Evidence map›Paper›PMID 33534829›Full record

ArticlePloS one2021

Covid-19 in outpatients-Is fever a useful indicator for SARS-CoV-2 infection?

Anne Schneider, Holger Kirsten, Franziska Lordick, Florian Lordick, Christoph Lübbert, Amrei von Braun

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.5field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  9. COVID-19 Medical and Pharmacological Management in the European Countries Compared to Italy: An Overview.International journal of environmental research and public health · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Anne SchneiderDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.
Holger KirstenInstitute for Medical Informatics, Statistics and Epidemiology (IMISE), Medical Faculty, Leipzig University, Leipzig, Germany.ORCID 0000-0002-3126-7950
Franziska LordickMedical Faculty, Leipzig University, Leipzig, Germany.
Florian LordickDepartment of Medicine II (Oncology, Gastroenterology, Hepatology, Pneumology and Infectious Diseases), Leipzig University Medical Center, Leipzig, Germany.
Christoph LübbertDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.ORCID 0000-0001-6942-5785
Amrei von BraunDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.ORCID 0000-0002-4335-8884
Leipzig University · DEKlinikum St. Georg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUnderstanding mild to moderate symptoms of coronavirus disease 2019 (Covid-19) is important in order to identify active cases early and thus counteract transmission.

methodsIn March 2020, Leipzig University Hospital established an outpatient clinic for patients potentially infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Confirmed cases with mild to moderate symptoms self-isolated at home and were followed-up by daily telephone calls for at least 14 days. Symptoms and course of illness of these patients are reported here.

resultsFrom March 20 to April 17, 2020, 1460 individuals were tested for SARS-CoV-2 by naso- or oropharyngeal swab for real-time polymerase chain reaction (RT-PCR). Covid-19 was confirmed in 91 (6.2%) patients, of which 87 were included in the final analysis. Patients presented for testing after a mean of 5.9 days (IQR = 2.0-8.5). The median age was 37.0 years (IQR = 28.5-53), and 48 (55.2%) were female. Five (5.7%) patients required hospital admission during the course of illness. Most frequently reported symptoms were fatigue (n = 64, 74%), cough (n = 58, 67%), and hyposmia/hypogeusia (n = 44, 51%). In contrast to previous reports, fever occurred in less than a third of patients (n = 25, 29%). By day 14, more than half of the patients had recovered completely (n = 37/70, 52.9%).

conclusionsFever seems to be less common in patients of relatively young age diagnosed with mild to moderate Covid-19. This suggests that body temperature alone may be an insufficient indicator of SARS-CoV-2 infection.

Indexed as

Body TemperatureAdultAnosmiaCoughCOVID-19FatigueFemaleHospitalizationHumansMaleMiddle AgedNasopharynxOutpatientsReal-Time Polymerase Chain ReactionRNA, ViralSARS-CoV-2RNA, Viral

Identifiers

PMID33534829
PMCPMC7857607
OpenAlexW3127462145

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.