Evidence map›Paper›PMID 33481385›Full record

SynthesisThe American journal of surgical pathology2021

Postmortem Findings Associated With SARS-CoV-2: Systematic Review and Meta-analysis.

Swati Satturwar, Mary Fowkes, Carol Farver, Allecia M Wilson, Albino Eccher, Ilaria Girolami, Elisabet Pujadas, Clare Bryce, Fadi Salem, Siraj M El Jamal and 7 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The American journal of surgical pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  3. Observational
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  7. Fibrinolytic system and COVID-19: From an innovative view of epithelial ion transport.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
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9 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

17 authors at 6 institutions in 3 countries.

Swati SatturwarDepartment of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA.
Mary FowkesDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Carol FarverDepartment of Pathology, University of Michigan, Ann Arbor, MI.
Allecia M WilsonDepartment of Pathology, University of Michigan, Ann Arbor, MI.
Albino EccherDepartment of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona.
Ilaria GirolamiDepartment of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona.
Elisabet PujadasDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Clare BryceDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Fadi SalemDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Siraj M El JamalDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Alberto Paniz-MondolfiDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Bruce PetersenDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Ronald E GordonDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Jason ReidyDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY.
Filippo FraggettaDepartment of Pathology, Cannizzaro Hospital, Catania, Italy.
Desiree A MarshallDepartment of Pathology, University of Washington Medical Center, Seattle, WA.
Liron PantanowitzDepartment of Pathology, University of Michigan, Ann Arbor, MI.
Icahn School of Medicine at Mount Sinai · USUniversity of Michigan–Ann Arbor · USUniversity Hospital Foundation · CAOspedale Cannizzaro · ITUniversity of Pittsburgh Medical Center · USUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus Disease 2019 (COVID-19), caused by the novel Severe Acute Respiratory Syndrome-associated Coronavirus 2 (SARS-CoV-2), has become a global threat to public health. COVID-19 is more pathogenic and infectious than the prior 2002 pandemic caused by SARS-CoV-1. The pathogenesis of certain disease manifestations in COVID-19 such as diffuse alveolar damage (DAD) are thought to be similar to SARS-CoV-1. However, the exact pathogenesis of COVID-19 related deaths remains poorly understood. The aim of this article was to systematically summarize the rapidly emerging literature regarding COVID-19 autopsies. A meta-analysis was also conducted based on data accrued from preprint and published articles on COVID-19 (n=241 patients) and the results compared with postmortem findings associated with SARS-CoV-1 deaths (n=91 patients). Both autopsy groups included mostly adults of median age 70 years with COVID-19 and 50 years with SARS-CoV-1. Overall, prevalence of DAD was more common in SARS-CoV-1 (100.0%) than COVID-19 (80.9%) autopsies (P=0.001). Extrapulmonary findings among both groups were not statistically significant except for hepatic necrosis (P <0.001), splenic necrosis (P<0.006) and white pulp depletion (P <0.001) that were more common with SARS-CoV-1. Remarkable postmortem findings in association with COVID-19 apart from DAD include pulmonary hemorrhage, viral cytopathic effect within pneumocytes, thromboembolism, brain infarction, endotheliitis, acute renal tubular damage, white pulp depletion of the spleen, cardiac myocyte necrosis, megakaryocyte recruitment, and hemophagocytosis.

Indexed as

AutopsyBrainCase-Control StudiesCOVID-19Global HealthHumansKidneyLungMyocardiumSevere Acute Respiratory SyndromeSpleen

Identifiers

PMID33481385
PMCPMC8132567
OpenAlexW3121743877

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.