Evidence map›Paper›PMID 33830623›Full record

ArticleJournal of thrombosis and haemostasis : JTH2021

Placental growth factor level in plasma predicts COVID-19 severity and in-hospital mortality.

David M Smadja, Aurélien Philippe, Olivier Bory, Nicolas Gendron, Agathe Beauvais, Maxime Gruest, Nicolas Peron, Lina Khider, Coralie L Guerin, Guillaume Goudot and 18 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Changes in Placentas of Pregnant Women Infected with COVID-19.International journal of molecular sciences · 2025
    Article
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  20. COVID-19 critical illness in pregnancy.Obstetric medicine · 2022
    Review
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

28 authors at 3 institutions in 1 country.

David M SmadjaUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.ORCID 0000-0001-7731-9202
Aurélien PhilippeUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Olivier BoryUniversité de Paris, Emergency Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.ORCID 0000-0001-7909-3905
Nicolas GendronUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.ORCID 0000-0003-4852-4738
Agathe BeauvaisUniversité de Paris, Emergency Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Maxime GruestUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Nicolas PeronUniversité de Paris, Intensive Care Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Lina KhiderUniversité de Paris, Vascular Medicine Department and Biosurgical Research Lab (Carpentier Foundation), Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Coralie L GuerinUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Guillaume GoudotUniversité de Paris, Vascular Medicine Department and Biosurgical Research Lab (Carpentier Foundation), Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Françoise LevavasseurUniversité de Paris, Institut Cochin, INSERM, Paris, France.
Jérome DucheminUniversité de Paris, Institut Cochin, INSERM, Paris, France.
Frédéric PeneInternal Medicine Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Cherifa CheurfaIntensive Care Medicine and Reanimation Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Tali-Anne SzwebelInternal Medicine Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Elise SourdeauEmergency Unit, Hôpital Hôtel-Dieu, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Benjamin PlanquetteUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Caroline Hauw-BerlemontUniversité de Paris, Intensive Care Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Bertrand HermannUniversité de Paris, Intensive Care Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Pascale GaussemUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Charles-Marc SamamaIntensive Care Medicine and Reanimation Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Tristan MiraultUniversité de Paris, PARCC, INSERM, Paris, France.
Benjamin TerrierInternal Medicine Department, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Olivier SanchezEmergency Unit, Hôpital Hôtel-Dieu, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Paris, France.
Bastien RanceUniversité de Paris, Department of Medical Informatics, AP-HP, Georges Pompidou European Hospital, Paris, France.
Michaela FontenayUniversité de Paris, Institut Cochin, INSERM, Paris, France.
Jean-Luc DiehlUniversité de Paris, Innovative Therapies in Haemostasis, INSERM, Paris, France.
Richard ChocronUniversité de Paris, PARCC, INSERM U970, Paris, France.
Inserm · FRUniversité Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

Agence Nationale de la Recherche / Fondation de France SARCODOAssistance Publique - Hôpitaux de Paris Mecenat COVID
6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is a respiratory disease associated with vascular inflammation and endothelial injury.

objectivesTo correlate circulating angiogenic markers vascular endothelial growth factor A (VEGF-A), placental growth factor (PlGF), and fibroblast growth factor 2 (FGF-2) to in-hospital mortality in COVID-19 adult patients.

methodsConsecutive ambulatory and hospitalized patients with COVID-19 infection were enrolled. VEGF-A, PlGF, and FGF-2 were measured in each patient ≤48 h following admission.

resultsThe study enrolled 237 patients with suspected COVID-19: 208 patients had a positive diagnostic for COVID-19, of whom 23 were mild outpatients and 185 patients hospitalized after admission. Levels of VEGF-A, PlGF, and FGF-2 significantly increase with the severity of the disease (P < .001). Using a logistic regression model, we found a significant association between the increase of FGF-2 or PlGF and mortality (odds ratio [OR] 1.11, 95% confidence interval [CI; 1.07-1.16], P < .001 for FGF-2 and OR 1.07 95% CI [1.04-1.10], P < .001 for PlGF) while no association were found for VEGF-A levels. Receiver operating characteristic curve analysis was performed and we identified PlGF above 30 pg/ml as the best predictor of in-hospital mortality in COVID-19 patients. Survival analysis for PlGF confirmed its interest for in-hospital mortality prediction, by using a Kaplan-Meier survival curve (P = .001) and a Cox proportional hazard model adjusted to age, body mass index, D-dimer, and C-reactive protein (3.23 95% CI [1.29-8.11], P = .001).

conclusionAngiogenic factor PlGF is a relevant predictive factor for in-hospital mortality in COVID-19 patients. More than a biomarker, we hypothesize that PlGF blocking strategies could be a new interesting therapeutic approach in COVID-19.

Indexed as

COVID-19Vascular Endothelial Growth Factor AAdultBiomarkersFemaleHospital MortalityHumansPlacenta Growth FactorSARS-CoV-2BiomarkersPlacenta Growth FactorVascular Endothelial Growth Factor AangiogenesisCOVID-19FGF-2mortalityplacental growth factorPlGF

Identifiers

PMID33830623
PMCPMC8250221
OpenAlexW3143401256

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.