Evidence map›Paper›PMID 33091701›Full record

ArticleThrombosis research2020

The prevalence of pulmonary embolism in patients with COVID-19 and respiratory decline: A three-setting comparison.

Renée A G Brüggemann, Bart Spaetgens, Hester A Gietema, Steffie H A Brouns, Patricia M Stassen, Fabienne J Magdelijns, Roger J Rennenberg, Ronald M A Henry, Mark M G Mulder, Bas C T van Bussel and 5 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Thrombosis research, 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 23% 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, 24 citations in OpenAlex.

  1. Pooled it
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  12. Ruling out Pulmonary Embolism in Patients with (Suspected) COVID-19-A Prospective Cohort Study.TH open : companion journal to thrombosis and haemostasis · 2021
    Article
  13. Article
  14. Article
  15. Thrombocytopenia in Virus Infections.Journal of clinical medicine · 2021
    Review
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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

15 authors at 1 institution in 1 country.

Renée A G BrüggemannDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands. Electronic address: renee.bruggemann@mumc.nl.
Bart SpaetgensDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Hester A GietemaDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre+, Maastricht, the Netherlands; Grow school of Oncology and Developmental biology, Maastricht, the Netherlands.
Steffie H A BrounsDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Patricia M StassenDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Fabienne J MagdelijnsDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Roger J RennenbergDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Ronald M A HenryDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Mark M G MulderDepartment of Intensive Care, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Bas C T van BusselDepartment of Intensive Care, Maastricht University Medical Centre+, Maastricht, the Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.
Ronny M SchnabelDepartment of Intensive Care, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Iwan C C van der HorstDepartment of Intensive Care, Maastricht University Medical Centre+, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.
Joachim E WildbergerDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre+, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.
Coen D A StehouwerDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.
Hugo Ten CateDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+, Maastricht, the Netherlands; Thrombosis Expert Centre Maastricht and Department of Internal Medicine, Section Vascular Medicine, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of pulmonary embolism (PE) in patients with Coronavirus Disease 2019 (COVID-19) is recognized. The prevalence of PE in patients with respiratory deterioration at the Emergency Department (ED), the regular ward, and the Intensive Care Unit (ICU) are not well-established.

objectivesWe aimed to investigate how often PE was present in individuals with COVID-19 and respiratory deterioration in different settings, and whether or not disease severity as measured by CT-severity score (CTSS) was related to the occurrence of PE. PATIENTS/

methodsBetween April 6th and May 3rd, we enrolled 60 consecutive adult patients with confirmed COVID-19 from the ED, regular ward and ICU who met the pre-specified criteria for respiratory deterioration.

resultsA total of 24 (24/60: 40% (95% CI: 28-54%)) patients were diagnosed with PE, of whom 6 were in the ED (6/23: 26% (95% CI: 10-46%)), 8 in the regular ward (8/24: 33% (95% CI: 16-55%)), and 10 in the ICU (10/13: 77% (95% CI: 46-95%)). CTSS (per unit) was not associated with the occurrence of PE (age and sex-adjusted OR 1.06 (95%CI 0.98-1.15)).

conclusionThe number of PE diagnosis among patients with COVID-19 and respiratory deterioration was high; 26% in the ED, 33% in the regular ward and 77% in the ICU respectively. In our cohort CTSS was not associated with the occurrence of PE. Based on the high number of patients diagnosed with PE among those scanned we recommend a low threshold for performing computed tomography angiography in patients with COVID-19 and respiratory deterioration.

Indexed as

Emergency Service, HospitalIntensive Care UnitsAgedAged, 80 and overComputed Tomography AngiographyCOVID-19FemaleHumansMaleMiddle AgedNetherlandsPrevalencePrognosisPulmonary EmbolismRespiratory InsufficiencyRisk AssessmentComputed tomography angiographyCOVID-19 (coronavirus disease 2019)Pulmonary embolismThromboprophylaxis

Identifiers

PMID33091701
PMCPMC7557291
OpenAlexW3092776109

What OpenQuestion holds

Textmetadata
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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.