Evidence map›Paper›PMID 33625535›Full record

ReviewDer Pathologe2021

[Practical aspects of COVID-19 autopsies].

Peter Boor, Philip Eichhorn, Arndt Hartmann, Sigurd F Lax, Bruno Märkl, Thomas Menter, Kristijan Skok, Julia Slotta-Huspenina, Saskia von Stillfried, Alexandar Tzankov and 1 more

Abstract readReview
In one paragraph

Review in Der Pathologe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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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

11 authors.

Peter BoorInstitut für Pathologie, Universitätsklinikum Aachen, RTWH Aachen, Aachen, Deutschland.
Philip EichhornInstitut für Pathologie, Universitätsklinikum Erlangen, Erlangen, Deutschland.
Arndt HartmannInstitut für Pathologie, Universitätsklinikum Erlangen, Erlangen, Deutschland.
Sigurd F LaxInstitut für Pathologie, Landeskrankenhaus Graz II, Akademisches Lehrkrankenhaus der Medizinischen Universität Graz, Graz, Österreich.
Bruno MärklAllgemeine und Spezielle Pathologie, Medizinische Fakultät, Universität Augsburg, Augsburg, Deutschland. bruno.maerkl@uka-science.de.
Thomas MenterInstitut für Medizinische Genetik und Pathologie, Universitätsspital Basel, Universität Basel, Basel, Schweiz.
Kristijan SkokInstitut für Pathologie, Landeskrankenhaus Graz II, Akademisches Lehrkrankenhaus der Medizinischen Universität Graz, Graz, Österreich.
Julia Slotta-HuspeninaInstitut für Pathologie und pathologische Anatomie, Technische Universität München, München, Deutschland.
Saskia von StillfriedInstitut für Pathologie, Universitätsklinikum Aachen, RTWH Aachen, Aachen, Deutschland.
Alexandar TzankovInstitut für Medizinische Genetik und Pathologie, Universitätsspital Basel, Universität Basel, Basel, Schweiz.
Gregor WeirichInstitut für Pathologie und pathologische Anatomie, Technische Universität München, München, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic represents a so far unknown challenge for the medical community. Autopsies are important for studying this disease, but their safety was challenged at the beginning of the pandemic.

objectivesTo determine whether COVID-19 autopsies can be performed under existing legal conditions and which safety standards are required. MATERIALS AND

methodsThe autopsy procedure undertaken in five institutions in Germany, Austria, and Switzerland is detailed with respect to legal and safety standards.

resultsIn all institutions the autopsies were performed in technically feasible rooms. The personal equipment consisted of functional clothing including a disposable gown and apron, a surgical cap, eye protection, FFP‑3 masks, and two pairs of gloves. In four institutions, complete autopsies were performed; in one institution the ultrasound-guided biopsy within the postmortal imaging and biopsy program. The latter does not allow the appreciation of gross organ pathology; however, it is able to retrieve standardized biopsies for diagnostic and research purposes. Several scientific articles in highly ranked journals resulted from these autopsies and allowed deep insights into organ damage and conclusions to better understand the pathomechanisms. Viral RNA was frequently detectable in the COVID-19 deceased, but the issue of infectivity remains unresolved and it is questionable if Ct values are greater than 30.

conclusionsWith appropriate safeguards, autopsies of people who have died from COVID-19 can be performed safely and are highly relevant to medical research.

Indexed as

COVID-19PandemicsAustriaAutopsyGermanyHumansSARS-CoV-2SwitzerlandBiomedical researchReference standardsSafety managementSARS-CoV‑2Ultrasonography

Identifiers

PMID33625535
PMCPMC7903213

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.