Evidence map›Paper›PMID 34464544›Full record

Observational studyOcular immunology and inflammation2021

Retinopathy and Systemic Disease Morbidity in Severe COVID-19.

Jessica G Shantha, Sara C Auld, Casey Anthony, Laura Ward, Max W Adelman, Cheryl L Maier, Kenneth W Price, Jesse T Jacob, Tolulope Fashina, Casey Randleman and 15 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Ocular immunology and inflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. The spectrum of COVID-19-associated chorioretinal vasculopathy.American journal of ophthalmology case reports · 2023
    Article
  3. Review
  4. 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

25 authors at 2 institutions in 1 country.

Jessica G ShanthaEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Sara C AuldDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-8972-3736
Casey AnthonyEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Laura WardDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Max W AdelmanDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Cheryl L MaierDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Kenneth W PriceEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Jesse T JacobDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID 0000-0001-9811-6260
Tolulope FashinaEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Casey RandlemanEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Lucy T XuEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Joshua BarnettEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.
Ofer SadanDepartment of Neurology and Neurosurgery, Division of Neurocritical Care, Emory University School of Medicine, Atlanta, GA, USA.
Prem A KandiahDepartment of Neurology and Neurosurgery, Division of Neurocritical Care, Emory University School of Medicine, Atlanta, GA, USA.
Jay B VarkeyDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Colleen S KraftDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Nadine RouphaelDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-2512-7919
Susanne LindermanEmory Vaccine Center, Emory University School of Medicine, Atlanta, GA, USA.
Rafi AhmedEmory Vaccine Center, Emory University School of Medicine, Atlanta, GA, USA.
Carolyn Drews-BotschDepartment of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, VA, USA.
Jesse J WaggonerDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-0244-5957
Max WeinmannDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.
David J MurphyDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-1453-4404
Steven YehEmory Eye Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-5417-7771
Emory COVID-19 Quality and Clinical Research Collaborative
Emory University · USGeorge Mason University · US

Funding

P30-Core Grant for Vision Research Core CP30EY006360 · NEI · EMORY UNIVERSITY · PI NICKERSON, JOHN M · 1986 to 2025
$15.3M
Pathogenesis of Uveitis in Ebola Virus Disease SurvivorsR01EY029594 · NEI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI YEH, STEVEN · 2019 to 2023
$2.9M
Ophthalmic Disease and Laboratory Surveillance in a Viral Hemorrhagic Fever ZoneK23EY030158 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHANTHA, JESSICA · 2019 to 2023
$1.2M
Impact of HIV infection on early responses to TB exposureK23AI134182 · NIAID · EMORY UNIVERSITY · PI AULD, SARA · 2018 to 2023
$972k
NEI NIH HHS K23 EY030158NEI NIH HHS P30 EY006360NEI NIH HHS R01 EY029594NIAID NIH HHS K23 AI134182
6 · The paper itself

Abstract

purposeTo assess the prevalence of retinopathy and its association with systemic morbidity and laboratory indices of coagulation and inflammatory dysfunction in severe COVID-19.

designRetrospective, observational cohort study.

methodsAdult patients hospitalized with severe COVID-19 who underwent ophthalmic examination from April to July 2020 were reviewed. Retinopathy was defined as one of the following: 1) Retinal hemorrhage; 2) Cotton wool spots; 3) Retinal vascular occlusion. We analyzed medical comorbidities, sequential organ failure assessment (SOFA) scores, clinical outcomes, and laboratory values for their association with retinopathy.

resultsThirty-seven patients with severe COVID-19 were reviewed, the majority of whom were female (n = 23, 62%), Black (n = 26, 69%), and admitted to the intensive care unit (n = 35, 95%). Fourteen patients had retinopathy (38%) with retinal hemorrhage in 7 (19%), cotton wool spots in 8 (22%), and a branch retinal artery occlusion in 1 (3%) patient. Patients with retinopathy had higher SOFA scores than those without retinopathy (8.0 vs. 5.3,

conclusionRetinopathy in severe COVID-19 was associated with greater systemic disease morbidity involving multiple organs. Given its association with coagulopathy and inflammation, retinopathy may offer insight into disease pathogenesis in patients with severe COVID-19.

Indexed as

COVID-19Retinal DiseasesSARS-CoV-2FemaleFollow-Up StudiesHospitalizationHumansMaleMorbidityRetrospective StudiesSeverity of Illness IndexUnited StatesCOVID-19ophthalmic diseaseretinopathy

Identifiers

PMID34464544
PMCPMC8562588
OpenAlexW3198295273

What OpenQuestion holds

Textmetadata
LicenceTDM
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.