Evidence map›Paper›PMID 33982333›Full record

ArticleJournal of cardiac surgery2021

Type A aortic syndromes in COVID-19 positive patients: Case series from a UK multicentre study.

Ana Lopez-Marco, Amer Harky, Pietro G Malvindi, Danilo Verdichizzo, Iain McPherson, Marius Roman, Aung Oo, Sunil Ohri

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of cardiac surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
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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

8 authors at 6 institutions in 2 countries.

Ana Lopez-MarcoDepartments of Cardiothoracic Surgery, St Bartholomew's Hospital, London, UK.ORCID http://orcid.org/0000-0001-9330-3948
Amer HarkyDepartments of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.ORCID http://orcid.org/0000-0001-5507-5841
Pietro G MalvindiDepartments of Cardiothoracic Surgery, University Hospital Southampton, Southampton, UK.
Danilo VerdichizzoDepartments of Cardiothoracic Surgery, John Radcliffe Hospital, Oxford, UK.
Iain McPhersonDepartments of Cardiothoracic Surgery, Freeman Hospital, Newcastle, UK.ORCID http://orcid.org/0000-0002-2268-615X
Marius RomanDepartments of Cardiothoracic Surgery, Glenfield Hospital, Leicester, UK.
Aung OoDepartments of Cardiothoracic Surgery, St Bartholomew's Hospital, London, UK.
Sunil OhriDepartments of Cardiothoracic Surgery, University Hospital Southampton, Southampton, UK.
Southampton Hospital · USSt Bartholomew's Hospital · GBFreeman Hospital · GBGlenfield Hospital · GBJohn Radcliffe Hospital · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe coronavirus disease (COVID-19) increases the respiratory complications and carries a higher mortality in the immediate postoperative period. The aim of this study was to analyze the outcomes of patients with type A acute aortic syndromes (AAS) diagnosed with COVID-19 in the perioperative period.

methodsRetrospective analysis of prospectively collected data between March and August 2020 from 20 participating cardiac surgery centers in the United Kingdom.

resultsAmong 122 patients who underwent emergency surgical repair for type A AAS at the participating centers, 3 patients (2.5%) tested positive for COVID-19 in the preoperative screeing, and 4 cases turned to be positive in the postoperative period having been operated on an unknown COVID-19 status. Another patient was diagnosed of COVID-19 disease based on radiological features. These eight patients had increased postoperative complications, including respiratory failure, longer ventilation times, and Intensive Therapy Unit (ITU) stay and increased mortality when compared with COVID-19 negative patients.

conclusionCOVID-19 disease in the perioperative period of type A AAS poses a challenge. Despite the increasing morbidity and mortality associated with the virus, the prognosis of the aortic disease is poorer and emergency surgery should not be contraindicated based on the COVID-19 diagnosis alone.

Indexed as

COVID-19COVID-19 TestingHumansPostoperative ComplicationsRetrospective StudiesSARS-CoV-2SyndromeUnited Kingdomaortaaortic diseasecoronavirusCOVID-19dissection

Identifiers

PMID33982333
PMCPMC8242607
OpenAlexW3162396385

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.