Evidence map›Paper›PMID 34157166›Full record

ArticleMycoses2021

Proven COVID-19-associated pulmonary aspergillosis in patients with severe respiratory failure.

Francesco Fortarezza, Annalisa Boscolo, Federica Pezzuto, Francesca Lunardi, Manuel Jesús Acosta, Chiara Giraudo, Claudia Del Vecchio, Nicolò Sella, Ivo Tiberio, Ilaria Godi and 7 more

Abstract read
In one paragraph

Article in Mycoses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Defining COVID-19-associated pulmonary aspergillosis: systematic review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
    Pooled it
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  5. High Burden of COVID-19-Associated Pulmonary Aspergillosis in Severely Immunocompromised Patients Requiring Mechanical Ventilation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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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

17 authors.

Francesco FortarezzaDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Pathology Unit, University of Padova Medical School, Padova, Italy.
Annalisa BoscoloUOC Institute of Anaesthesia and Intensive Care Unit, Padova University Hospital, Padova, Italy.
Federica PezzutoDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Pathology Unit, University of Padova Medical School, Padova, Italy.
Francesca LunardiDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Pathology Unit, University of Padova Medical School, Padova, Italy.
Manuel Jesús AcostaDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Pathology Unit, University of Padova Medical School, Padova, Italy.
Chiara GiraudoDepartment of Medicine, University of Padova Medical School, Padova, Italy.
Claudia Del VecchioDepartment of Molecular Medicine, University of Padova Medical School, Padova, Italy.
Nicolò SellaDepartment of Medicine, University of Padova Medical School, Padova, Italy.
Ivo TiberioDepartment of Urgency and Emergency, University of Padova Medical School, Padova, Italy.
Ilaria GodiDepartment of Urgency and Emergency, University of Padova Medical School, Padova, Italy.ORCID https://orcid.org/0000-0001-8387-5176
Annamaria CattelanInfectious Disease Unit, Padova University Hospital, Padova, Italy.
Luca VedovelliDepartment of Cardiac, Thoracic, and Public Health, Biostatistics Unit, University of Padova Medical School, Padova, Italy.
Dario GregoriDepartment of Cardiac, Thoracic, and Public Health, Biostatistics Unit, University of Padova Medical School, Padova, Italy.
Roberto VettorDepartment of Medicine, University of Padova Medical School, Padova, Italy.
Pierluigi VialeDepartment of Medical and Surgical Sciences, University of Bologna - Infectious Diseases Unit - IRCCS Policlinico Sant'Orsola, Bologna, Italy.
Paolo NavalesiUOC Institute of Anaesthesia and Intensive Care Unit, Padova University Hospital, Padova, Italy.
Fiorella CalabreseDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Pathology Unit, University of Padova Medical School, Padova, Italy.ORCID https://orcid.org/0000-0001-5351-9226

Funding

Fellowship from the University of Padua/Intesa San Paolo Vita Bank 2020A08University of Padova (Intesa San Paolo Vita bank) 2020A08
6 · The paper itself

Abstract

backgroundAn increasing number of reports have described the COVID-19-associated pulmonary aspergillosis (CAPA) as being a further contributing factor to mortality. Based on a recent consensus statement supported by international medical mycology societies, it has been proposed to define CAPA as possible, probable, or proven on the basis of sample validity and thus diagnostic certainty. Considering current challenges associated with proven diagnoses, there is pressing need to study the epidemiology of proven CAPA.

methodsWe report the incidence of histologically diagnosed CAPA in a series of 45 consecutive COVID-19 laboratory-confirmed autopsies, performed at Padova University Hospital during the first and second wave of the pandemic. Clinical data, laboratory data and radiological features were also collected for each case.

resultsProven CAPA was detected in 9 (20%) cases, mainly in the second wave of the pandemic (7/17 vs. 2/28 of the first wave). The population of CAPA patients consisted of seven males and two females, with a median age of 74 years. Seven patients were admitted to the intensive care unit. All patients had at least two comorbidities, and concomitant lung diseases were detected in three cases.

conclusionWe found a high frequency of proven CAPA among patients with severe COVID-19 thus confirming at least in part the alarming epidemiological data of this important complication recently reported as probable CAPA.

Indexed as

AgedAged, 80 and overAspergillusComorbidityCOVID-19FemaleHumansIntensive Care UnitsInvasive Pulmonary AspergillosisMaleMiddle AgedRespiratory InsufficiencySARS-CoV-2AspergillusCAPACOVID-19histologySARS-CoV-2

Identifiers

PMID34157166
PMCPMC8446949

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.