Evidence map›Paper›PMID 33832850›Full record

ArticlePulmonology

Pathophysiology of light phenotype SARS-CoV-2 interstitial pneumonia: from histopathological features to clinical presentations.

S Oldani, C Ravaglia, S Bensai, L Bertolovic, C Ghirotti, S Puglisi, S Martinello, F Sultani, C Colinelli, S Piciucchi and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Pulmonology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

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  12. Platypnoea-Orthodeoxia Syndrome in COVID-19.European journal of case reports in internal medicine · 2021
    Article
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

12 authors at 3 institutions in 3 countries.

S OldaniDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy. Electronic address: stefano.oldani111289@gmail.com.
C RavagliaDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
S BensaiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
L BertolovicDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
C GhirottiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
S PuglisiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
S MartinelloDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
F SultaniDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
C ColinelliDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
S PiciucchiRadiology Unit, GB Morgagni Hospital, Forlì, FC, Italy.
S SimoncelliDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy.
V PolettiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, FC, Italy; Department of Respiratory Diseases & Allergy. Aarhus University Hospital, Aarhus, Denmark.
Thorax Foundation · GRAarhus University Hospital · DKOspedale G.B. Morgagni - L.Pierantoni · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known about the light phenotype of SARS-CoV-2 pneumonia, which behaves in an unusual way, unlike other known respiratory diseases. We believe that the histopathological features of early COVID-19 could be considered the pathophysiological hallmark of this disease. Lung cryobiopsies show almost pristine alveoli, enlarged/hyperplasic alveolar capillaries along with dilatation of the post capillary pulmonary venules. Hypoxemia could therefore be explained by a reduction of the normal V/Q ratio, due to blood overflow around well ventilated alveoli. This could clarify typical manifestations of type L COVID-19, such as happy hypoxemia, response to awake prone positioning, response to PEEP/CPAP and platypnea orthodeoxia.

Indexed as

COVID-19Lung Diseases, InterstitialRespiratory Distress SyndromeHumansHypoxiaPhenotypeSARS-CoV-2ARDSCOVID-19CryobiopsyProne positionRespiratory failureVentilation perfusion ratio

Identifiers

PMID33832850
PMCPMC7997696
OpenAlexW3149295098

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.