Evidence map›Paper›PMID 32589760›Full record

ArticleClinical transplantation2020

Attenuated early inflammatory response in solid organ recipients with COVID-19.

Florian Bösch, Nikolaus Börner, Stephan Kemmner, Christopher Lampert, Sven Jacob, Dionysios Koliogiannis, Manfred Stangl, Sebastian Michel, Nikolaus Kneidinger, Christian Schneider and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 7 pooled it
0.7field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 7 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  8. Article
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  12. Article
  13. Management of lung transplantation in the COVID-19 era-An international survey.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  14. Editorial: COVID-19 immunology and organ transplantation.Current opinion in organ transplantation · 2021
    Article
  15. COVID-19 in Children With Liver Disease.Frontiers in pediatrics · 2021
    Review
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  17. Article
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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

16 authors at 3 institutions in 1 country.

Florian BöschDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0002-0250-9017
Nikolaus BörnerDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Stephan KemmnerTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0002-1242-4914
Christopher LampertDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Sven JacobDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Dionysios KoliogiannisDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Manfred StanglDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Sebastian MichelTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
Nikolaus KneidingerTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0001-7583-0453
Christian SchneiderTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
Michael FischerederTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
Michael IrlbeckDepartment of Anesthesiology, Ludwig-Maximilians-University Munich, Munich, Germany.
Gerald DenkTransplantation Center Munich, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
Jens WernerDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Martin K AngeleDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Markus O GubaDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DEGerman Center for Lung Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunosuppression leaves transplanted patients at particular risk for severe acute respiratory syndrome 2 (SARS-CoV-2) infection. The specific features of coronavirus disease 2019 (COVID-19) in immunosuppressed patients are largely unknown and therapeutic experience is lacking. Seven transplanted patients (two liver, three kidneys, one double lung, one heart) admitted to the Ludwig-Maximilians-University Munich because of COVID-19 and tested positive for SARS-CoV-2 were included. The clinical course and the clinical findings were extracted from the medical record. The two liver transplant patients and the heart transplant patient had an uncomplicated course and were discharged after 14, 18, and 12 days, respectively. Two kidney transplant recipients were intubated within 48 hours. One kidney and the lung transplant recipients were required to intubate after 10 and 15 days, respectively. Immunosuppression was adapted in five patients, but continued in all patients. Compared to non-transplanted patients at the ICU (n = 19) the inflammatory response was attenuated in transplanted patients, which was proven by decreased IL-6 blood values. This analysis might provide evidence that continuous immunosuppression is safe and probably beneficial since there was no hyperinflammation evident. Although transplanted patients might be more susceptible to an infection with SARS-CoV-2, their clinical course seems to be similar to immunocompetent patients.

Indexed as

Immunocompromised HostOrgan TransplantationAdolescentAdultAgedAged, 80 and overCOVID-19COVID-19 TestingDrug Administration ScheduleFemaleGraft RejectionHumansImmunosuppressive AgentsInflammationMaleMiddle AgedImmunosuppressive Agentsclinical coursecoronavirusCOVID-19SARS-CoV-2transplantation

Identifiers

PMID32589760
PMCPMC7361260
OpenAlexW3037647368

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.