Evidence map›Paper›PMID 34269633›Full record

Observational studyAnnals of medicine2021

Variability of blood eosinophil count and prognosis of COPD exacerbations.

Sandra Martínez-Gestoso, María-Teresa García-Sanz, Uxío Calvo-Álvarez, Liliana Doval-Oubiña, Sandra Camba-Matos, Francisco-Javier Salgado, Xavier Muñoz, Purificación Perez-Lopez-Corona, Francisco-Javier González-Barcala

Abstract readObservational Study
In one paragraph

Observational study in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. 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

9 authors.

Sandra Martínez-GestosoEmergency Department, Salnés County Hospital, Vilagarcía de Arousa, Spain.
María-Teresa García-SanzEmergency Department, Salnés County Hospital, Vilagarcía de Arousa, Spain.
Uxío Calvo-ÁlvarezRespiratory Medicine Department, Arquitecto Marcide Hospital, Ferrol, Spain.
Liliana Doval-OubiñaEmergency Department, Salnés County Hospital, Vilagarcía de Arousa, Spain.
Sandra Camba-MatosEmergency Department, Salnés County Hospital, Vilagarcía de Arousa, Spain.
Francisco-Javier SalgadoRespiratory Medicine Department, University Hospital Complex of Santiago de Compostela, A Coruña, Spain.
Xavier MuñozRespiratory Medicine Department, Hospital Vall d'Hebron, Barcelona, Spain.
Purificación Perez-Lopez-CoronaRespiratory Medicine Department, University Hospital Complex of Santiago de Compostela, A Coruña, Spain.
Francisco-Javier González-BarcalaRespiratory Medicine Department, University Hospital Complex of Santiago de Compostela, A Coruña, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEosinophils in peripheral blood are one of the emerging biomarkers in chronic obstructive pulmonary disease (COPD) patients. However, when analysing the relationship between peripheral eosinophilia and COPD prognosis, highly variable results are obtained. The aim of our study is to describe the serum eosinophilia levels in COPD patients and to analyse their relationship to prognosis following hospital admission.

methodsA prospective observational study was conducted from 1 October 2016 to 1 October 2018 in the following Spanish centres: Salnés County Hospital in Vilagarcía de Arousa, Arquitecto Marcide Hospital in Ferrol and the University Hospital Complex in Santiago de Compostela. The patients were classified using three cut-off points of blood eosinophil count (BEC): 150 cells/µL, 300 cells/µL, and 400 cells/µL; in addition, the peripheral BEC was analysed on admission.

results615 patients were included in the study, 86.2% male, mean age 73.9 years, and mean FEV1 52.7%. The mean stay was 8.4 days, and 6% of all patients were readmitted early. No significant relationship was observed between the BEC, neither in the stable phase nor in the acute phase, and hospital stay, readmissions, deaths during admission, the need for intensive care, or the condition of frequent exacerbator.

conclusionThe results of our study do not seem to support the usefulness of BEC as a COPD biomarker.KEY MESSAGESThere is evidence that BEC participates in pathophysiological mechanisms of the COPD.BEC may be useful as a biomarker in COPD for aspects such as the optimization of treatments.We did not find any relationship between BEC levels and prognosis following hospital admission for AECOPD.

Indexed as

AgedBiomarkersEosinophiliaEosinophilsFemaleHumansLength of StayMalePrognosisProspective StudiesPulmonary Disease, Chronic ObstructiveBiomarkersCOPDeosinophiliaexacerbationprognosis

Identifiers

PMID34269633
PMCPMC8288128

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.