Evidence map›Paper›PMID 34575171›Full record

ArticleJournal of clinical medicine2021

SARS-CoV-2 in Urine May Predict a Severe Evolution of COVID-19.

Alessandro Perrella, Mario Brita, Francesco Coletta, Simona Cotena, GiamPaola De Marco, Adele Longobardi, Crescenzo Sala, Dania Sannino, Antonio Tomasello, Marco Perrella and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Enzymatic Debridement in Severe Burn COVID-19 Patients: A Case Series.Plastic and reconstructive surgery. Global open · 2023
    Article
  3. Article
  4. Editorial: Unusual Clinical Presentation of COVID-19.Journal of clinical medicine · 2022
    Article
  5. Article
  6. 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

17 authors at 3 institutions in 1 country.

Alessandro PerrellaInfectious Disease Service-Public Health Direction AORN A Cardarelli, 80100 Naples, Italy.ORCID 0000-0003-2812-8500
Mario BritaCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Francesco ColettaCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Simona CotenaCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
GiamPaola De MarcoCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Adele LongobardiCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Crescenzo SalaCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.ORCID 0000-0002-3062-1129
Dania SanninoCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Antonio TomaselloCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Marco PerrellaCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.
Giuseppe RussoInfectious Disease Service-Public Health Direction AORN A Cardarelli, 80100 Naples, Italy.
Marina TarsitanoMolecular Biology and Clinical Genetic Unit, 80100 Naples, Italy.
Massimo ChettaMolecular Biology and Clinical Genetic Unit, 80100 Naples, Italy.
Matteo Della MonicaMolecular Biology and Clinical Genetic Unit, 80100 Naples, Italy.
Valentina OrlandoCIRFF, Center of Drug Utilisation and Pharmacoeconomics, University of Naples Federico II, 80100 Naples, Italy.ORCID 0000-0002-8209-8878
Enrico CoscioniDivision of Cardiac Surgery, AOU San Giovanni di Dio E Ruggi d'Aragona, 84100 Salerno, Italy.
Romolo VillaniCOVID-19 Intensive Care Unit-AORN A Cardarelli, 80100 Naples, Italy.ORCID 0000-0001-7572-0721
Ospedale Antonio Cardarelli · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We hypothesized that the spread of SARS-CoV-2 in urine during a severe COVID-19 infection may be the expression of the worsening disease evolution. Therefore, the aim of this study was to verify if the COVID-19 disease severity is related to the viral presence in urine samples. We evaluated the clinical evolution in acute COVID-19 patients admitted in the sub-intensive care and intensive care units between 28 of December 2020 and 15th of February 2021 and being positive for SARS-CoV-2 RNA in the respiratory tract, including repeated endotracheal aspirates (ETA), sputum, nasopharyngeal swabs (NPS) and urine. We found that those subjects with SARS-COV-2 in the urine at admittance (8 out of 60 eligible patients) had a more severe disease than those with negative SARS-CoV-2 in urine. Further, they showed an increase in fibrinogen and (C-reactive Protein) CRP serum levels, requiring mechanic ventilation. Of those with positive SARS-CoV-2 in the urine, 50% died. According to our preliminary results, it seems that the presence of SARS-CoV-2 in the urine characterizes patients with a more severe disease and is also related to a higher death rate.

Indexed as

atypical COVID-19COVID-19SARS-CoV-2SARS-CoV-2 urineunusual COVID

Identifiers

PMID34575171
PMCPMC8466152
OpenAlexW3198683690

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.