Evidence map›Paper›PMID 33467466›Full record

ArticleJournal of clinical medicine2021

When Does the Cytokine Storm Begin in COVID-19 Patients? A Quick Score to Recognize It.

Stefano Cappanera, Michele Palumbo, Sherman H Kwan, Giulia Priante, Lucia Assunta Martella, Lavinia Maria Saraca, Francesco Sicari, Carlo Vernelli, Cinzia Di Giuli, Paolo Andreani and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
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  7. Review
  8. Role of epinephrine in attenuating cytokine storm, decreasing ferritin, and inhibiting ferroptosis in SARS-CoV-2.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  9. COVID-19 Pneumonia and Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
    Review
  10. Article
  11. Criteria for Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Human cardiac organoids to model COVID-19 cytokine storm induced cardiac injuries.Journal of tissue engineering and regenerative medicine · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. Article
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

19 authors at 5 institutions in 2 countries.

Stefano CappaneraClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.ORCID 0000-0001-5610-5539
Michele PalumboClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Sherman H KwanDepartment of General Surgery, Royal Perth Hospital, Perth 6000, Australia.
Giulia PrianteClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Lucia Assunta MartellaClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Lavinia Maria SaracaClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Francesco SicariClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Carlo VernelliClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Cinzia Di GiuliClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.
Paolo AndreaniHematology and Microbiology Laboratory, St. Maria Hospital, 05100 Terni, Italy.
Alessandro MariottiniHematology and Microbiology Laboratory, St. Maria Hospital, 05100 Terni, Italy.
Marsilio FrancucciDepartment of General and Oncologic Surgery, St. Maria Hospital, 05100 Terni, Italy.
Emanuela SensiDepartment of Critical Care Medicine and Anesthesiology, St. Maria Hospital, 05100 Terni, Italy.
Monya CostantiniPharmacy Unit, St. Maria Hospital, 05100 Terni, Italy.
Paolo BruzzoneDepartment of General and Specialist Surgery "Paride Stefanini", 00185 Rome, Italy.ORCID 0000-0002-7124-1245
Vito D'AndreaDepartment of Surgical Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-5709-2530
Sara GioiaLegal Medicine, University of Perugia, 06123 Perugia, Italy.
Roberto CirocchiDepartment of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, 05100 Terni, Italy.ORCID 0000-0002-2457-0636
Beatrice TiriClinical Infectious Disease, Department of medicine, St. Maria Hospital, 05100 Terni, Italy.ORCID 0000-0001-5574-7812
Santa Maria Nuova Hospital · ITUniversity of Perugia · ITCTO Andrea Alesini · ITRoyal Perth Hospital · AUSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus that is responsible for coronavirus disease 2019 (COVID-19), which has rapidly spread across the world, becoming a pandemic. The "cytokine storm" (CS) in COVID-19 leads to the worst stage of illness, and its timely control through immunomodulators, corticosteroids, and cytokine antagonists may be the key to reducing mortality. After reviewing published studies, we proposed a Cytokine Storm Score (CSs) to identify patients who were in this hyperinflammation state, and at risk of progression and poorer outcomes. We retrospectively analyzed 31 patients admitted to Infectious Disease Department in "St. Maria" Hospital in Terni with confirmed SARS-CoV-2 infections, and analyzed the "CS score" (CSs) and the severity of COVID-19. Then we conducted a prospective study of COVID-19 patients admitted after the definition of the CSscore. This is the first study that proposes and applies a new score to quickly identify COVID-19 patients who are in a hyperinflammation stage, to rapidly treat them in order to reduce the risk of intubation. CSs can accurately identify COVID-19 patients in the early stages of a CS, to conduct timely, safe, and effect administration of immunomodulators, corticosteroids, and cytokine antagonists, to prevent progression and reduce mortality.

Indexed as

ARDSCOVID-19cytokine storm

Identifiers

PMID33467466
PMCPMC7830161
OpenAlexW3120486688

What OpenQuestion holds

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LicenceCC BY
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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.