Evidence map›Paper›PMID 34326704›Full record

ArticleMediators of inflammation2021

The Clinical Significance of Procalcitonin Elevation in Patients over 75 Years Old Admitted for COVID-19 Pneumonia.

Andrea Ticinesi, Antonio Nouvenne, Beatrice Prati, Loredana Guida, Alberto Parise, Nicoletta Cerundolo, Chiara Bonaguri, Rosalia Aloe, Angela Guerra, Tiziana Meschi

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. Article
  5. Review
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  7. Article
  8. Caring for older adults during the COVID-19 pandemic.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
    Review
  9. Article
  10. Review
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

10 authors at 2 institutions in 1 country.

Andrea TicinesiGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.ORCID https://orcid.org/0000-0001-9171-8592
Antonio NouvenneGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-2680-2242
Beatrice PratiGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Loredana GuidaGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Alberto PariseGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-2118-8973
Nicoletta CerundoloGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Chiara BonaguriClinical Chemistry and Hematology Laboratory, Diagnostic Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-2816-5256
Rosalia AloeClinical Chemistry and Hematology Laboratory, Diagnostic Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Angela GuerraGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Tiziana MeschiGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-7538-6863
Ospedale di Parma · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the clinical significance of procalcitonin (PCT) elevation on hospital admission for coronavirus disease-19 (COVID-19) and its association with mortality in oldest old patients (age > 75 years).

methodsThe clinical records of 1074 patients with chest high-resolution computed-tomography (HRCT) positive for interstitial pneumonia and symptoms compatible for COVID-19, hospitalized in medical wards during the first pandemic wave in a single academic center in Northern Italy, were retrospectively analyzed. All patients had serum PCT testing performed within six hours from admission. Information on COVID-19-related symptoms, comorbidities, drugs, autonomy in daily activities, respiratory exchanges, other routine lab tests, and outcomes were collected. Clinical characteristics were compared across different admission PCT levels and ages. The association of admission PCT with mortality was tested separately in participants aged > 75 and ≤75 years old by stepwise multivariate Cox regression model with forward selection.

resultsWith increasing classes of PCT levels (<0.05, 0.05-0.49, 0.5-1.99, and ≥2 ng/ml), there was a significant trend (

conclusionsIn patients admitted for COVID-19, PCT elevation was associated with several clinical, radiological, and laboratory characteristics of disease severity. However, PCT elevation was strongly associated with hospital mortality only in oldest old subjects (age > 75).

Indexed as

AgedAged, 80 and overBiomarkersComorbidityCOVID-19COVID-19 TestingElectrocardiographyFemaleHospital MortalityHumansItalyMaleMiddle AgedMultivariate AnalysisPatient AdmissionProcalcitoninBiomarkersProcalcitonin

Identifiers

PMID34326704
PMCPMC8245241
OpenAlexW3173485005

What OpenQuestion holds

Textmetadata
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.