Evidence map›Paper›PMID 33432303›Full record

ArticleSN comprehensive clinical medicine2021

Diarrhea Is Associated with Increased Severity of Disease in COVID-19: Systemic Review and Metaanalysis.

Subash Ghimire, Sachit Sharma, Achint Patel, Rasmita Budhathoki, Raja Chakinala, Hafiz Khan, Matthew Lincoln, Michael Georgeston

Abstract read
In one paragraph

Article in SN comprehensive clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. COVID-19 and Diarrhoea: the Therapeutic Role OF LMWH.SN comprehensive clinical medicine · 2021
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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

8 authors.

Subash GhimireGuthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA USA.ORCID 0000-0003-3158-6238
Sachit SharmaUniversity of Toledo Medical Center, Toledo, OH USA.
Achint PatelRochester Regional Health, Rochester, NY USA.
Rasmita BudhathokiJackson Memorial Hospital, University of Miami, Coral Gables, FL USA.
Raja ChakinalaGuthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA USA.
Hafiz KhanGuthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA USA.
Matthew LincolnGuthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA USA.
Michael GeorgestonGuthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 has become a pandemic since its emergence in Wuhan, China. The disease process was initially defined by presence of respiratory symptoms; however, it is now well studied and shown in evidence that this is a multisystem process. Involvement of gastrointestinal (GI) system has been identified, and GI symptoms can be the only presenting symptoms in some patients. Hence, it is important to identify and understand the GI symptoms associated with COVID-19 for appropriate care of patient. We conducted a systematic review and metaanalysis to identify the GI symptoms of COVID-19 and identify association of diarrhea with severity of COVID-19. We performed extensive search of Medline and Embase from December 2019 to May 2020 to identify articles reporting GI symptoms in COVID-19 patients. The primary outcome was prevalence of GI symptoms in COVID-19 patients, and secondary outcome was the association of diarrhea with disease severity. A total of 38 studies with 8407 patients were included. Of the total patients, 15.47% patients had at least one GI symptom. The pooled prevalence of nausea/vomiting was 7.53% and diarrhea was 11.52%. On metaanalysis, patients with diarrhea as one of the presenting symptoms were more likely to have severe disease (OR 1.63, 95% CI: 1.11-3.38, SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s42399-020-00662-w.

Indexed as

COVID-19DiarrheaGIMetaanalysisNauseaVomiting

Identifiers

PMID33432303
PMCPMC7787639

What OpenQuestion holds

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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.