Evidence map›Paper›PMID 32981387›Full record

Observational studyBiomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals2020

High sensitivity Troponin-T for prediction of adverse events in patients with COVID-19.

Nikhil Singh, Rajeev K Anchan, Stephanie A Besser, Mark N Belkin, Mark D Cruz, Linda Lee, Dongbo Yu, Natasha Mehta, Ann B Nguyen, Francis J Alenghat

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Nikhil SinghSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.ORCID https://orcid.org/0000-0002-2550-3830
Rajeev K AnchanSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Stephanie A BesserSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Mark N BelkinSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.ORCID https://orcid.org/0000-0002-9489-4572
Mark D CruzSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Linda LeeSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Dongbo YuSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Natasha MehtaSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Ann B NguyenSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.
Francis J AlenghatSection of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.ORCID https://orcid.org/0000-0003-4151-9258
University of Chicago Medical Center · US

Funding

MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
NHLBI NIH HHS T32 HL007381
6 · The paper itself

Abstract

backgroundHigh sensitivity cardiac troponin-T (hs-TnT) has been associated with mortality in patients hospitalized with COVID-19. We aimed to determine if hs-TnT levels and their timing are independent predictors of adverse events in these patients.

designRetrospective chart review was performed for all patients hospitalized at our institution between 23 March 2020 and 13 April 2020 who were found to be COVID-19-positive. Clinical, demographic, and laboratory variables including initial and peak hs-TnT were recorded. Univariable and multivariable analyses were completed for a primary composite endpoint of in-hospital death, intubation, need for critical care, or cardiac arrest.

resultsIn the 276 patients analysed, initial hs-TnT above the median (≥17 ng/L) was associated with increased length of stay, need for vasoactive medications, and death, along with the composite endpoint (OR 3.92,

conclusionsIn patients hospitalized with COVID-19, hs-TnT identifies patients at high risk for adverse in-hospital events, and trends of hs-TnT over time, particularly during the first day, provide additional prognostic information.

Indexed as

AgedAged, 80 and overBiomarkersCOVID-19FemaleHumansMaleMiddle AgedPandemicsPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSARS-CoV-2Sensitivity and SpecificityBiomarkersTNNT2 protein, humanTroponin Tbiomarkercardiac outcomesCOVID-19risk stratificationTroponin

Identifiers

PMID32981387
PMCPMC7711742
OpenAlexW3089000221

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.