Evidence map›Paper›PMID 34375925›Full record

Observational studyRespiratory medicine2021

Galectin-3 as prognostic biomarker in patients with COVID-19 acute respiratory failure.

Andrea Portacci, Fabrizio Diaferia, Carla Santomasi, Silvano Dragonieri, Esterina Boniello, Francesca Di Serio, Giovanna Elisiana Carpagnano

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Spatial N-glycan rearrangement on αNature communications · 2025
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Andrea PortacciInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: andrea.portacci01@ateneopv.it.
Fabrizio DiaferiaInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: fabrizio.diaferia@gmail.com.
Carla SantomasiInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: carlasantomasi@gmail.com.
Silvano DragonieriInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: silvano.dragonieri@uniba.it.
Esterina BonielloInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: esterboniello@hotmail.com.
Francesca Di SerioInstitute of Clinical Pathology, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: francesca.diserio@policlinico.ba.it.
Giovanna Elisiana CarpagnanoInstitute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine "Aldo Moro", Bari, Italy. Electronic address: elisiana.carpagnano@uniba.it.
University of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGalectin-3 is β-galactoside-binding lectin with several roles in immune-inflammatory response. To date, there is no evidence of Galectin-3 role as a prognostic biomarker in COVID-19 disease. The aim of this study is to clarify the prognostic role of Galectin-3 in patients with COVID 19 acute respiratory failure.

methodsWe enrolled 156 consecutive patients with COVID-19 disease. Routine laboratory test, arterial blood gas, chest X-ray or Computed Tomography and Galectin-3 dosage were performed. The primary outcome was to assess Galectin-3 predictive power for 30-day mortality. Secondary outcomes were 30-day Intensive Care Unit admission and Acute Respiratory Distress Syndrome stratification according to Galectin-3 dosage. We performed Mann-Whitney U and Kruskal-Wallis tests for continuous variables comparison. Fisher's exact test or Chi-square test were used for categorical variables analysis. Receiver Operating Characteristic curves estimated Galectin-3 predictive power for the endpoints. With a fixed cut-off of 35.3 ng/ml, Kaplan-Meier with Log-Rank test and Cox Regression were performed to assess mortality and Intensive Care Unit admission risk.

resultsGalectin-3 correlated with many other prognostic predictors tested in our analysis. Moreover, patients with serum levels of Galectin-3 above 35.3 ng/ml had increased risk for mortality, Intensive Care Unit admission and severe Acute Respiratory Distress Syndrome.

conclusionsOur study demonstrates the role of Galectin-3 as a predictor of mortality, Intensive Care Unit access and ARDS stratification in patients with COVID 19 acute respiratory failure.

Indexed as

AgedAged, 80 and overBiomarkersBlood ProteinsCOVID-19Critical CareFemaleGalectinsHospitalizationHumansMaleMiddle AgedPredictive Value of TestsPrognosisRespiratory Distress SyndromeRetrospective StudiesBiomarkersBlood ProteinsGalectinsLGALS3 protein, humanARDSICUInflammationLung injuryViral pneumonia

Identifiers

PMID34375925
PMCPMC8332745
OpenAlexW3188095235

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.