Evidence map›Paper›PMID 32656565›Full record

Observational studyEuropean heart journal2020

Pulmonary embolism in COVID-19 patients: a French multicentre cohort study.

Charles Fauvel, Orianne Weizman, Antonin Trimaille, Delphine Mika, Thibaut Pommier, Nathalie Pace, Amine Douair, Eva Barbin, Antoine Fraix, Océane Bouchot and 22 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European heart journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 161 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 17 pooled it
6.0field-weighted citation impact, top 3% 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

161 citing papers in PubMed, 17 syntheses or guidelines pooled it, 263 citations in OpenAlex.

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  7. 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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101 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 14 institutions in 1 country.

Charles FauvelRouen University Hospital, FHU REMOD-VHF, F-76000 Rouen, France.
Orianne WeizmanCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-Les-Nancy, France.
Antonin TrimailleNouvel Hôpital Civil, Centre Hospitalier Régional Universitaire de Strasbourg, 67000 Strasbourg, France.
Delphine MikaUniversité Paris-Saclay, Inserm, UMR-S 1180, 92296 Chatenay-Malabry, France.
Thibaut PommierCentre hospitalier Universitaire de Dijon, 21000 Dijon, France.
Nathalie PaceCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-Les-Nancy, France.
Amine DouairCentre Hospitalier Annecy Genevois, 74370 Epagny Metz-Tessy, France.
Eva BarbinCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Antoine FraixCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-Les-Nancy, France.
Océane BouchotCentre Hospitalier Annecy Genevois, 74370 Epagny Metz-Tessy, France.
Othmane BenmansourCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Guillaume GodeauInstitut Cardiovasculaire Paris Sud, 91300 Massy, France.
Yasmine MecheriCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Romane LebourdonCentre Hospitalier Universitaire de Bordeaux, 33076 Bordeaux, France.
Cédric YvorelCentre Hospitalier Universitaire de Saint-Etienne, 42270 Saint-Priest-en-Jarez, France.
Michael MassinCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-Les-Nancy, France.
Tiphaine LeblonCentre Hospitalier Universitaire de Lille, Université Catholique de Lille, 59000 Lille, France.
Chaima ChabbiCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Erwan CugneyCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-Les-Nancy, France.
Léa BenabouCentre Hospitalier Universitaire de Bordeaux, 33076 Bordeaux, France.
Matthieu AubryHospices Civils de Lyon, Centre Hospitalier Universitaire, 69003 Lyon, France.
Camille ChanCentre Hospitalier Universitaire de Bordeaux, 33076 Bordeaux, France.
Ines BoufoulaCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Clement BarnaudCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Léa BothorelCentre Hospitalier Régionnal de Orléans, 45100 Orléans, France.
Baptiste DuceauUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Willy SutterUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Victor WaldmannUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Guillaume BonnetUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Ariel CohenSaint Antoine Hospital, 75012 Paris, France.
Théo PezelLariboisiere hospital, APHP, University of Paris, 75010 Paris, France.
Critical Covid-19 France Investigators
Centre hospitalier universitaire d'Orléans · FRInserm · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Annecy Genevois · FRCHU Dijon Bourgogne · FRHôpital Civil, Strasbourg · FRHospices Civils de Lyon · FRInstitut Cardiovasculaire Paris Sud · FRInstitute Cancer De La Loire Lucien Neuwirth · FRSorbonne Université · FRUniversité Catholique de Lille · FRUniversité de Rouen Normandie · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWhile pulmonary embolism (PE) appears to be a major issue in COVID-19, data remain sparse. We aimed to describe the risk factors and baseline characteristics of patients with PE in a cohort of COVID-19 patients. METHODS AND

resultsIn a retrospective multicentre observational study, we included consecutive patients hospitalized for COVID-19. Patients without computed tomography pulmonary angiography (CTPA)-proven PE diagnosis and those who were directly admitted to an intensive care unit (ICU) were excluded. Among 1240 patients (58.1% men, mean age 64 ± 17 years), 103 (8.3%) patients had PE confirmed by CTPA. The ICU transfer and mechanical ventilation were significantly higher in the PE group (for both P < 0.001). In an univariable analysis, traditional venous thrombo-embolic risk factors were not associated with PE (P > 0.05), while patients under therapeutic dose anticoagulation before hospitalization or prophylactic dose anticoagulation introduced during hospitalization had lower PE occurrence [odds ratio (OR) 0.40, 95% confidence interval (CI) 0.14-0.91, P = 0.04; and OR 0.11, 95% CI 0.06-0.18, P < 0.001, respectively]. In a multivariable analysis, the following variables, also statistically significant in univariable analysis, were associated with PE: male gender (OR 1.03, 95% CI 1.003-1.069, P = 0.04), anticoagulation with a prophylactic dose (OR 0.83, 95% CI 0.79-0.85, P < 0.001) or a therapeutic dose (OR 0.87, 95% CI 0.82-0.92, P < 0.001), C-reactive protein (OR 1.03, 95% CI 1.01-1.04, P = 0.001), and time from symptom onset to hospitalization (OR 1.02, 95% CI 1.006-1.038, P = 0.002).

conclusionPE risk factors in the COVID-19 context do not include traditional thrombo-embolic risk factors but rather independent clinical and biological findings at admission, including a major contribution to inflammation.

Indexed as

BetacoronavirusPandemicsComputed Tomography AngiographyCoronavirus InfectionsCOVID-19FemaleFranceHospitalizationHumansIncidenceMaleMiddle AgedPneumonia, ViralPulmonary EmbolismRetrospective StudiesRisk FactorsComputed tomography angiographyCOVID-19Intensive care unitPulmonary embolismRisk factors

Identifiers

PMID32656565
PMCPMC7528952
OpenAlexW3041384178

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.