Evidence map›Paper›PMID 34220703›Full record

ArticleFrontiers in endocrinology2021

Covid-19 and Growth Hormone/Insulin-Like Growth Factor 1: Study in Critically and Non-Critically Ill Patients.

Ioannis Ilias, Aristidis Diamantopoulos, Efthymia Botoula, Nikolaos Athanasiou, Alexandros Zacharis, Stamatios Tsipilis, Edison Jahaj, Alice G Vassiliou, Dimitra A Vassiliadi, Anastasia Kotanidou and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 31 citations in OpenAlex.

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  6. IGFBP-2 in Critical Illness: A Prognostic Marker in the Growth Hormone/Insulin-like Growth Factor Axis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Review
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  18. Endocrine Aspects of ICU-Hospitalized COVID-19 Patients.Journal of personalized medicine · 2022
    Review
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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

12 authors at 3 institutions in 1 country.

Ioannis IliasDepartment of Endocrinology, Diabetes and Metabolism, Elena Venizelou Hospital, Athens, Greece.
Aristidis DiamantopoulosDepartment of Endocrinology, Diabetes and Metabolism, Evagelismos Hospital, Athens, Greece.
Efthymia BotoulaDepartment of Endocrinology, Diabetes and Metabolism, Evagelismos Hospital, Athens, Greece.
Nikolaos AthanasiouFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
Alexandros ZacharisFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
Stamatios TsipilisDepartment of Pulmonary Medicine, Evagelismos Hospital, Athens, Greece.
Edison JahajFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
Alice G VassiliouFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
Dimitra A VassiliadiDepartment of Endocrinology, Diabetes and Metabolism, Evagelismos Hospital, Athens, Greece.
Anastasia KotanidouFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
Stylianos TsagarakisDepartment of Endocrinology, Diabetes and Metabolism, Evagelismos Hospital, Athens, Greece.
Ioanna DimopoulouFirst Department of Critical Care Medicine & Pulmonary Services, Medical School of National & Kapodistrian University of Athens, Evagelismos Hospital, Athens, Greece.
National and Kapodistrian University of Athens · GREvangelismos Hospital · GRGeneral-Maternity District Hospital Helena Venizelou · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We aimed to measure insulin-like growth factor 1 (IGF1) and growth hormone (GH) in critically and non-critically ill patients with Covid-19 and assess them vis-a-vis clinical and laboratory parameters and prognostic tools. Subjects and Methods: We included patients who were admitted to the wards or the ICU of the largest Covid-19 referral hospital in Greece; patients with non-Covid-19 pneumonia served as controls. Apart from the routine laboratory work-up for Covid-19 we measured GH and IGF1 (and calculated normalized IGF-1 values as standard deviation scores; SDS), after blood sampling upon admission to the wards or the ICU. Results: We studied 209 critically and non-critically ill patients with Covid-19 and 39 control patients. Patients with Covid-19 who were ICU non-survivors were older and presented with a worse hematological/biochemical profile (including white blood cell count, troponin, glucose, aminotransferases and lactate dehydrogenase) compared to ICU survivors or Covid-19 survivors in the wards. Overall, IGF-1 SDS was higher in Covid-19 survivors compared to non-survivors (-0.96 ± 1.89 vs -2.05 ± 2.48, respectively, p=0.030). No significant differences were noted in GH between the groups. Nevertheless, in critically ill patients with Covid-19, the prognostic value of IGF-1 (raw data), IGF-1 (SDS) and GH for survival/non-survival was on a par with that of APACHE II and SOFA (with a marginal difference between GH and SOFA). Conclusion: In conclusion, our findings suggest that there might be an association between low IGF1 (and possibly GH) and poor outcome in patients with Covid-19.

Indexed as

Critical IllnessAdultAgedAged, 80 and overCase-Control StudiesCOVID-19FemaleGreeceHospitalizationHuman Growth HormoneHumansInsulin-Like Growth Factor IIntensive Care UnitsMaleMiddle AgedPrognosisHuman Growth HormoneIGF1 protein, humanInsulin-Like Growth Factor Igrowth hormonehospitalizationhumansinsulin-like growth factor 1pandemicssevere acute respiratory syndrome coronavirus 2

Identifiers

PMID34220703
PMCPMC8242942
OpenAlexW3171331368

What OpenQuestion holds

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LicenceCC BY
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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.