Evidence map›Paper›PMID 33620009›Full record

ArticleModern rheumatology2022

Antiphospholipid antibodies in COVID-19-associated pneumonia patients in intensive care unit.

Samet Karahan, Kemal Erol, Recep Civan Yuksel, Cem Artan, Ilhami Celik

Open access · bronzeAbstract read
In one paragraph

Article in Modern rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  12. Review
  13. Article
  14. Article
  15. The Role of Antiphospholipid Antibodies in COVID-19.Current rheumatology reports · 2021
    Review
  16. Review
  17. Association of Lupus Anticoagulant status with Disease Course in SARS-CoV-2 (COVID-19) Infection.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

5 authors at 1 institution in 1 country.

Samet KarahanDepartment of Internal Medicine, Division of Rheumatology, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Kemal ErolDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Recep Civan YukselIntensive Care Unit, Department of Internal Medicine, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Cem ArtanDepartment of Microbiology, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Ilhami CelikDepartment of Infectious Diseases and Clinical Microbiology, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Kayseri Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAntiphospholipid antibodies (APAs) increase the risk of excessive blood clotting, but their role in COVID-19 remains unclear. We aimed to investigate the presence of conventional APAs used in the classification of antiphospholipid antibody syndrome in patients with severe lung infection with SARS-CoV-2 and to compare these results with non-COVID-19 critically ill patients.

methodsThirty-one COVID-19 patients (COVID group) and 28 non-COVID-19 critically ill patients (non-COVID group), were included in the study. Anti-cardiolipin (ACA) (IgG, IgM), anti-β2-glycoprotein 1 (Anti-β2GPI) (IgG, IgM, and IgA), and if the patient had not received any anti thrombotic agent before blood collection, lupus anticoagulant (LAC) tests were studied from the plasma of the patients. For testing ACA and Anti-β2GPI, ELISA method was used, while fully automated coagulometer device was used for LAC test.

resultsAPAs were positive in 25.81% in the COVID group (8/31) and 25% in the non-COVID group (7/28). LAC was the most common APA present in 23.08% of the COVID-19 group, who underwent measurement (6/26), while 3.57% of the non-COVID group was LAC positive (1/28) (p = .047). In the COVID group, ACA IgM, and IgG were positive in 6.45% and 0%, respectively (2/31 vs 0/31). In the non-COVID group, ACA IgM was not positive in any patient, while ACA IgG was positive in 7.14% (2/28). Anti-β2GPI IgG and IgM tests were not positive in any patient in either the COVID or the non-COVID group. Anti-β2GPI IgA were positive in 6.45% and 14.29%, respectively (2/31 vs 4/28).

conclusionIn this study, APAs were equally positive in critically ill patients among COVID-19 or non-COVID-19 patients. Only LAC was more observed in COVID-19 patients. KEY MESSAGES:

Indexed as

Antiphospholipid SyndromeCOVID-19Antibodies, AnticardiolipinAntibodies, Antiphospholipidbeta 2-Glycoprotein ICritical IllnessHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MIntensive Care UnitsSARS-CoV-2Antibodies, AnticardiolipinAntibodies, Antiphospholipidbeta 2-Glycoprotein IImmunoglobulin AImmunoglobulin GImmunoglobulin Manti-cardiolipinAntiphospholipid antibodiesantiphospholipid syndrome

Identifiers

PMID33620009
PMCPMC9383176
OpenAlexW3132141597

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.