Evidence map›Paper›PMID 33527510›Full record

SynthesisJournal of clinical nursing2021

Diagnostic features of SARS-COVID-2-positive patients: A rapid review and meta-analysis.

Gloria Anderson, Daniela Casasanta, Antonello Cocchieri, Fabio D'Agostino, Maurizio Zega, Gianfranco Damiani, Maria Luisa Rega

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of clinical nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Role of GM-CSF in lung balance and disease.Frontiers in immunology · 2023
    Review
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

7 authors.

Gloria AndersonDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Daniela CasasantaHealth Directorate, Occupational Medicine Unit, UdR & HTA Research Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy.
Antonello CocchieriFondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Fabio D'AgostinoSaint Camillus International, University of Health and Medical Sciences, Rome, Italy.
Maurizio ZegaFondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Gianfranco DamianiFondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Maria Luisa RegaSchool of Nursing, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0003-3276-944X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo identify the main diagnostic features of SARS-CoV-2-positive patients at the time of hospitalisation and their prevalence.

backgroundSince the COVID-19 outbreak in China in December of 2019, several studies attempted to identify the epidemiological, viral and clinical characteristics of SARS-CoV-2. Given the rapid widespread transmission of the COVID-19 disease worldwide, a more comprehensive and up-to-date understanding of its features is needed to better inform nurses, clinicians and public health policy makers.

methodsA rapid review and meta-analysis were carried out to identify the main diagnostic features of SARS-CoV-2-positive patients at the time of hospitalisation. All case series, cross-sectional, case-control and cohort studies published from 01/01/2020 till 30/06/2020 in English and Chinese that stated all or at least two of the outcomes of interest (clinical features, laboratory and radiological findings) were included. We performed a random-effects model meta-analysis to calculate pooled prevalence and 95% confidence intervals. Conduction of the review adheres to the PRISMA checklist.

results21 studies involving 8837 patients were included in the quantitative synthesis. Fever, cough and fatigue were the most common clinical features, while the most relevant laboratory abnormalities at the time of hospitalisation were lymphopenia, elevated C-reactive protein and lactate dehydrogenase. CT images showed a bilateral lung involvement, with ground glass infiltrates and patchy shadows on most patients.

conclusionThis review provides an up-to-date synthesis of main diagnostic features of SARS-CoV-2-positive patients at the time of hospitalisation. RELEVANCE TO CLINICAL PRACTICE: Our findings could provide guidance for nurses and clinicians to early identification of positive patients at the time of the hospitalisation through a complete definition of main clinical features, laboratory and CT findings.

Indexed as

CoughCOVID-19FatigueFeverHumansCOVID-19diagnostic featuresmeta-analysisreviewsevere acute respiratory syndrome coronavirus 2

Identifiers

PMID33527510
PMCPMC8014443

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.