Evidence map›Paper›PMID 32993509›Full record

ArticleBMC gastroenterology2020

A severe coronavirus disease 2019 patient with high-risk predisposing factors died from massive gastrointestinal bleeding: a case report.

Taojiang Chen, Qin Yang, Hongyu Duan

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Gastrointestinal Bleeding in COVID-19-Infected Patients.Gastroenterology clinics of North America · 2023
    Review
  2. GASTROINTESTINAL COMPLICATIONS OF CORONAVIRUS DISEASE (COVID-19).Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Review
  3. Article
  4. Article
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  6. Review
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 3 institutions in 1 country.

Taojiang ChenDepartment of Critical Care Medicine, Chengdu Fifth People's Hospital, Chengdu, Sichuan, China.
Qin YangCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Hongyu DuanDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China. 495429978@qq.com.
Chengdu Fifth People's Hospital · CNHuazhong University of Science and Technology · CNWest China Second University Hospital of Sichuan University · CN

Funding

National Natural Science Foundation of China 81800288National Natural Science Foundation of China 81971457
6 · The paper itself

Abstract

backgroundSARS-CoV-2 is highly infectious and has been a significant public health threat. Despite typical manifestations of illness are dominated by respiratory symptom, some patients have concurrent gastrointestinal manifestations, including nausea, diarrhea, and vomiting. Massive gastrointestinal bleeding, however, has rarely been reported. CASE PRESENTATION: We herein described a case of severe SARS-CoV-2 infected patient with several risk factors for poor prognosis, including male, hypertension, old age, mixed bacterial infection and multilobular infiltration on radiological imaging. After improvement of respiratory status, the onset of gastrointestinal bleeding occurred, probably resulting from direct viral invasion as evidenced by the positive findings for SARS-CoV-2 in the repeat stool specimens. Although aggressive resuscitation was administered, hematochezia was uncontrolled. The patient rapidly deteriorated, suffered from cardiac arrest, and expired.

conclusionsDigestive symptoms could be severe in SARS-CoV-2 infected patients, especially for the high-risk individuals with predisposing conditions. A more thorough protocol for preventing cross-infection through faecal-oral transmission should be implemented in the process of patient care and infection control.

Indexed as

BetacoronavirusAged, 80 and overCoronavirus InfectionsCOVID-19Fatal OutcomeGastrointestinal HemorrhageHumansMalePandemicsPneumonia, ViralRisk FactorsSARS-CoV-2Coronavirus disease 2019Gastrointestinal bleedingHigh-risk predisposing factorsSARS-CoV-2

Identifiers

PMID32993509
PMCPMC7522923
OpenAlexW3088558684

What OpenQuestion holds

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LicenceCC BY
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.