Evidence map›Paper›PMID 33785815›Full record

ArticleScientific reports2021

Low HDL and high triglycerides predict COVID-19 severity.

Lluís Masana, Eudald Correig, Daiana Ibarretxe, Eva Anoro, Juan Antonio Arroyo, Carlos Jericó, Carolina Guerrero, Marcel la Miret, Silvia Näf, Anna Pardo and 10 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 1% 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

111 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

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51 more citing papers are in PubMed but not listed here.

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

20 authors at 17 institutions in 1 country.

Lluís MasanaFacultat de Medicina, Universitat Rovira I Virgili, LIPIDCAS, University Hospital Sant Joan, IISPV, CIBERDEM, C/. Sant Llorenç, 21, 43201, Reus, Spain. luis.masana@urv.cat.
Eudald CorreigStatistics Department, Institut Investigació Sanitaria Pere Virgili, Universitat Rovira I Virgili, Reus, Spain.
Daiana IbarretxeFacultat de Medicina, Universitat Rovira I Virgili, LIPIDCAS, University Hospital Sant Joan, IISPV, CIBERDEM, C/. Sant Llorenç, 21, 43201, Reus, Spain.
Eva AnoroLIPIDCAS, Pius Hospital Valls, Valls, Spain.
Juan Antonio ArroyoLipid Unit, University Hospital Santa Creu I Sant Pau, Barcelona Autonomous University, Barcelona, Spain.
Carlos JericóLipid Unit, Hospital Moises Broggi, Consorci Sanitari Integral, Sant Joan Despí, Spain.
Carolina GuerreroInternal Medicine Department, Terrasa Hospital, Consorci Sanitari Terrassa, Barcelona, Spain.
Marcel la MiretLIPIDCAS, Endocrinology Department, Hospital Verge de La Cinta, Tortosa, Spain.
Silvia NäfLIPIDCAS, Endocrinology Department, University Hospital Joan XXIII, IISPV. CIBERDEM, Universitat Rovira I Virgili, Tarragona, Spain.
Anna PardoInternal Medicine Department, Hospital Delfos, Barcelona, Spain.
Verónica PereaLipid Unit, Hospital Mutua Terrasa, Barcelona, Spain.
Rosa Pérez-BernalteLIPIDCAS, Hospital del Vendrell, El Vendrell, Spain.
Núria PlanaFacultat de Medicina, Universitat Rovira I Virgili, LIPIDCAS, University Hospital Sant Joan, IISPV, CIBERDEM, C/. Sant Llorenç, 21, 43201, Reus, Spain.
Rafael Ramírez-MontesinosLIPIDCAS, Hospital Sant Pau I Santa Tecla, Tarragona, Spain.
Meritxell RoyuelaLipid Unit, ALTHAIA, Xarxa Assistencial Universitària de Manresa, Barcelona, Spain.
Cristina SolerLipid Unit, Hospital Santa Caterina, Girona, Spain.
Maria Urquizu-PadillaLipid Unit, University Hospital Vall d'Hebron, Barcelona Autonomous University, Barcelona, Spain.
Alberto ZamoraLipid Unit, Corporació de Salut del Maresme I La Selva, Hospital de Blanes, Blanes, Spain.
Juan Pedro-BotetLipid Unit, University Hospital del Mar, Barcelona Autonomous University, Barcelona, Spain.
STACOV-XULA research group
Universitat Autònoma de Barcelona · ESAlthaia · ESCentre d'Estudis Avançats de Blanes · ESConsorci Sanitari de Terrassa · ESInstitut d'Investigació Sanitària Pere Virgili · ESHospital Santa Caterina · ESCentro de Investigación Biomédica en Red · ESHospital de Sant Joan Despí Moisès Broggi · ESHospital de Tortosa Virgen de la Cinta · ESHospital Sant Pau i Santa Tecla · ESHospital Universitari Sant Joan de Reus · ESDelfos Hospital · ESHospital de l'Esperança · ESHospital Universitari Arnau de Vilanova · ESPius Hospital de Valls · ESUniversitat de Barcelona · ESUniversity Hospital Mútua de Terrassa · ES

Funding

Xarxa Unitats de Lipids i Arteriosclerosi de Catalunya Stacov
6 · The paper itself

Abstract

Lipids are indispensable in the SARS-CoV-2 infection process. The clinical significance of plasma lipid profile during COVID-19 has not been rigorously evaluated. We aim to ascertain the association of the plasma lipid profile with SARS-CoV-2 infection clinical evolution. Observational cross-sectional study including 1411 hospitalized patients with COVID-19 and an available standard lipid profile prior (n: 1305) or during hospitalization (n: 297). The usefulness of serum total, LDL, non-HDL and HDL cholesterol to predict the COVID-19 prognosis (severe vs mild) was analysed. Patients with severe COVID-19 evolution had lower HDL cholesterol and higher triglyceride levels before the infection. The lipid profile measured during hospitalization also showed that a severe outcome was associated with lower HDL cholesterol levels and higher triglycerides. HDL cholesterol and triglyceride concentrations were correlated with ferritin and D-dimer levels but not with CRP levels. The presence of atherogenic dyslipidaemia during the infection was strongly and independently associated with a worse COVID-19 infection prognosis. The low HDL cholesterol and high triglyceride concentrations measured before or during hospitalization are strong predictors of a severe course of the disease. The lipid profile should be considered as a sensitive marker of inflammation and should be measured in patients with COVID-19.

Indexed as

AgedCholesterol, HDLCOVID-19FemaleFerritinsFibrin Fibrinogen Degradation ProductsHospitalizationHumansLipidsMaleMiddle AgedSeverity of Illness IndexTriglyceridesCholesterol, HDLFerritinsFibrin Fibrinogen Degradation Productsfibrin fragment DLipidsTriglycerides

Identifiers

PMID33785815
PMCPMC8010012
OpenAlexW3152358810

What OpenQuestion holds

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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.