Evidence map›Paper›PMID 33126723›Full record

ArticleJournal of clinical medicine2020

Similar Clinical Course and Significance of Circulating Innate and Adaptive Immune Cell Counts in STEMI and COVID-19.

Elena de Dios, Cesar Rios-Navarro, Nerea Perez-Sole, Jose Gavara, Victor Marcos-Garces, Enrique Rodríguez, Arturo Carratalá, Maria J Forner, Jorge Navarro, Maria L Blasco and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Fractalkine/CXCells · 2023
    Review
  3. Article
  4. Article
  5. 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

16 authors at 4 institutions in 2 countries.

Elena de DiosCentro de Investigación Biomédica en Red-Cardiovascular (CIBER-CV), 28029 Madrid, Spain.
Cesar Rios-NavarroInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Nerea Perez-SoleInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Jose GavaraInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Victor Marcos-GarcesCardiology Department, Hospital Clínico Universitario, 46010 Valencia, Spain.ORCID 0000-0001-5565-5547
Enrique RodríguezInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.ORCID 0000-0002-0339-6704
Arturo CarrataláInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.ORCID 0000-0003-4513-7214
Maria J FornerMedicine Department, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain.
Jorge NavarroInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Maria L BlascoInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Elvira BondiaPneumology Service, Hospital Clínico Universitario. 46010 Valencia, Spain.ORCID 0000-0001-6638-5466
Jaime Signes-CostaInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Jose M VilaInstitute of Health Research-INCLIVA, 46010 Valencia, Spain.
Maria J FortezaCardiovascular Medicine Unit, Center of Molecular Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, 171 77 Stockholm, Sweden.
Francisco J ChorroCentro de Investigación Biomédica en Red-Cardiovascular (CIBER-CV), 28029 Madrid, Spain.
Vicente BodiCentro de Investigación Biomédica en Red-Cardiovascular (CIBER-CV), 28029 Madrid, Spain.
Hospital Clínico Universitario de Valencia · ESUniversitat de València · ESINCLIVA Health Research Institute · ESKarolinska University Hospital · SE

Funding

Instituto de Salud Carlos III CIBERCV16/11/00486Instituto de Salud Carlos III FI18/00320Instituto de Salud Carlos III PI17/01836Instituto de Salud Carlos III PI20/00637
6 · The paper itself

Abstract

This study aimed to assess the time course of circulating neutrophil and lymphocyte counts and their ratio (NLR) in ST-segment elevation myocardial infarction (STEMI) and coronavirus disease (COVID)-19 and explore their associations with clinical events and structural damage. Circulating neutrophil, lymphocyte and NLR were sequentially measured in 659 patients admitted for STEMI and in 103 COVID-19 patients. The dynamics detected in STEMI (within a few hours) were replicated in COVID-19 (within a few days). In both entities patients with events and with severe structural damage displayed higher neutrophil and lower lymphocyte counts. In both scenarios, higher maximum neutrophil and lower minimum lymphocyte counts were associated with more events and more severe organ damage. NLR was higher in STEMI and COVID-19 patients with the worst clinical and structural outcomes. A canonical deregulation of the immune response occurs in STEMI and COVID-19 patients. Boosted circulating innate (neutrophilia) and depressed circulating adaptive immunity (lymphopenia) is associated with more events and severe organ damage. A greater understanding of these critical illnesses is pivotal to explore novel alternative therapies.

Indexed as

COVID-19lymphocytemyocardial infarctionneutrophilsprognosisseverity

Identifiers

PMID33126723
PMCPMC7692467
OpenAlexW3095677552

What OpenQuestion holds

Textmetadata
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.