Evidence map›Paper›PMID 32673190›Full record

ArticleRadiology2020

Lower-extremity Arterial Thrombosis Associated with COVID-19 Is Characterized by Greater Thrombus Burden and Increased Rate of Amputation and Death.

Inessa A Goldman, Kenny Ye, Meir H Scheinfeld

Open access · greenAbstract read
In one paragraph

Article in Radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
29.2field-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.

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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 366 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
  7. Acute COVID-19 Pneumonia Unmasking a Large Left Atrial Myxoma.The International journal of angiology : official publication of the International College of Angiology, Inc · 2023
    Article
  8. Review
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  10. Article
  11. Observational
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  17. Acute limb ischaemia: not an uncommon complication of COVID-19 infection.Annals of the Royal College of Surgeons of England · 2022
    Article
  18. Review
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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

3 authors at 1 institution in 1 country.

Inessa A GoldmanFrom the Department of Radiology, Division of Emergency Radiology, Montefiore Medical Center (I.A.G., M.H.S.), and Departments of Epidemiology and Population Health and Systems and Computational Biology (K.Y.), Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467.ORCID 0000-0003-3702-9133
Kenny YeFrom the Department of Radiology, Division of Emergency Radiology, Montefiore Medical Center (I.A.G., M.H.S.), and Departments of Epidemiology and Population Health and Systems and Computational Biology (K.Y.), Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467.ORCID 0000-0002-1466-855X
Meir H ScheinfeldFrom the Department of Radiology, Division of Emergency Radiology, Montefiore Medical Center (I.A.G., M.H.S.), and Departments of Epidemiology and Population Health and Systems and Computational Biology (K.Y.), Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467.
Albert Einstein College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background During the peak of the coronavirus disease 2019 (COVID-19) pandemic, the authors noted an increase in positive lower-extremity CT angiography examinations in patients who presented with leg ischemia. The goal of this study was to determine whether lower-extremity arterial thrombosis was associated with COVID-19 and whether it was characterized by greater severity in these patients. Materials and Methods In this retrospective propensity score-matched study approved by the institutional review board, 16 patients who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and who underwent CT angiography of the lower extremities and 32 patients who tested negative for SARS-CoV-2 observed from January to April 2018, January to April 2019, and January to April 2020 were compared using three scoring systems: two systems including all vessels, with weighting in one system given to more proximal vessels and with weighting in the other system given to more distal vessels, and a third system in which only the common iliac through popliteal arteries were considered. Correlation with presenting symptoms and outcomes was computed. Fisher exact tests were used to compare patients who tested positive for COVID-19 with patients who tested negative for COVID-19 regarding the presence of clots and presenting symptoms. A Mantel-Haenszel test was used to associate outcome of death and/or amputation with COVID-19 adjusted according to history of peripheral vascular disease (PVD). Results Sixteen patients with confirmed COVID-19 (70 years ± 14 [standard deviation]; seven women) who underwent CT angiography and 32 propensity score-matched control patients (71 years ± 15; 16 women) were included. All patients with COVID-19 (100%, 95% confidence interval [CI]: 79%, 100%) had at least one thrombus, and only 69% of control patients (95% CI: 50%, 84%) had thrombi (

Indexed as

BetacoronavirusAgedAmputation, SurgicalCausalityCohort StudiesComorbidityCoronavirus InfectionsCOVID-19FemaleHumansLower ExtremityMaleNew York CityPandemicsPeripheral Vascular DiseasesPneumonia, Viral

Identifiers

PMID32673190
PMCPMC7370378
OpenAlexW3043369424

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.