Evidence map›Paper›PMID 34328629›Full record

ArticleInfectious diseases and therapy2021

Clinical Management of Adult Patients with COVID-19 Outside Intensive Care Units: Guidelines from the Italian Society of Anti-Infective Therapy (SITA) and the Italian Society of Pulmonology (SIP).

Matteo Bassetti, Daniele Roberto Giacobbe, Paolo Bruzzi, Emanuela Barisione, Stefano Centanni, Nadia Castaldo, Silvia Corcione, Francesco Giuseppe De Rosa, Fabiano Di Marco, Andrea Gori and 19 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 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
–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

23 citing papers in PubMed.

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  18. Infectious disease reports · 2022
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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

29 authors.

Matteo BassettiInfectious Diseases Unit, Ospedale Policlinico San Martino-IRCCS, L.go R. Benzi, 10, 16132, Genoa, Italy. matteo.bassetti@unige.it.ORCID http://orcid.org/0000-0002-0145-9740
Daniele Roberto GiacobbeInfectious Diseases Unit, Ospedale Policlinico San Martino-IRCCS, L.go R. Benzi, 10, 16132, Genoa, Italy. danieleroberto.giacobbe@unige.it.ORCID http://orcid.org/0000-0003-2385-1759
Paolo BruzziClinical Epidemiology Unit, Ospedale Policlinico San Martino-IRCCS, Genoa, Italy.
Emanuela BarisioneInterventional Pulmonology, Ospedale Policlinico San Martino-IRCCS, Genoa, Italy.
Stefano CentanniDepartment of Health Sciences, University of Milan, Respiratory Unit, ASST Santi Paolo e Carlo, Milan, Italy.
Nadia CastaldoInfectious Diseases Clinic, Santa Maria Misericordia Hospital, Udine, Italy.
Silvia CorcioneDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Francesco Giuseppe De RosaDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Fabiano Di MarcoDepartment of Health Sciences, University of Milan, Respiratory Unit, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Andrea GoriInfectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Andrea GramegnaDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Guido GranataClinical and Research Department for Infectious Diseases, National Institute for Infectious Diseases L. Spallanzani, IRCCS, Rome, Italy.
Angelo GratarolaDepartment of Emergency and Urgency, San Martino Policlinico Hospital, IRCCS, Genoa, Italy.
Alberto Enrico MaraoloFirst Division of Infectious Diseases, Cotugno Hospital, AORN dei Colli, Naples, Italy.
Malgorzata MikulskaInfectious Diseases Unit, Ospedale Policlinico San Martino-IRCCS, L.go R. Benzi, 10, 16132, Genoa, Italy.
Andrea LombardiInfectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Federico PeaDepartment of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Nicola PetrosilloClinical and Research Department for Infectious Diseases, National Institute for Infectious Diseases L. Spallanzani, IRCCS, Rome, Italy.
Dejan RadovanovicDivision of Respiratory Diseases, Ospedale L. Sacco, ASST Fatebenefratelli-Sacco, Milan, Italy.
Pierachille SantusDivision of Respiratory Diseases, Ospedale L. Sacco, ASST Fatebenefratelli-Sacco, Milan, Italy.
Alessio SignoriDepartment of Health Sciences, Section of Biostatistics, University of Genoa, Genoa, Italy.
Emanuela SozioInfectious Diseases Clinic, Santa Maria Misericordia Hospital, Udine, Italy.
Elena TagliabueInterventional Pulmonology, Ospedale Policlinico San Martino-IRCCS, Genoa, Italy.
Carlo TasciniInfectious Diseases Clinic, Santa Maria Misericordia Hospital, Udine, Italy.
Carlo VancheriRegional Referral Centre for Rare Lung Diseases-University Hospital "Policlinico G. Rodolico", Catania, Italy.
Antonio VenaInfectious Diseases Unit, Ospedale Policlinico San Martino-IRCCS, L.go R. Benzi, 10, 16132, Genoa, Italy.
Pierluigi VialeDepartment of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Francesco BlasiDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Italian Society of Anti-infective Therapy (SITA) and the Italian Society of Pulmonology (SIP)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Italian Society of Anti-Infective Therapy (SITA) and the Italian Society of Pulmonology (SIP) constituted an expert panel for developing evidence-based guidance for the clinical management of adult patients with coronavirus disease 2019 (COVID-19) outside intensive care units.

methodsTen systematic literature searches were performed to answer ten different key questions. The retrieved evidence was graded according to the Grading of Recommendations Assessment, Development, and Evaluation methodology (GRADE). RESULTS AND

conclusionThe literature searches mostly assessed the available evidence on the management of COVID-19 patients in terms of antiviral, anticoagulant, anti-inflammatory, immunomodulatory, and continuous positive airway pressure (CPAP)/non-invasive ventilation (NIV) treatment. Most evidence was deemed as of low certainty, and in some cases, recommendations could not be developed according to the GRADE system (best practice recommendations were provided in similar situations). The use of neutralizing monoclonal antibodies may be considered for outpatients at risk of disease progression. For inpatients, favorable recommendations were provided for anticoagulant prophylaxis and systemic steroids administration, although with low certainty of evidence. Favorable recommendations, with very low/low certainty of evidence, were also provided for, in specific situations, remdesivir, alone or in combination with baricitinib, and tocilizumab. The presence of many best practice recommendations testified to the need for further investigations by means of randomized controlled trials, whenever possible, with some possible future research directions stemming from the results of the ten systematic reviews.

Indexed as

COVID-19GuidelinesSARS-CoV-2

Identifiers

PMID34328629
PMCPMC8323092

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.