Evidence map›Paper›PMID 32999893›Full record

ArticleOpen forum infectious diseases2020

Fever Patterns, Cytokine Profiles, and Outcomes in COVID-19.

Deborah H L Ng, Chiaw Yee Choy, Yi-Hao Chan, Barnaby E Young, Siew-Wai Fong, Lisa F P Ng, Laurent Renia, David C Lye, Po Ying Chia, National Centre for Infectious Diseases COVID-19 Outbreak Research Team

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.3field-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

21 citing papers in PubMed, 38 citations in OpenAlex.

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  4. Out-of-hospital cardiac arrest and in-hospital mortality among COVID-19 patients: A population-based retrospective cohort study.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2022
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  6. SARS-CoV-2 in brief: from virus to prevention.Osong public health and research perspectives · 2022
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  13. Predictors of intubation and mortality in COVID-19 patients: a retrospective study.Journal of anesthesia, analgesia and critical care · 2021
    Article
  14. Article
  15. A model for COVID-19-induced dysregulation of ACE2 shedding by ADAM17.Biochemical and biophysical research communications · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Deborah H L NgNational Centre for Infectious Diseases, Singapore.
Chiaw Yee ChoyNational Centre for Infectious Diseases, Singapore.
Yi-Hao ChanSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
Barnaby E YoungNational Centre for Infectious Diseases, Singapore.
Siew-Wai FongSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
Lisa F P NgSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
Laurent ReniaSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
David C LyeNational Centre for Infectious Diseases, Singapore.
Po Ying ChiaNational Centre for Infectious Diseases, Singapore.
National Centre for Infectious Diseases COVID-19 Outbreak Research Team
National Centre for Infectious Diseases · SGAgency for Science, Technology and Research · SGSingapore Immunology Network · SGTan Tock Seng Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged fever is associated with adverse outcomes in dengue viral infection. Similar fever patterns are observed in COVID-19 with unclear significance.

methodsWe conducted a hospital-based case-control study of patients admitted for COVID-19 with prolonged fever (fever >7 days) and saddleback fever (recurrence of fever, lasting <24 hours, after defervescence beyond day 7 of illness). Fever was defined as a temperature of ≥38.0°C. Cytokines were determined with multiplex microbead-based immunoassay for a subgroup of patients. Adverse outcomes were hypoxia, intensive care unit (ICU) admission, mechanical ventilation, and mortality.

resultsA total of 142 patients were included in the study; 12.7% (18/142) of cases had prolonged fever, and 9.9% (14/142) had saddleback fever. Those with prolonged fever had a median duration of fever (interquartile range [IQR]) of 10 (9-11) days for prolonged fever cases, while fever recurred at a median (IQR) of 10 (8-12) days for those with saddleback fever. Both prolonged (27.8% vs 0.9%;

conclusionsProlonged fever beyond 7 days from onset of illness can identify patients who may be at risk of adverse outcomes from COVID-19. Patients with saddleback fever appeared to have good outcomes regardless of the fever.

Indexed as

COVID-19cytokinesfeverprolongedsaddleback

Identifiers

PMID32999893
PMCPMC7499767
OpenAlexW3081122777

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.