Evidence map›Paper›PMID 34093217›Full record

ArticleFrontiers in physiology2021

Alteration of Autonomic Nervous System Is Associated With Severity and Outcomes in Patients With COVID-19.

Yuchen Pan, Zhiyao Yu, Yuan Yuan, Jiapeng Han, Zhuo Wang, Hui Chen, Songyun Wang, Zhen Wang, Huihui Hu, Liping Zhou and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
9.7field-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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  18. Acupoint stimulation for long COVID: A promising intervention:.World journal of acupuncture-moxibustion · 2023
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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

16 authors at 2 institutions in 1 country.

Yuchen PanDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhiyao YuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Yuan YuanDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Jiapeng HanDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhuo WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Hui ChenDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Songyun WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhen WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Huihui HuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Liping ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Yanqiu LaiDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhen ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Yuhong WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Guannan MengDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Lilei YuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Hong JiangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Renmin Hospital of Wuhan University · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies suggest that coronavirus disease 2019 (COVID-19) is a systemic infection involving multiple systems, and may cause autonomic dysfunction.

objectiveTo assess autonomic function and relate the findings to the severity and outcomes in COVID-19 patients.

methodsWe included consecutive patients with COVID-19 admitted to the 21st COVID-19 Department of the east campus of Renmin Hospital of Wuhan University from February 6 to March 7, 2020. Clinical data were collected. Heart rate variability (HRV), N-terminal pro-B-type natriuretic peptide (NT-proBNP), D-dimer, and lymphocytes and subsets counts were analysed at two time points: nucleic-acid test positive and negative. Psychological symptoms were assessed after discharge.

resultsAll patients were divided into a mild group (13) and a severe group (21). The latter was further divided into two categories according to the trend of HRV. Severe patients had a significantly lower standard deviation of the RR intervals (SDNN) (

conclusionHRV was associated with the severity of COVID-19. The changing trend of HRV was related to the prognosis, indicating that HRV measurements can be used as a non-invasive predictor for clinical outcome.

Indexed as

autonomic nervous systemclinical outcomesCOVID-19d-dimerheart rate variabilitylymphocyteN-terminal Pro-B-type natriuretic peptide

Identifiers

PMID34093217
PMCPMC8170133
OpenAlexW3160253715

What OpenQuestion holds

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LicenceCC BY
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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.