Evidence map›Paper›PMID 34214571›Full record

ArticleJournal of virological methods2021

Performance of the Roche IL-6 chemiluminescent immunoassay in patients with COVID-like respiratory symptoms.

C S Lau, S P Hoo, J M J Koh, S K Phua, T C Aw

Open access · greenAbstract read
In one paragraph

Article in Journal of virological methods, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
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

5 authors at 2 institutions in 1 country.

C S LauDepartment of Laboratory Medicine, Changi General Hospital, Singapore. Electronic address: mike.lau.cs@gmail.com.
S P HooDepartment of Laboratory Medicine, Changi General Hospital, Singapore.
J M J KohDepartment of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore.
S K PhuaDepartment of Laboratory Medicine, Changi General Hospital, Singapore.
T C AwDepartment of Laboratory Medicine, Changi General Hospital, Singapore; Department of Medicine, National University of Singapore, Singapore; Academic Pathology Program, Duke-NUS Medical School, Singapore.
Changi General Hospital · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe evaluated the Roche Elecsys IL6 assay on the Cobas immunoassay analyser.

methodSerum IL6 of 144 controls were compared to 52 samples from patients with COVID-like respiratory symptoms (17 SARS-CoV-2 RT-PCR positive); 25 of these were from the intensive care unit (ICU). We compared the IL6 levels to C-reactive protein (CRP) and procalcitonin (PCT) levels in all cases.

resultsThe IL6 assay had coefficient-of-variation (CV) of 2.3 % (34.1 pg/mL) and 2.5 % (222.5 pg/mL), a limit of quantitation <1.6 pg/mL, and was linear from 1.6 to 4948 pg/mL. There was a significant difference in IL6 values between patients with COVID-like respiratory symptoms versus controls (p < 0.001). ROC analysis showed that IL6 > 6.4 pg/mL identified symptomatic cases (AUC 0.94, sensitivity 88.2 %, specificity 97.2 %). There was a significant difference between the IL6 of symptomatic ICU/non-ICU cases (median IL6 228 vs 11 pg/mL, p < 0.0001); ROC analysis showed IL6 > 75 pg/mL (sensitivity 76.0 %, specificity 88.9 %) was superior to CRP and PCT in predicting ICU admission (AUC: IL6 0.83, CRP 0.71, PCT 0.82).

conclusionThe performance of Elecsys IL6 assay is in keeping with the manufacturer's claims. IL6 > 6.4 pg/mL differentiates healthy from suspected COVID-19 cases and appears to be raised earlier than the other inflammatory markers in some cases. IL6 > 75 pg/mL was a good predictor of ICU admission.

Indexed as

BiomarkersCOVID-19COVID-19 Serological TestingC-Reactive ProteinFemaleHumansImmunoassayImmunologic TestsIntensive Care UnitsInterleukin-6MaleProcalcitoninROC CurveSARS-CoV-2Sensitivity and SpecificityBiomarkersC-Reactive ProteinInterleukin-6ProcalcitoninAssay evaluationIL6Inflammatory markersSARS-CoV-2

Identifiers

PMID34214571
PMCPMC8240448
OpenAlexW3176060932

What OpenQuestion holds

Textmetadata
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.