Evidence map›Paper›PMID 33163981›Full record

ArticleCell reports. Medicine2020

Inflammatory Biomarker Trends Predict Respiratory Decline in COVID-19 Patients.

Alisa A Mueller, Tomoyoshi Tamura, Conor P Crowley, Jeremy R DeGrado, Hibah Haider, Julia L Jezmir, Gregory Keras, Erin H Penn, Anthony F Massaro, Edy Y Kim

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04898062 (Randomized, Controlled, Proof-Of-Concept Trial of CRP-Apheresis for Attenuation of Pulmonary MYocardial and/or Kidney Injury in COvid-19), which is not on this map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
2.8field-weighted citation impact, top 6% 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.

NCT04898062 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Randomized, Controlled, Proof-Of-Concept Trial of CRP-Apheresis for Attenuation of Pulmonary MYocardial and/or Kidney Injury in COvid-19

TypeinterventionalSponsorPentracor GmbHRan2021 to 2023Enrolled0ConditionsCovid19ArmsCRP-apheresis
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Effect of high-doseFrontiers in immunology · 2024
    Trial
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  8. Article
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  10. Narrative Review Explaining the Role ofInfectious disease reports · 2024
    Review
  11. Article
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5 more citing papers are in PubMed but not listed here.

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

10 authors at 1 institution in 1 country.

Alisa A MuellerDivision of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA 02115, USA.
Tomoyoshi TamuraHarvard Medical School, Boston, MA 02115, USA.
Conor P CrowleyDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Jeremy R DeGradoDepartment of Pharmacy, Brigham and Women's Hospital, Boston, MA 02115, USA.
Hibah HaiderDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Julia L JezmirHarvard Medical School, Boston, MA 02115, USA.
Gregory KerasDivision of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA 02115, USA.
Erin H PennDivision of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA 02115, USA.
Anthony F MassaroHarvard Medical School, Boston, MA 02115, USA.
Edy Y KimHarvard Medical School, Boston, MA 02115, USA.
Brigham and Women's Hospital · US

Funding

MECHANISMS OF ARTHRITIC &DERMATOLOGY DISORDERST32AR007530 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Michael B. Brenner, Ellen M Gravallese · 1986 to 2026
$10.4M
NIAMS NIH HHS T32 AR007530
6 · The paper itself

Abstract

In this single-center, retrospective cohort analysis of hospitalized coronavirus disease 2019 (COVID-19) patients, we investigate whether inflammatory biomarker levels predict respiratory decline in patients who initially present with stable disease. Examination of C-reactive protein (CRP) trends reveals that a rapid rise in CRP levels precedes respiratory deterioration and intubation, although CRP levels plateau in patients who remain stable. Increasing CRP during the first 48 h of hospitalization is a better predictor (with higher sensitivity) of respiratory decline than initial CRP levels or ROX indices (a physiological score of respiratory function). CRP, the proinflammatory cytokine interleukin-6 (IL-6), and physiological measures of hypoxemic respiratory failure are correlated, which suggests a mechanistic link. Our work shows that rising CRP predicts subsequent respiratory deterioration in COVID-19 and may suggest mechanistic insight and a potential role for targeted immunomodulation in a subset of patients early during hospitalization.

Indexed as

AdultAgedAged, 80 and overBiomarkersCOVID-19C-Reactive ProteinHumansInflammationIntensive Care UnitsInterleukin-6Middle AgedPrognosisRespiratory InsufficiencyRetrospective StudiesSARS-CoV-2Severity of Illness IndexBiomarkersC-Reactive ProteinInterleukin-6acute respiratory distress syndromeCOVID-19CRPcytokine stormD-dimerferritinIL-6inflammationintensive care unitintubation

Identifiers

PMID33163981
PMCPMC7598305
OpenAlexW3097267546

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.