Evidence map›Paper›PMID 34056499›Full record

ArticleJournal of the Endocrine Society2021

Activation of Vasopressin System During COVID-19 is Associated With Adverse Clinical Outcomes: An Observational Study.

Claudia Gregoriano, Alexandra Molitor, Ellen Haag, Alexander Kutz, Daniel Koch, Sebastian Haubitz, Anna Conen, Luca Bernasconi, Angelika Hammerer-Lercher, Christoph A Fux and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. A New Biomarker Copeptin in Determining Disease Severity in COVID-19.Infectious diseases & clinical microbiology · 2024
    Article
  4. Article
  5. Review
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  7. Blood urea nitrogen - independent marker of mortality in sepsis.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Arginine vasopressin and pathophysiology of COVID-19: An innovative perspective.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Review
  19. 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

12 authors at 2 institutions in 1 country.

Claudia GregorianoMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.ORCID https://orcid.org/0000-0002-3621-441X
Alexandra MolitorMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Ellen HaagMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Alexander KutzMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Daniel KochMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Sebastian HaubitzMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Anna ConenDepartment of Infectious Diseases and Hospital Hygiene, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Luca BernasconiInstitute of Laboratory Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Angelika Hammerer-LercherInstitute of Laboratory Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Christoph A FuxMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Beat MuellerMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Philipp SchuetzMedical University Department of Medicine, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Kantonsspital Aarau · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActivation of the vasopressin system plays a key role for the maintenance of osmotic, cardiovascular, and stress hormone homeostasis during disease. We investigated levels of copeptin, the C-terminal segment of the vasopressin prohormone, that mirrors the production rate of vasopressin in patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

methodsWe measured levels of copeptin on admission and after days 3/4, 5/6, and 7/8 in 74 consecutive hospitalized adult COVID-19 patients and compared its prognostic accuracy to that of patients with community-acquired pneumonia (n = 876) and acute or chronic bronchitis (n = 371) from a previous study by means of logistic regression analysis. The primary endpoint was all-cause 30-day mortality.

resultsMedian admission copeptin levels in COVID-19 patients were almost 4-fold higher in nonsurvivors compared with survivors (49.4 pmol/L [iterquartile range (IQR) 24.9-68.9 pmol/L] vs 13.5 pmol/L [IQR 7.0-26.7 pmol/L]), resulting in an age- and gender-adjusted odds ratio of 7.0 (95% confidence interval [CI] 1.2-40.3),

conclusionsA pronounced activation of the vasopressin system in COVID-19 patients is associated with an adverse clinical course in COVID-19 patients. This finding, however, is not unique to COVID-19 but similar to other types of respiratory infections.

Indexed as

30-day mortalitybiomarkercopeptinCOVID-19prognostic markersSARS-CoV-2

Identifiers

PMID34056499
PMCPMC7989362
OpenAlexW3165099952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.