Evidence map›Paper›PMID 33063038›Full record

ArticleCritical care explorations2020

Quantification of Neurological Blood-Based Biomarkers in Critically Ill Patients With Coronavirus Disease 2019.

Jennifer Cooper, Sophie Stukas, Ryan L Hoiland, Nicholas A Fergusson, Sonny Thiara, Denise Foster, Anish Mitra, Jon A Stoessl, William J Panenka, Mypinder S Sekhon and 1 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 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

11 authors at 2 institutions in 1 country.

Jennifer CooperDepartment of Pathology and Laboratory Medicine, Djavad Mowafaghian Centre for Brain Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Sophie StukasDepartment of Pathology and Laboratory Medicine, Djavad Mowafaghian Centre for Brain Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Ryan L HoilandDepartment of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC, Canada.
Nicholas A FergussonDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Sonny ThiaraDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Denise FosterDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Anish MitraDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Jon A StoesslDivision of Neurology, Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada.
William J PanenkaDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Mypinder S SekhonDivision of Neurology, Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada.
Cheryl L WellingtonDepartment of Pathology and Laboratory Medicine, Djavad Mowafaghian Centre for Brain Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CAInternational Collaboration On Repair Discoveries · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide an objective characterization of acute neurologic injury in critically ill patients with coronavirus disease 2019.

designProspective observational study. Demographics, comorbidities, and daily clinical physiologic and laboratory data were collected. Plasma levels of neurofilament-light chain, total tau, ubiquitin carboxy-terminal hydrolase L1, and glial fibrillary acidic protein were measured. The primary neurologic outcome was delirium defined by the Intensive Care Delirium Screening Checklist (scale 1-8). Associations among plasma biomarkers, respiratory failure, and inflammation were analyzed.

settingMulticenter study in ICUs. PATIENTS: Critically ill patients with respiratory failure, with coronavirus disease 2019, or without (ICU control). MEASUREMENTS AND MAIN

resultsA total of 27 patients with coronavirus disease 2019 and 19 ICU controls were enrolled. Compared with ICU controls with pneumonia of other etiology, patients with coronavirus disease 2019 had significantly higher glial fibrillary acidic protein (272 pg/mL [150-555 pg/mL] vs 118 pg/mL [78.5-168 pg/mL];

conclusionsPlasma glial fibrillary acidic protein is two-fold higher in critically ill patients with coronavirus disease 2019 compared with ICU controls. Higher levels of glial fibrillary acidic protein, ubiquitin carboxy-terminal hydrolase L1, and neurofilament-light chain associate with delirium in patients with coronavirus disease 2019. Elevated plasma glial fibrillary acidic protein, ubiquitin carboxy-terminal hydrolase L1, and neurofilament-light chain are independent of respiratory function and peripheral cytokines.

Indexed as

coronavirus disease 2019deliriumglial fibrillary acidic proteinneurofilament-lightsevere acute respiratory syndrome coronavirus-2

Identifiers

PMID33063038
PMCPMC7535554
OpenAlexW3091499839

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.