Evidence map›Paper›PMID 33958439›Full record

SynthesisRMD open2021

Antiphospholipid antibodies in COVID-19: a meta-analysis and systematic review.

Muhanad Taha, Lobelia Samavati

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in RMD open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
16.7field-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

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Podoplanin and microthrombi in lung injury.Blood vessels, thrombosis & hemostasis · 2025
    Article
  8. Autoantibodies directed against interferon alpha, nuclear antigens, cardiolipin, and beta 2 glycoprotein 1 are not induced by SARS-CoV-2 or associated with long COVID.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  9. Article
  10. Assessing the Burden of Thromboembolic Complications in Outpatient COVID-19 Cases: A Focused Study on Patients Followed in Primary Care.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  11. Article
  12. Review
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  17. Review
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  19. The Role of the Kinin System and the Effect of Des-ArginineInternational journal of molecular sciences · 2024
    Observational
  20. Autoantibodies in hospitalised patients with COVID-19.Clinical & translational immunology · 2024
    Article

2 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

2 authors at 1 institution in 1 country.

Muhanad TahaDepartment of Pulmonary/Critical Care, Wayne State University, Detroit, Michigan, USA.ORCID 0000-0002-5867-1929
Lobelia SamavatiDepartment of Pulmonary/Critical Care, Wayne State University, Detroit, Michigan, USA lsamavat@med.wayne.edu.
Wayne State University · US

Funding

A novel T7 phage display technology to detect sarcoidosis specific antigensR01HL150474 · NHLBI · WAYNE STATE UNIVERSITY · PI SAMAVATI, LOBELIA · 2020 to 2023
$1.8M
NHLBI NIH HHS R01 HL150474
6 · The paper itself

Abstract

backgroundMany studies reported high prevalence of antiphospholipid antibodies (aPL) in patients with COVID-19 raising questions about its true prevalence and its clinical impact on the disease course.

methodsWe conducted a meta-analysis and a systematic review to examine the prevalence of aPL and its clinical impact in patients with COVID-19.

results21 studies with a total of 1159 patients were included in our meta-analysis. Among patients hospitalised with COVID-19, the pooled prevalence rate of one or more aPL (IgM or IgG or IgA of anticardiolipin (aCL) or anti-ß2 glycoprotein (anti-ß2 GPI) or antiphosphatidylserine/prothrombin, or lupus anticoagulant (LA)) was 46.8% (95% CI 36.1% to 57.8%). The most frequent type of aPL found was LA, with pooled prevalence rate of 50.7% (95% CI 34.8% to 66.5%). Critically ill patients with COVID-19 had significantly higher prevalence of aCL (IgM or IgG) (28.8% vs 7.10%, p<0.0001) and anti-ß2 GPI (IgM or IgG) (12.0% vs 5.8%, p<0.0001) as compared with non-critically ill patients. However, there was no association between aPL positivity and mean levels of C reactive protein (mean difference was 32 (95% CI -15 to 79), p=0.18), D-dimer (mean difference was 34 (95% CI -194 to 273), p=0.77), mortality (1.46 (95% CI 0.29 to 7.29), p=0.65), invasive ventilation (1.22 (95% CI 0.51 to 2.91), p=0.65) and venous thromboembolism (1.38 (95% CI 0.57 to 3.37), p=0.48).

conclusionsaPLs were detected in nearly half of patients with COVID-19, and higher prevalence of aPL was found in severe disease. However, there was no association between aPL positivity and disease outcomes including thrombosis, invasive ventilation and mortality. However, further studies are required to identify the clinical and pathological role of aPL in COVID-19.

Indexed as

Antibodies, AntiphospholipidCOVID-19Severity of Illness IndexBiomarkersCritical IllnessHumansPrevalenceSARS-CoV-2Antibodies, AntiphospholipidBiomarkersantibodiesanticardiolipinantiphospholipidCOVID-19

Identifiers

PMID33958439
PMCPMC8103564
OpenAlexW3157571221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.