Evidence map›Paper›PMID 34331821›Full record

ArticleInternational journal of clinical practice2021

Pancreatic damage in COVID-19: Why? How?

Ferhat Bacaksız, Berat Ebik, Nazım Ekin, Jihat Kılıc

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Prevalence and prognosis of increased pancreatic enzymes in patients with COVID-19: A systematic review and meta-analysis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Pooled it
  2. Observational
  3. Article
  4. Review
  5. The Pancreas in Coronavirus Disease 2019 Infection.Gastroenterology clinics of North America · 2023
    Review
  6. SARS-CoV-2 and gastrointestinal diseases.Frontiers in microbiology · 2023
    Review
  7. COVID-19 and the Pancreas: A Narrative Review.Life (Basel, Switzerland) · 2022
    Review
  8. Review
  9. Lipase elevation on admission predicts worse clinical outcomes in patients with COVID-19.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  10. Pancreatic damage in COVID-19: Why? How?International journal of clinical practice · 2021
    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

4 authors at 1 institution in 1 country.

Ferhat BacaksızDivision of Gastroenterology, Diyabakır Gazi Yasargil Education and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.ORCID https://orcid.org/0000-0002-9670-3290
Berat EbikDivision of Gastroenterology, Diyabakır Gazi Yasargil Education and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.ORCID https://orcid.org/0000-0002-0012-2505
Nazım EkinDivision of Gastroenterology, Diyabakır Gazi Yasargil Education and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.ORCID https://orcid.org/0000-0001-5302-8953
Jihat KılıcDivision of İnternal Medicine, Diyabakır Gazi Yasargil Education and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.ORCID https://orcid.org/0000-0003-3722-350X
Sağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectWe aimed to evaluate the elevation of amylase and lipase enzymes in coronavirus disease 2019 (COVID-19) patients and their relationship with the severity of COVID-19.

methodIn this study, 1378 patients with COVID-19 infection were included. Relation of elevated amylase and lipase levels and comorbidities with the severity of COVID-19 was analysed. The effects of haemodynamic parameters and organ failure on pancreatic enzymes and their relations with prognosis were statistically analysed.

resultsThe 1378 patients comprised of 700 (51.8%) men and 678 (%49.2) women. Of all patients, 687 (49.9%) had mild and 691 (50.1%) patients had severe COVID-19 infection. Amylase elevation at different levels occurred in 316 (%23) out of 1378 patients. In these patients, the amylase levels increased one to three times in 261 and three times in 55 patients. Pancreatitis was detected in only six (%1.89) of these patients according to the Atlanta criteria. According to univariate and multivariate analyses, elevated amylase levels were significantly associated with the severity of COVID-19 (odds ratio [OR]: 4.37; P < .001). Moreover, diabetes mellitus (DM; OR: 1.82; P = .001), kidney failure (OR: 5.18; P < .001), liver damage (OR: 6.63; P < .001), hypotension (OR: 6.86; P < .001) and sepsis (OR: 6.20; P = .008) were found to be associated with mortality from COVID-19.

conclusionElevated pancreatic enzyme levels in COVID-19 infections are related to the severity of COVID-19 infection and haemodynamic instability. In a similar way to other organs, the pancreas can be affected by severe COVID-19 infection.

Indexed as

COVID-19PancreatitisAcute DiseaseAmylasesFemaleHumansMalePancreasAmylases

Identifiers

PMID34331821
PMCPMC8420122
OpenAlexW3189322707

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.