Evidence map›Paper›PMID 33973106›Full record

ArticleJournal of neurology2021

Blood neurofilament light chain and total tau levels at admission predict death in COVID-19 patients.

Rebecca De Lorenzo, Nicola I Loré, Annamaria Finardi, Alessandra Mandelli, Daniela M Cirillo, Cristina Tresoldi, Francesco Benedetti, Fabio Ciceri, Patrizia Rovere-Querini, Giancarlo Comi and 3 more

Abstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Lung endothelial cytopathic tau is sufficient to impair long-term potentiation during infection.American journal of respiratory cell and molecular biology · 2026
    Article
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  17. Causal associations and genetic overlap between COVID-19 and intelligence.QJM : monthly journal of the Association of Physicians · 2023
    Article
  18. Article
  19. Neurologic and Neuromuscular Sequelae of COVID-19.Physical medicine and rehabilitation clinics of North America · 2023
    Review
  20. 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

13 authors.

Rebecca De Lorenzo *Division of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Nicola I Loré *Division of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Annamaria FinardiInstitute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Alessandra MandelliInstitute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Daniela M CirilloEmerging Bacterial Pathogens Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Cristina TresoldiHematology and Bone Marrow Transplant, IRCCS Ospedale San Raffaele, Milan, Italy.
Francesco BenedettiVita-Salute San Raffaele University, Milan, Italy.
Fabio CiceriVita-Salute San Raffaele University, Milan, Italy.
Patrizia Rovere-QueriniDivision of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Giancarlo ComiVita-Salute San Raffaele University, Milan, Italy.
Massimo FilippiVita-Salute San Raffaele University, Milan, Italy.
Angelo A ManfrediDivision of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Roberto FurlanInstitute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy. furlan.roberto@hsr.it.ORCID http://orcid.org/0000-0001-7376-9425

Funding

Ministero della Salute COVID-2020- 12371617
6 · The paper itself

Abstract

BACKGROUND AND

aimsPatients infected with SARS-CoV-2 range from asymptomatic, to mild, moderate or severe disease evolution including fatal outcome. Thus, early predictors of clinical outcome are highly needed. We investigated markers of neural tissue damage as a possible early sign of multisystem involvement to assess their clinical prognostic value on survival or transfer to intensive care unit (ICU).

methodsWe collected blood from 104 patients infected with SARS-CoV-2 the day of admission to the emergency room and measured blood neurofilament light chair (NfL), glial fibrillary acidic protein (GFAP), ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), and total tau protein levels.

resultsWe found that NfL, GFAP, and tau were significantly increased in patients with fatal outcome, while NfL and UCH-L1 in those needing ICU transfer. ROC and Kaplan-Meier curves indicated that total tau levels at admission accurately predict mortality.

conclusionsBlood neural markers may provide additional prognostic value to conventional biomarkers used to predict COVID-19 outcome.

Indexed as

COVID-19Intermediate FilamentsBiomarkersGlial Fibrillary Acidic ProteinHumansNeurofilament Proteinstau ProteinsUbiquitin ThiolesteraseBiomarkersGFAP protein, humanGlial Fibrillary Acidic ProteinMAPT protein, humanNeurofilament Proteinstau ProteinsUbiquitin ThiolesteraseUCHL1 protein, humanCOVID-19GFAPNeurofilament light chainSARS-CoV-2TauUCH-L1

Identifiers

PMID33973106
PMCPMC8108733

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.