Evidence map›Paper›PMID 34452419›Full record

ReviewViruses2021

Coagulopathy in Acute Puumala Hantavirus Infection.

Sirpa Koskela, Satu Mäkelä, Tomas Strandin, Antti Vaheri, Tuula Outinen, Lotta Joutsi-Korhonen, Ilkka Pörsti, Jukka Mustonen, Outi Laine

Open access · goldAbstract readReview
In one paragraph

Review in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  8. Outbreak of hantavirus disease caused by Puumala virus, Croatia, 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  9. Article
  10. Article
  11. Observational
  12. Navigating paediatric virology through the COVID‑19 era (Review).International journal of molecular medicine · 2023
    Review
  13. ZoonoticViruses · 2023
    Review
  14. Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome.The American journal of tropical medicine and hygiene · 2023
    Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Sirpa KoskelaDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.
Satu MäkeläDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.
Tomas StrandinDepartment of Virology, Medicum, University of Helsinki, Haartmaninkatu 21, 00014 Helsinki, Finland.ORCID 0000-0002-2454-7479
Antti VaheriDepartment of Virology, Medicum, University of Helsinki, Haartmaninkatu 21, 00014 Helsinki, Finland.
Tuula OutinenDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.
Lotta Joutsi-KorhonenDepartment of Clinical Chemistry, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, Finland.
Ilkka PörstiDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.ORCID 0000-0002-4905-7564
Jukka MustonenDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.
Outi LaineDepartment of Internal Medicine, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland.
Tampere University Hospital · FIUniversity of Helsinki · FITampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Puumala hantavirus (PUUV) causes a hemorrhagic fever with renal syndrome (HFRS), also called nephropathia epidemica (NE), which is mainly endemic in Europe and Russia. The clinical features include a low platelet count, altered coagulation, endothelial activation, and acute kidney injury (AKI). Multiple connections between coagulation pathways and inflammatory mediators, as well as complement and kallikrein-kinin systems, have been reported. The bleeding symptoms are usually mild. PUUV-infected patients also have an increased risk for disseminated intravascular coagulation (DIC) and thrombosis.

Indexed as

Acute DiseaseAcute Kidney InjuryBlood Coagulation DisordersDisseminated Intravascular CoagulationEuropeHemorrhagic Fever with Renal SyndromePuumala virusRussiaThrombosisacute kidney injurycoagulationcomplement systemDICendotheliumfibrinolysisplateletPuumala hantavirus

Identifiers

PMID34452419
PMCPMC8402851
OpenAlexW3187698506

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.