Evidence map›Paper›PMID 33096349›Full record

Observational studyJournal of critical care2021

Microcirculation alterations in severe COVID-19 pneumonia.

Vanina Siham Kanoore Edul, Juan Francisco Caminos Eguillor, Gonzalo Ferrara, Elisa Estenssoro, Daniel Shiovan Páez Siles, Cristián Emanuel Cesio, Arnaldo Dubin

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.8field-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, 56 citations in OpenAlex.

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  14. Post-COVID steroid induced avascular necrosis of the jaw: Emerging challenge in India.Oral surgery, oral medicine, oral pathology and oral radiology · 2023
    Article
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  19. Article
  20. Photoacoustic imaging for microcirculation.Microcirculation (New York, N.Y. : 1994) · 2022
    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

7 authors at 5 institutions in 1 country.

Vanina Siham Kanoore EdulHospital Juan A Fernández, Ciudad Autónoma de Buenos Aires, Argentina; Cátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina; Sanatorio Otamendi, Buenos Aires, Argentina.
Juan Francisco Caminos EguillorCátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina; Hospital San Martín, La Plata, Argentina.
Gonzalo FerraraSanatorio Anchorena, San Martín, Argentina.
Elisa EstenssoroCátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina; Hospital San Martín, La Plata, Argentina.
Daniel Shiovan Páez SilesHospital Juan A Fernández, Ciudad Autónoma de Buenos Aires, Argentina.
Cristián Emanuel CesioSanatorio Anchorena, San Martín, Argentina.
Arnaldo DubinCátedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina; Sanatorio Otamendi, Buenos Aires, Argentina. Electronic address: arnaldodubin@gmail.com.
Hospital Italiano La Plata · ARNational University of General San Martín · ARHospital Fernández · ARSanatorio Otamendi y Miroli · ARUniversidad Nacional de La Plata · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the presence of sublingual microcirculatory and skin perfusion alterations in COVID-19 pneumonia. MATERIALS AND

methodsThis is a preliminary report of a prospective observational study performed in four teaching intensive care units. We studied 27 mechanically ventilated patients with acute respiratory distress syndrome secondary to COVID-19. Sublingual microcirculation was assessed by hand-held videomicroscopy. A software-assisted analysis of videos was performed. We also measured capillary refill time.

resultsPatients were hemodynamically stable with normal lactate (1.8 [1.6-2.5] mmol/L) and high D-dimer (1.30 [0.58-2.93] μg/mL). Capillary refill time was prolonged (3.5 [3.0-5.0] s). Compared to previously reported normal values, total and perfused vascular density (21.9 ± 3.9 and 21.0 ± 3.5 mm/mm

conclusionsCOVID-19 patients showed an altered tissue perfusion. Sublingual microcirculation was characterized by decreases in the proportion of perfused vessel and flow velocity along with high vascular densities. This last finding might be related to enhanced angiogenesis or hypoxia-induced capillary recruitment.

Indexed as

Intensive Care UnitsMicrocirculationAgedCapillariesCOVID-19Critical CareFemaleHemodynamicsHumansHypoxiaMaleMicroscopy, VideoMiddle AgedMouth FloorPerfusionProspective StudiesCapillary refill timeCOVID-19MicrocirculationPneumonia

Identifiers

PMID33096349
PMCPMC7568145
OpenAlexW3093141910

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.