Evidence map›Paper›PMID 34136819›Full record

ArticleCritical care explorations2021

Epidemiological and Clinical Characterization of Superinfections in Critically Ill Coronavirus Disease 2019 Patients.

Liana Signorini, Giovanni Moioli, Stefano Calza, Evelyn Van Hauwermeiren, Silvia Lorenzotti, Giovanni Del Fabro, Giulia Renisi, Paola Lanza, Barbara Saccani, Giulia Zambolin and 6 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Review
  8. 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

16 authors at 3 institutions in 2 countries.

Liana SignoriniDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Giovanni MoioliDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Stefano Calza
Evelyn Van HauwermeirenDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Silvia LorenzottiDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Giovanni Del FabroDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Giulia RenisiDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Paola LanzaDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Barbara SaccaniDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Giulia ZambolinDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Nicola LatronicoDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Francesco CastelliDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Sergio CattaneoDivision of Cardio-Thoracic Intensive Care, ASST Spedali Civili, Brescia, Italy.
John C MarshallLi Ka Shing Knowledge Institute, Unity Health Toronto, University of Toronto, Toronto, ON, Canada.
Alberto MatteelliDivision of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Simone PivaDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
University of Brescia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To describe the epidemiology of superinfections (occurring > 48 hr after hospital admission) and their impact on the ICU and 28-day mortality in patients with coronavirus disease 2019 with acute respiratory distress syndrome, requiring mechanical ventilation.

designRetrospective analysis of prospectively collected observational data.

settingUniversity-affiliated adult ICU. PATIENTS: Ninety-two coronavirus disease 2019 patients admitted to the ICU from February 21, 2020, to May 6, 2020.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe prevalence of superinfection at ICU admission was 21.7%, and 53 patients (57.6%) had at least one superinfection during ICU stay, with a total of 75 (82%) ventilator-associated pneumonia and 57 (62%) systemic infections. The most common pathogens responsible for ventilator-associated pneumonia were

conclusionsPrevalence of superinfections in coronavirus disease 2019 patients requiring mechanical ventilation was high in this series, and bacterial superinfections were independently associated with ICU or 28-day mortality (whichever comes first).

Indexed as

acute respiratory distress syndromecoronavirus disease 2019critically illhospital-acquired infectionssuperinfection

Identifiers

PMID34136819
PMCPMC8202543
OpenAlexW3166844536

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.