Evidence map›Paper›PMID 34572414›Full record

ArticleBiomedicines2021

Synergistic Effect of Static Compliance and D-dimers to Predict Outcome of Patients with COVID-19-ARDS: A Prospective Multicenter Study.

Tommaso Tonetti, Giacomo Grasselli, Paola Rucci, Francesco Alessandri, Alessio Dell'Olio, Annalisa Boscolo, Laura Pasin, Nicolò Sella, Chiara Mega, Rita Maria Melotti and 18 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06456606 (The Effect of Prone Position on Right Ventricular Functions in CARDS), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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.

NCT06456606 completednot on this mapstarted 2022, after this paper: background citation

The Effect of Prone Position on Right Ventricular Functions in CARDS: is Survival Predictable When Evaluated Through Transesophageal Echocardiography?

Typeobservational_patient_registrySponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2022 to 2022Enrolled30ConditionsARDS Due to Disease Caused by SARS Co-V-2, Right Ventricular DysfunctionArmsbefore prone position, the first hour of prone position, the first hour of returning to the supine position
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The role of extracorporeal COFrontiers in medicine · 2025
    Review
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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

28 authors at 11 institutions in 2 countries.

Tommaso TonettiDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, IRCCS Policlinico di Sant'Orsola, Università di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-9676-3595
Giacomo GrasselliFondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-1735-1400
Paola RucciDipartimento di Scienze Biomediche e Neuromotorie (DIBINEM), Alma Mater Studiorum Università di Bologna, 40126 Bologna, Italy.
Francesco AlessandriDepartment of Anaesthesia and Intensive Care, Sapienza University of Rome, 00161 Rome, Italy.
Alessio Dell'OlioDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, IRCCS Policlinico di Sant'Orsola, Università di Bologna, 40138 Bologna, Italy.
Annalisa BoscoloAnesthesia and Critical Care, Department of Medicine-DIMED, University Hospital of Padua, 35127 Padua, Italy.
Laura PasinAnesthesia and Critical Care, Department of Medicine-DIMED, University Hospital of Padua, 35127 Padua, Italy.ORCID 0000-0001-5757-4791
Nicolò SellaAnesthesia and Critical Care, Department of Medicine-DIMED, University Hospital of Padua, 35127 Padua, Italy.ORCID 0000-0001-9338-4995
Chiara MegaDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, IRCCS Policlinico di Sant'Orsola, Università di Bologna, 40138 Bologna, Italy.
Rita Maria MelottiDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, IRCCS Policlinico di Sant'Orsola, Università di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-6258-6607
Massimo GirardisAnesthesia and Critical Care, Policlinico di Modena, Università di Modena e Reggio Emilia, 41125 Modena, Italy.
Stefano BusaniAnesthesia and Critical Care, Policlinico di Modena, Università di Modena e Reggio Emilia, 41125 Modena, Italy.
Giacomo BellaniDepartment of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Giuseppe FotiDepartment of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Domenico Luca GriecoDepartment of Anesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-4557-6308
Vittorio ScaravilliFondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.
Alessandro ProttiDepartment of Biomedical Sciences, Humanitas University, 20089 Pieve Emanuele, Italy.
Thomas LangerDepartment of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-9725-8520
Luciana MasciaDipartimento di Scienze Biomediche e Neuromotorie (DIBINEM), Alma Mater Studiorum Università di Bologna, 40126 Bologna, Italy.
Francesco PuglieseDepartment of Anaesthesia and Intensive Care, Sapienza University of Rome, 00161 Rome, Italy.
Maurizio CecconiDepartment of Biomedical Sciences, Humanitas University, 20089 Pieve Emanuele, Italy.
Roberto FumagalliDepartment of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Stefano NavaRespiratory and Critical Care Unit, Department of Clinical, Integrated and Experimental Medicine (DIMES), S. Orsola-Malpighi Hospital, Alma Mater University, 40138 Bologna, Italy.
Massimo AntonelliDepartment of Anesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Arthur S SlutskyKeenan Research Centre for Biomedical Science, St Michael's Hospital, Toronto, ON M5B 1W8, Canada.ORCID 0000-0002-6063-3876
Paolo NavalesiAnesthesia and Critical Care, Department of Medicine-DIMED, University Hospital of Padua, 35127 Padua, Italy.ORCID 0000-0002-3733-3453
Antonio PesentiFondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.
Vito Marco RanieriDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, IRCCS Policlinico di Sant'Orsola, Università di Bologna, 40138 Bologna, Italy.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Padua · ITUniversity of Milan · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliero-Universitaria di Modena · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITHumanitas University · ITSapienza University of Rome · ITUniversity of Bologna · ITSt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The synergic combination of D-dimer (as proxy of thrombotic/vascular injury) and static compliance (as proxy of parenchymal injury) in predicting mortality in COVID-19-ARDS has not been systematically evaluated. The objective is to determine whether the combination of elevated D-dimer and low static compliance can predict mortality in patients with COVID-19-ARDS. A "training sample" (March-June 2020) and a "testing sample" (September 2020-January 2021) of adult patients invasively ventilated for COVID-19-ARDS were collected in nine hospitals. D-dimer and compliance in the first 24 h were recorded. Study outcome was all-cause mortality at 28-days. Cut-offs for D-dimer and compliance were identified by receiver operating characteristic curve analysis. Mutually exclusive groups were selected using classification tree analysis with chi-square automatic interaction detection. Time to death in the resulting groups was estimated with Cox regression adjusted for SOFA, sex, age, PaO

Indexed as

acute respiratory distress syndromeCOVID-19D-dimermechanical ventilationstatic compliance

Identifiers

PMID34572414
PMCPMC8467668
OpenAlexW3199599845

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.