Evidence map›Paper›PMID 33735714›Full record

ArticleInternational immunopharmacology2021

Serum Amyloid A Protein as a useful biomarker to predict COVID-19 patients severity and prognosis.

Massimo Pieri, Marco Ciotti, Marzia Nuccetelli, Marco Alfonso Perrone, Maria Teresa Caliò, Maria Stella Lia, Marilena Minieri, Sergio Bernardini

Open access · greenAbstract readComparative Study
In one paragraph

Article in International immunopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 39 citations in OpenAlex.

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  9. IL-6 and SAA-Strong Predictors for the Outcome in COVID-19 CKD Patients.International journal of molecular sciences · 2023
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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

8 authors at 1 institution in 1 country.

Massimo PieriDepartment of Experimental Medicine, University of Tor Vergata, Rome, Italy. Electronic address: massimo.pieri@uniroma2.it.
Marco CiottiTor Vergata University Hospital, Rome, Italy.
Marzia NuccetelliTor Vergata University Hospital, Rome, Italy.
Marco Alfonso PerroneDivision of Cardiology, University of Rome Tor Vergata, Rome, Italy.
Maria Teresa CaliòTor Vergata University Hospital, Rome, Italy.
Maria Stella LiaDepartment of Experimental Medicine, University of Tor Vergata, Rome, Italy.
Marilena MinieriDepartment of Experimental Medicine, University of Tor Vergata, Rome, Italy; Tor Vergata University Hospital, Rome, Italy.
Sergio BernardiniDepartment of Experimental Medicine, University of Tor Vergata, Rome, Italy; Tor Vergata University Hospital, Rome, Italy; IFCC Emerging Technologies Division, Milan, Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus Disease 2019 (COVID-19) can present with different grades of severity from mild to critical. Evaluation of biomarkers predicting severity is crucial to identify patients at high risk of disease progression and poor prognosis. Serum Amyloid A (SAA) is an acute-phase protein mainly produced by the liver in response to pro-inflammatory cytokines. In this study, we investigated SAA levels at admission (T1) and after 15 days (T2) of hospitalization in two groups of patients: survivors and non-survivors. At T1, the non-survivors showed higher SAA level than survivors (74 mg/dL vs 48.75 mg/dL). At T2, the survivor group value decreased to 6.55 mg/dL, the non-survivor group still showed high levels (51.1 mg/dL). The SAA level in control group was 0.35 mg/dL. Furthermore, a cut-off value of 63 mg/dL able to discriminate survivors from non-survivors was established by ROC curve analysis at T1. At T2, the cut-off decreased to 30.9 mg/dL. A similar decreasing trend was observed for D-Dimer, hsCRP, IL-6 and procalcitonin levels. The results of this retrospective study suggest that SAA is a good marker of COVID-19 disease alone and/or in combination with other inflammatory biomarkers. Identification of reliable prognostic analytes is of great clinical relevance, as it would improve patient management besides being costs saving.

Indexed as

AdultAgedBiomarkersCOVID-19C-Reactive ProteinDisease ProgressionFibrin Fibrinogen Degradation ProductsHumansInterleukin-6Middle AgedProcalcitoninPrognosisRetrospective StudiesROC CurveSerum Amyloid A ProteinSeverity of Illness IndexBiomarkersC-Reactive ProteinFibrin Fibrinogen Degradation Productsfibrin fragment DIL6 protein, humanInterleukin-6ProcalcitoninSerum Amyloid A ProteinBiomarkersCovid-19SARS-CoV-2Serum Amyloid A

Identifiers

PMID33735714
PMCPMC7923863
OpenAlexW3133559158

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Registered trials

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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.