin G Brooks, Joshua Akers, Danielle Armstrong, Lauren Decker, Adam Gonzalez, William Humphrey, Romana Mayer, Matthew Miller, Catherine Perez and 4 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of forensic medicine and pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 6 pooled it
7.2field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 6 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Autopsy findings in COVID-19-related deaths: a literature review.Forensic science, medicine, and pathology · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. COVID-19 and the Heart: A Systematic Review of Cardiac Autopsies.Frontiers in cardiovascular medicine · 2020
    Pooled it
  7. Article
  8. Article
  9. Waste management beyond the COVID-19 pandemic: Bibliometric and text mining analyses.Gondwana research : international geoscience journal · 2023
    Article
  10. Assessment of Hospital Readiness to Respond to COVID-19 Pandemic in Jordan-A Cross Sectional Study.International journal of environmental research and public health · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

J Matthew LacyFrom the Snohomish County Medical Examiner's Office, Everett, WA.
Erin G Brooks
Joshua AkersNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Danielle ArmstrongNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Lauren DeckerNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Adam GonzalezNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
William HumphreyNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Romana MayerNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Matthew MillerNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Catherine PerezNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Jose Antonio Ruiz ArangoNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Lakshmanan SathyavagiswaranNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Wendy StrohNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
Suzanne UtleyNational Association of Medical Examiners Ad Hoc Bioterrorism and Infectious Disease Committee, Savannah, MO.
National Medical Association · USKing County Medical Examiner's Office · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As a result of the 2019 novel human coronavirus (COVID-19) global spread, medical examiner/coroner offices will inevitably encounter increased numbers of COVID-19-infected decedents at autopsy. While in some cases a history of fever and/or respiratory distress (eg, cough or shortness of breath) may suggest the diagnosis, epidemiologic studies indicate that the majority of individuals infected with COVID-19 develop mild to no symptoms. Those dying with-but not of-COVID-19 may still be infectious, however. While multiple guidelines have been issued regarding autopsy protocol in cases of suspected COVID-19 deaths, there is some variability in the recommendations. Additionally, limited recommendations to date have been issued regarding scene investigative protocol, and there is a paucity of publications characterizing COVID-19 postmortem gross and histologic findings. A case of sudden unexpected death due to COVID-19 is presented as a means of illustrating common autopsy findings, as well as diagnostic and biosafety considerations. We also review and summarize the current COVID-19 literature in an effort to provide practical evidence-based biosafety guidance for medical examiner-coroner offices encountering COVID-19 at autopsy.

Indexed as

AutopsyBetacoronavirusCenters for Disease Control and Prevention, U.S.Containment of BiohazardsCoronavirus InfectionsCOVID-19FemaleHumansMiddle AgedMortuary PracticePandemicsPneumonia, ViralReal-Time Polymerase Chain ReactionSARS-CoV-2TriageUnited States

Identifiers

PMID32379077
PMCPMC7202125
OpenAlexW3023909059

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-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.