Evidence map›Paper›PMID 33596855›Full record

ArticleBMC infectious diseases2021

SARS-CoV-2 RNA in plasma samples of COVID-19 affected individuals: a cross-sectional proof-of-concept study.

Luna Colagrossi, Maria Antonello, Silvia Renica, Marco Merli, Elisa Matarazzo, Giovanna Travi, Marta Vecchi, Jacopo Colombo, Antonio Muscatello, Giacomo Grasselli and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

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  12. Usefulness of real-time RT-PCR to understand the kinetics of SARS-CoV-2 in blood: A prospective study.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
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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

21 authors at 4 institutions in 1 country.

Luna ColagrossiDepartment of Laboratories, Unit of Diagnostic Microbiology and Immunology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Maria AntonelloDepartment of Oncology and Hemato-oncology, Università degli Studi di Milano, Milan, Italy.
Silvia RenicaDepartment of Oncology and Hemato-oncology, Università degli Studi di Milano, Milan, Italy.
Marco MerliInfectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Elisa MatarazzoResidency in Microbiology and Virology, Università degli Studi di Milano, Milan, Italy.
Giovanna TraviInfectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Marta VecchiInfectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Jacopo ColomboDepartment of Cardiotoracovascular Anesthesia and Intensive Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Antonio MuscatelloCentre for Multidisciplinary Research in Health Science, University of Milan, Milan, Italy.
Giacomo GrasselliDepartment of Anaesthesia and Critical Care, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Silvia Nerini MolteniChemical-clinical and Microbiological Analyses, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Vittorio ScaravilliDepartment of Anaesthesia and Critical Care, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Emanuele CattaneoDepartment of Anaesthesia and Critical Care, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Diana FantiChemical-clinical and Microbiological Analyses, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Chiara VismaraChemical-clinical and Microbiological Analyses, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Alessandra BanderaCentre for Multidisciplinary Research in Health Science, University of Milan, Milan, Italy.
Andrea GoriCentre for Multidisciplinary Research in Health Science, University of Milan, Milan, Italy.
Massimo PuotiInfectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Valeria CentoDepartment of Oncology and Hemato-oncology, Università degli Studi di Milano, Milan, Italy.
Claudia AlteriDepartment of Oncology and Hemato-oncology, Università degli Studi di Milano, Milan, Italy. claudia.alteri@unimi.it.ORCID http://orcid.org/0000-0003-4270-5079
Carlo Federico PernoDepartment of Laboratories, Unit of Diagnostic Microbiology and Immunology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITBambino Gesù Children's Hospital · IT

Funding

Regione Lombardia POR FESR 2014-2020
6 · The paper itself

Abstract

backgroundRecent studies showed that plasma SARS-CoV-2 RNA seems to be associated with worse COVID-19 outcome. However, whether specific population can be at higher risk of viremia are to date unexplored.

methodsThis cross-sectional proof-of-concept study included 41 SARS-CoV-2-positive adult individuals (six affected by haematological malignancies) hospitalized at two major hospital in Milan, for those demographic, clinical and laboratory data were available. SARS-CoV-2 load was quantified by ddPCR in paired plasma and respiratory samples. To assess significant differences between patients with and patients without viremia, Fisher exact test and Wilcoxon test were used for categorical and continuous variables, respectively.

resultsPlasma SARS-CoV-2 RNA was found in 8 patients (19.5%), with a median (IQR) value of 694 (209-1023) copies/mL. Viremic patients were characterized by an higher mortality rate (50.0% vs 9.1%; p = 0.018) respect to patients without viremia. Viremic patients were more frequently affected by haematological malignancies (62.5% vs. 3.0%; p < 0.001), and had higher viral load in respiratory samples (9,404,000 [586,060-10,000,000] vs 1560 [312-25,160] copies/mL; p = 0.002).

conclusionsEven if based on a small sample population, this proof-of-concept study poses the basis for an early identification of patients at higher risk of SARS-CoV-2 viremia, and therefore likely to develop severe COVID-19, and supports the need of a quantitative viral load determination in blood and respiratory samples of haematologic patients with COVID-19 in order to predict prognosis and consequently to help their further management.

Indexed as

AdultAgedCOVID-19COVID-19 Nucleic Acid TestingCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrognosisProof of Concept StudyRNA, ViralSARS-CoV-2Serologic TestsViral LoadViremiaRNA, ViralCOVID-19ddPCRHematological malignanciesMolecular diagnosisSARS-CoV-2Viremia

Identifiers

PMID33596855
PMCPMC7887543
OpenAlexW3132451967

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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.