Evidence map›Paper›PMID 34512826›Full record

ArticleWorld journal of emergency medicine2021

Development of septic shock and prognostic assessment in critically ill patients with coronavirus disease outside Wuhan, China.

Ren-Qi Yao, Chao Ren, Di Ren, Jin-Xiu Li, Ying Li, Xue-Yan Liu, Lei Huang, Yong Liu, Mian Peng, Yong-Wen Feng and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in World journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 51% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 6 institutions in 1 country.

Ren-Qi YaoDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Chao RenDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Di RenDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Jin-Xiu LiDepartment of Critical Care Medicine, the Third People's Hospital of Shenzhen, Shenzhen 518020, China.
Ying LiDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Xue-Yan LiuDepartment of Critical Care Medicine, the People's Hospital of Shenzhen, Shenzhen 518020, China.
Lei HuangDepartment of Critical Care Medicine, Peking University Shenzhen Hospital, Shenzhen 518035, China.
Yong LiuDepartment of Critical Care Medicine, Shenzhen Hospital of Southern Medical University, Shenzhen 518110, China.
Mian PengDepartment of Critical Care Medicine, the Third Affiliated Hospital of Shenzhen University, Shenzhen 518001, China.
Yong-Wen FengDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Yong-Ming YaoDepartment of Critical Care Medicine, the Second People's Hospital of Shenzhen, Shenzhen 518035, China.
Shenzhen Second People's Hospital · CNChinese PLA General Hospital · CNPeking University Shenzhen Hospital · CNShenZhen People’s Hospital · CNShenzhen Third People’s Hospital · CNSouthern Medical University Shenzhen Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aims to illustrate the clinical characteristics and development of septic shock in intensive care unit (ICU) patients confirmed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and to perform a comprehensive analysis of the association between septic shock and clinical outcomes in critically ill patients with coronavirus disease (COVID-19).

methodsPatients confirmed with SARS-CoV-2 infection, who were admitted to the ICU of the Third People's Hospital of Shenzhen from January 1 to February 7, 2020, were enrolled. Clinical characteristics and outcomes were compared between patients with and without septic shock.

resultsIn this study, 35 critically ill patients with COVID-19 were included. Among them, the median age was 64 years (interquartile range [IQR] 59-67 years), and 10 (28.4%) patients were female. The median ICU length of stay was 16 days (IQR 8-23 days). Three (8.6%) patients died during hospitalization. Nine (25.7%) patients developed septic shock in the ICU, and these patients had a significantly higher incidence of organ dysfunction and a worse prognosis than patients without septic shock.

conclusionsSeptic shock is associated with a poor outcome in critically ill COVID-19 patients and is one of the hallmarks of the severity of patients receiving ICU care. A dysregulated immune response, uncontrolled inflammation, and coagulation disorders are strongly associated with the development and progression of COVID-19-related septic shock.

Indexed as

Coronavirus diseaseImmune responseIntensive care unitSeptic shockSevere acute respiratory syndrome coronavirus 2

Identifiers

PMID34512826
PMCPMC8390351
OpenAlexW3195939106

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.