Evidence map›Paper›PMID 32518989›Full record

ArticleEuropean radiology2020

Acute pulmonary embolism in non-hospitalized COVID-19 patients referred to CTPA by emergency department.

Alban Gervaise, Caroline Bouzad, Evelyne Peroux, Carole Helissey

Open access · bronzeAbstract read
In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 11 pooled it
2.6field-weighted citation impact, top 6% 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

74 citing papers in PubMed, 11 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  3. Risk factors for pulmonary embolism in patients with COVID-19: a systemic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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  6. Guideline
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  12. Article
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  14. [Incidence of pulmonary thromboembolism in patients with COVID-19 pneumonia].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
  15. Article
  16. Observational
  17. Long COVID: Molecular Mechanisms and Detection Techniques.International journal of molecular sciences · 2023
    Review
  18. Article
  19. Article
  20. The Long Term Residual Effects of COVID-Associated Coagulopathy.International journal of molecular sciences · 2023
    Article

14 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

4 authors at 1 institution in 1 country.

Alban GervaiseDepartment of Radiology, Military Hospital Begin, 69 Avenue de Paris, 94163, Saint Mande Cedex, France. alban.gervaise@hotmail.fr.ORCID http://orcid.org/0000-0002-6068-6855
Caroline BouzadDepartment of Radiology, Military Hospital Begin, 69 Avenue de Paris, 94163, Saint Mande Cedex, France.
Evelyne PerouxDepartment of Radiology, Military Hospital Begin, 69 Avenue de Paris, 94163, Saint Mande Cedex, France.
Carole HelisseyClinical Research Unit, Military Hospital Begin, Saint Mandé, France.
Hôpital d'Instruction des Armées Bégin · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the prevalence of acute pulmonary embolism (APE) in non-hospitalized COVID-19 patients referred to CT pulmonary angiography (CTPA) by the emergency department.

methodsFrom March 14 to April 6, 2020, 72 non-hospitalized patients referred by the emergency department to CTPA for COVID-19 pneumonia were retrospectively identified. Relevant clinical and laboratory data and CT scan findings were collected for each patient. CTPA scans were reviewed by two radiologists to determinate the presence or absence of APE. Clinical classification, lung involvement of COVID-19 pneumonia, and CT total severity score were compared between APE group and non-APE group.

resultsAPE was identified in 13 (18%) CTPA scans. The mean age and D-dimer of patients from the APE group were higher in comparison with those from the non-APE group (74.4 vs. 59.6 years, p = 0.008, and 7.29 vs. 3.29 μg/ml, p = 0.011). There was no significant difference between APE and non-APE groups concerning clinical type, COVID-19 pneumonia lung lesions (ground-glass opacity: 85% vs. 97%; consolidation: 69% vs. 68%; crazy paving: 38% vs. 37%; linear reticulation: 69% vs. 78%), CT severity score (6.3 vs. 7.1, p = 0.365), quality of CTPA (1.8 vs. 2.0, p = 0.518), and pleural effusion (38% vs. 19%, p = 0.146).

conclusionsNon-hospitalized patients with COVID-19 pneumonia referred to CT scan by the emergency departments are at risk of APE. The presence of APE was not limited to severe or critical clinical type of COVID-19 pneumonia. KEY POINTS: • Acute pulmonary embolism was found in 18% of non-hospitalized COVID-19 patients referred by the emergency department to CTPA. Two (15%) patients had main, four (30%) lobar, and seven (55%) segmental acute pulmonary embolism. • Five of 13 (38%) patients with acute pulmonary embolism had a moderate clinical type. • Severity and radiological features of COVID-19 pneumonia showed no significant difference between patients with or without acute pulmonary embolism.

Indexed as

BetacoronavirusEmergency Service, HospitalAcute DiseaseAdultAgedAged, 80 and overAge FactorsCausalityComorbidityComputed Tomography AngiographyCoronavirus InfectionsCOVID-19FemaleHumansMaleMiddle AgedCoronavirusCT angiographyPneumoniaPulmonary embolism

Identifiers

PMID32518989
PMCPMC7280685
OpenAlexW3033239697

What OpenQuestion holds

Textmetadata
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.