Evidence map›Paper›PMID 33271421›Full record

Observational studyThrombosis research2021

Pulmonary embolism in COVID-19 patients: prevalence, predictors and clinical outcome.

Fernando Scudiero, Angelo Silverio, Marco Di Maio, Vincenzo Russo, Rodolfo Citro, Davide Personeni, Andrea Cafro, Antonello D'Andrea, Emilio Attena, Salvatore Pezzullo and 5 more

Open access · bronzeAbstract readLetterMulticenter StudyObservational Study
In one paragraph

Observational study in Thrombosis research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 1% 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

65 citing papers in PubMed, 5 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
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  3. Risk factors for pulmonary embolism in patients with COVID-19: a systemic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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  4. Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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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

15 authors at 8 institutions in 1 country.

Fernando ScudieroDivision of Cardiology, "Bolognini" Hospital, ASST Bergamo est, Seriate, Italy.
Angelo SilverioDivision of Cardiology, Cardiovascolar and Thoracic Department, San Giovanni di Dio e Ruggi d'Aragona University Hospital, Salerno, Italy.
Marco Di MaioDivision of Cardiology, Maria SS. Addolorata Hospital, Eboli, Salerno, Italy.
Vincenzo RussoChair of Cardiology, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli" - Monaldi and Cotugno Hospital, Naples, Italy.
Rodolfo CitroDivision of Cardiology, Cardiovascolar and Thoracic Department, San Giovanni di Dio e Ruggi d'Aragona University Hospital, Salerno, Italy.
Davide PersoneniDivision of Cardiology, "Bolognini" Hospital, ASST Bergamo est, Seriate, Italy.
Andrea CafroDivision of Cardiology, "Bolognini" Hospital, ASST Bergamo est, Seriate, Italy.
Antonello D'AndreaDepartment of Cardiology and Intensive Care Unit, Umberto I Hospital, Nocera Inferiore, Italy.
Emilio AttenaDivision of Cardiology, San Giuliano Hospital, Naples, Italy.
Salvatore PezzulloDivision of Cardiology, Villa dei Fiori Hospital, Acerra, Naples, Italy.
Mario Enrico CanonicoClinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy.
Gennaro GalassoDivision of Cardiology, Cardiovascolar and Thoracic Department, San Giovanni di Dio e Ruggi d'Aragona University Hospital, Salerno, Italy.
Antonino PitìDivision of Cardiology, "Bolognini" Hospital, ASST Bergamo est, Seriate, Italy.
Guido ParodiClinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy. Electronic address: gparodi@uniss.it.
Cov-IT Network
Azienda Ospedaliera Bolognini Seriate · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity of Sassari · ITAzienda Ospedaliera San Giovanni Addolorata · ITAzienda Socio Sanitaria Territoriale Bergamo EstPoliclinico Umberto I · ITUniversity of Campania "Luigi Vanvitelli" · ITVilla Torri Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence, characteristics, and prognosis of pulmonary embolism (PE) in Coronavirus disease 2019 (COVID-19) have been poorly investigated. We aimed to investigate the prevalence and the correlates with the occurrence of PE as well as the association between PE and the risk of mortality in COVID-19.

methodsRetrospective multicenter study on consecutive COVID-19 patients hospitalized at 7 Italian Hospitals. At admission, all patients underwent medical history, laboratory and echocardiographic evaluation.

resultsThe study population consisted of 224 patients (mean age 69 ± 14, male sex 62%); PE was diagnosed in 32 cases (14%). Patients with PE were hospitalized after a longer time since symptoms onset (7 IQR 3-11 days, 3 IQR 1-6 days; p = 0.001) and showed higher D-dimers level (1819 IQR 568-5017 ng/ml vs 555 IQR 13-1530 ng/ml; p < 0.001) and higher prevalence of myocardial injury (47% vs 28%, p = 0.033). At multivariable analysis, tricuspid annular plane systolic excursion (TAPSE; HR = 0.84; 95% CI 0.66-0.98; p = 0.046) and systolic pulmonary arterial pressure (sPAP; HR = 1.12; 95% CI 1.03-1.23; p = 0.008) resulted the only parameters independently associated with PE occurrence. Mortality rates (50% vs 27%; p = 0.010) and cardiogenic shock (37% vs 14%; p = 0.001) were significantly higher in PE as compared with non-PE patients. At multivariate analysis PE was significant associated with mortality.

conclusionPE is relatively common complication in COVID-19 and is associated with increased mortality risk. TAPSE and sPAP resulted the only parameters independently associated with PE occurrence in COVID-19 patients.

Indexed as

AgedAged, 80 and overCOVID-19FemaleHumansHypertension, PulmonaryItalyMaleMiddle AgedPrevalencePrognosisPulmonary EmbolismRegistriesRetrospective StudiesRisk AssessmentRisk FactorsCOVID-19EchocardiographyPulmonary embolism

Identifiers

PMID33271421
PMCPMC7669475
OpenAlexW3102358651

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.