Evidence map›Paper›PMID 33371524›Full record

ArticleJournal of clinical medicine2020

Prognostic Value of Fibrinogen among COVID-19 Patients Admitted to an Emergency Department: An Italian Cohort Study.

Pierpaolo Di Micco, Vincenzo Russo, Novella Carannante, Michele Imparato, Giuseppe Cardillo, Corrado Lodigiani

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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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  15. Contribution of the von Willebrand factor/ADAMTS13 imbalance to COVID-19 coagulopathy.American journal of physiology. Heart and circulatory physiology · 2022
    Review
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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

6 authors at 5 institutions in 1 country.

Pierpaolo Di MiccoUOC Medicina, Fatebenefratelli Hospital of Naples, 80131 Naples, Italy.
Vincenzo RussoDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Piazzale Ettore Ruggeri, 80131 Naples, Italy.ORCID 0000-0002-9227-0360
Novella CarannanteEmergenza Infettivologica-Pronto Soccorso Ospedale Cotugno, AO dei Colli, 80131 Naples, Italy.
Michele ImparatoUOC Medicina, Fatebenefratelli Hospital of Naples, 80131 Naples, Italy.
Giuseppe CardilloMedylab, Biochimica Avanzata Laboratory, 80131 Napoli, Italy.ORCID 0000-0001-6414-8475
Corrado LodigianiThrombosis and Hemorrhagic Center, Humanitas Clinical and Research Center, IRCCS, 20089 Rozzano, Italy.ORCID 0000-0002-9152-9385
Fatebenefratelli Hospital · ITHumanitas University · ITOspedale D. Cotugno · ITTecnologie Avanzate (Italy) · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA highly pathogenic human coronavirus able to induce severe acute respiratory syndrome (SARS) has been recently recognized as the cause of the coronavirus disease 2019 (COVID-19); the disease became pandemic after a few months. Little is still known about the laboratory prognostic markers in COVID-19 patients. The aim of our study was to describe the prognostic value of clotting parameters for the prediction of severe form of COVID-19 characterized by acute respiratory distress syndrome (ARDS) at hospital admission. MATERIAL AND

methodsFrom a large cohort of 152 patients consecutively admitted from February to March 2020 for fever and dyspnea to the emergency departments (ED) of three Italian hospitals, we evaluated 85 patients with confirmed diagnosis of COVID-19 and 67 patients with acute illness. All patients underwent medical history checks, physical examination, and laboratory evaluation. Prothrombin time (PT), activated thromboplastin time (aPTT), fibrinogen and D-dimer tests were performed and compared, first, between COVID-19 and control groups, and then between COVID-19 patients with or without ARDS.

resultsCOVID-19 patients were more likely to show abnormal baseline levels of PT, aPTT, D-dimer, and fibrinogen at admission compared to the control group. COVID-19 patients with ARDS showed a statistically significant increase in levels of fibrinogen compared to those without ARDS (720 (621-833) vs. 490 (397.5-601.5);

conclusionA serum level of fibrinogen of 617 mg/dL in COVID-19 patients admitted to emergency department may help to identify early those with ARDS.

Indexed as

COVID-19D-dimerdisseminated intravascular coagulationfibrinogenhemostasisSARS-CoV-2

Identifiers

PMID33371524
PMCPMC7767519
OpenAlexW3114429657

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Registered trials

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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.