Evidence map›Paper›PMID 33303843›Full record

Trial reportScientific reports2020

Increased interleukin-6 and macrophage chemoattractant protein-1 are associated with respiratory failure in COVID-19.

Marthe Jøntvedt Jørgensen, Jan Cato Holter, Erik Egeland Christensen, Camilla Schjalm, Kristian Tonby, Søren Erik Pischke, Synne Jenum, Linda G Skeie, Sarah Nur, Andreas Lind and 12 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 9% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

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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

22 authors at 2 institutions in 1 country.

Marthe Jøntvedt JørgensenDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-0791-2507
Jan Cato HolterInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0003-1618-5022
Erik Egeland ChristensenDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Camilla SchjalmDepartment of Immunology, Oslo University Hospital, Oslo, Norway.
Kristian TonbyDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Søren Erik PischkeDepartment of Immunology, Oslo University Hospital, Oslo, Norway.
Synne JenumDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Linda G SkeieDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Sarah NurDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Andreas LindDepartment of Microbiology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-8289-8410
Hanne OpsandDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Tone Burvald EnersenDepartment of Rheumatology, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Ragnhild GrøndahlDepartment of Laboratory Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Anne HermannDepartment of Rheumatology, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Susanne DudmanInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0001-5047-4982
Fredrik MullerInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Thor UelandInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Tom Eirik MollnesDepartment of Immunology, Oslo University Hospital, Oslo, Norway.
Pål AukrustInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Lars HeggelundDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Aleksander Rygh HoltenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Anne Ma Dyrhol-RiiseDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway. a.m.d.riise@medisin.uio.no.ORCID 0000-0003-4009-4032
Oslo University Hospital · NODrammen Hospital · NO

Funding

Norges Forskningsråd (Research Council of Norway) 312780
6 · The paper itself

Abstract

In SARS-CoV-2 infection there is an urgent need to identify patients that will progress to severe COVID-19 and may benefit from targeted treatment. In this study we analyzed plasma cytokines in COVID-19 patients and investigated their association with respiratory failure (RF) and treatment in Intensive Care Unit (ICU). Hospitalized patients (n = 34) with confirmed COVID-19 were recruited into a prospective cohort study. Clinical data and blood samples were collected at inclusion and after 2-5 and 7-10 days. RF was defined as PaO2/FiO2 ratio (P/F) < 40 kPa. Plasma cytokines were analyzed by a Human Cytokine 27-plex assay. COVID-19 patients with RF and/or treated in ICU showed overall increased systemic cytokine levels. Plasma IL-6, IL-8, G-CSF, MCP-1, MIP-1α levels were negatively correlated with P/F, whereas combinations of IL-6, IP-10, IL-1ra and MCP-1 showed the best association with RF in ROC analysis (AUC 0.79-0.80, p < 0.05). During hospitalization the decline was most significant for IP-10 (p < 0.001). Elevated levels of pro-inflammatory cytokines were present in patients with severe COVID-19. IL-6 and MCP-1 were inversely correlated with P/F with the largest AUC in ROC analyses and should be further explored as biomarkers to identify patients at risk for severe RF and as targets for improved treatment strategies.

Indexed as

AdultAgedAged, 80 and overBiomarkersChemokine CCL2COVID-19FemaleHumansInterleukin-6MaleMiddle AgedProspective StudiesRespiratory InsufficiencySARS-CoV-2Severity of Illness IndexBiomarkersCCL2 protein, humanChemokine CCL2IL6 protein, humanInterleukin-6

Identifiers

PMID33303843
PMCPMC7729930
OpenAlexW3111347349

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.