Evidence map›Paper›PMID 33209547›Full record

ArticleCureus2020

Pneumatosis Intestinalis in COVID-19: Case Series.

Kelvin Wong, Dae Hyeon Kim, Sameer Khanijo, Aleksandr Melamud, Gulrukh Zaidi

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 2 institutions in 1 country.

Kelvin WongPulmonary and Critical Care Medicine, Northwell Health North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, USA.
Dae Hyeon KimPulmonary and Critical Care Medicine, Northwell Health North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, USA.
Sameer KhanijoPulmonary and Critical Care Medicine, Northwell Health North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, USA.
Aleksandr MelamudPulmonary and Critical Care Medicine, Northwell Health North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, USA.
Gulrukh ZaidiPulmonary and Critical Care Medicine, Northwell Health North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, USA.
Northwell Health · USNorth Shore University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the clinical characteristics and outcomes of patients with coronavirus disease 2019 (COVID-19) who developed pneumatosis intestinalis (PI).

methodsThis case series was conducted in intensive care units at two large tertiary care centers within the Northwell Health System, located in New York State. Patients were included if they were identified as having confirmed COVID-19 as well as pneumatosis intestinalis from March 16, 2020 to July 31, 2020. Patient demographics, clinical characteristics, vasopressor use, anticoagulation use, opiate use, paralytic use, COVID-19 treatment regimen, serum lactate, arterial pH, serum bicarbonate, subsequent intervention, and outcomes during hospitalization were collected.  Results: A total of nine patients were identified. Average serum lactate was 4.33 mmol/L at time of diagnosis. Portal venous gas (56%) and bowel dilation (56%) were common radiographic findings. Subsequent morbidity (increased vasopressor requirements - 67%, acute kidney injury - 67%, increased oxygen requirements - 44%) and mortality (78%) were high. PI occurred despite a majority of patients being on anticoagulation (78%). Interleukin-6 (IL-6) inhibitors were commonly administered (56%) prior to development of PI.

conclusionPneumatosis intestinalis in COVID-19 is clinically significant, with high morbidity and mortality, and is also likely underdiagnosed.

Indexed as

covid-19interleukin-6intestinal perforationpneumatosis cystoides intestinalissevere acute respiratory syndrome coronavirus 2

Identifiers

PMID33209547
PMCPMC7667714
OpenAlexW3093103651

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.