Evidence map›Paper›PMID 33655261›Full record

ArticlemedRxiv : the preprint server for health sciences2021

Microbial signatures in the lower airways of mechanically ventilated COVID19 patients associated with poor clinical outcome.

Imran Sulaiman, Matthew Chung, Luis Angel, Jun-Chieh J Tsay, Benjamin G Wu, Stephen T Yeung, Kelsey Krolikowski, Yonghua Li, Ralf Duerr, Rosemary Schluger and 42 more

Open access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 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, 20 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

52 authors at 9 institutions in 2 countries.

Imran Sulaiman
Matthew Chung
Luis Angel
Jun-Chieh J Tsay
Benjamin G Wu
Stephen T Yeung
Kelsey Krolikowski
Yonghua Li
Ralf Duerr
Rosemary Schluger
Sara A Thannickal
Akiko Koide
Samaan Rafeq
Clea Barnett
Radu Postelnicu
Chang Wang
Stephanie Banakis
Lizzette Perez-Perez
George Jour
Guomiao Shen
Peter Meyn
Joseph Carpenito
Xiuxiu Liu
Kun Ji
Destiny Collazo
Anthony Labarbiera
Nancy Amoroso
Shari Brosnahan
Vikramjit Mukherjee
David Kaufman
Jan Bakker
Anthony Lubinsky
Deepak Pradhan
Daniel H Sterman
Michael Weiden
Adriana Hegu
Laura Evans
Timothy M Uyeki
Jose C Clemente
Emmie De Wit
Ann Marie Schmidt
Bo Shopsin
Ludovic Desvignes
Chan Wang
Huilin Li
Bin Zhang
Christian V Forst
Shohei Koide
Kenneth A Stapleford
Kamal M Khanna
Elodie Ghedin
Leopoldo N Segal
New York University · USNational Institutes of Health · USNYU Langone Health · USIcahn School of Medicine at Mount Sinai · USShanghai University of Traditional Chinese Medicine · CNVA NY Harbor Healthcare System · USBeijing Hospital of Traditional Chinese Medicine · CNCenters for Disease Control and Prevention · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mortality among patients with COVID-19 and respiratory failure is high and there are no known lower airway biomarkers that predict clinical outcome. We investigated whether bacterial respiratory infections and viral load were associated with poor clinical outcome and host immune tone. We obtained bacterial and fungal culture data from 589 critically ill subjects with COVID-19 requiring mechanical ventilation. On a subset of the subjects that underwent bronchoscopy, we also quantified SARS-CoV-2 viral load, analyzed the microbiome of the lower airways by metagenome and metatranscriptome analyses and profiled the host immune response. We found that isolation of a hospital-acquired respiratory pathogen was not associated with fatal outcome. However, poor clinical outcome was associated with enrichment of the lower airway microbiota with an oral commensal (

Identifiers

PMID33655261
PMCPMC7924286
OpenAlexW3132060143

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.