Evidence map›Paper›PMID 32992013›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2020

Relationship of the cycle threshold values of SARS-CoV-2 polymerase chain reaction and total severity score of computerized tomography in patients with COVID 19.

Ayşegul Karahasan Yagci, Rabia Can Sarinoglu, Huseyin Bilgin, Özgür Yanılmaz, Elvan Sayın, Guneser Deniz, Mehmet Mucahit Guncu, Zahide Doyuk, Can Barıs, Beyza Nur Kuzan and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 9% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  18. Successful deceased donor liver transplantation in candidates with high MELD and ongoing positive SARS-CoV-2 PCR.Transplant infectious disease : an official journal of the Transplantation Society · 2022
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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

13 authors at 1 institution in 1 country.

Ayşegul Karahasan YagciMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Rabia Can SarinogluMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Huseyin BilginInfectious Diseases and Clinical Microbiology, Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Özgür YanılmazMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Elvan SayınMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Guneser DenizMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Mehmet Mucahit GuncuMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey; Institute of Health Sciences, Marmara University, Maltepe Istanbul 34854 Turkey.
Zahide DoyukMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Can BarısMedical Microbiology Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Beyza Nur KuzanRadiology, Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Bülent AslanRadiology, Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Volkan KortenInfectious Diseases and Clinical Microbiology, Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Cagatay CimsitRadiology, Marmara University, School of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey.
Marmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimStudies analyzing viral load in COVID-19 patients and any data that compare viral load with chest computerized tomography (CT) severity are limited. This study aimed to evaluate the severity of chest CT in reverse transcriptase polymerase chain reaction (RT-PCR)-positive patients and factors associated with it. METHODOLOGY: SARS-CoV-2 RNA was extracted from nasopharyngeal swab samples by using Bio-speedy viral nucleic acid buffer. The RT-PCR tests were performed with primers and probes targeting the RdRp gene (Bioexen LTD, Turkey) and results were quantified as cycle threshold (Ct) values. Chest CT of SARS-CoV-2 RNA-positive patients (n = 730) in a period from 22 March to 20 May 2020 were evaluated. The total severity score (TSS) of chest CT ranged 0-20 and was calculated by summing up the degree of acute lung inflammation lesion involvement of each of the five lung lobes.

resultsOf the 284 patients who were hospitalized, 27 (9.5%) of them died. Of 236 (32.3%) patients, there were no findings on CT and 216 (91.5%) of them were outpatients (median age 35 years). TSS was significantly higher in hospitalized patients; 5.3% had severe changes. Ct values were lower among outpatients, indicating higher viral load. An inverse relation between viral load and TSS was detected in both groups. CT severity was related to age, and older patients had higher TSS (p < 0.01).

conclusionViral load was not a critical factor for hospitalization and mortality. Outpatients had considerable amounts of virus in their nasopharynx, which made them contagious to their contacts. Viral load is important in detecting early stages of COVID-19, to minimize potential spread, whereas chest CT can help identify cases requiring extensive medical care.

Indexed as

AdultAgedCOVID-19FemaleHospitalizationHumansLungMaleMiddle AgedNasopharynxPandemicsPolymerase Chain ReactionSARS-CoV-2Severity of Illness IndexTomography, X-Ray ComputedViral LoadChest tomographyCT valueMortalitySARS-CoV-2Total severity scoreViral load

Identifiers

PMID32992013
PMCPMC7521909
OpenAlexW3089137855

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.