Evidence map›Paper›PMID 34613875›Full record

ArticlePostgraduate medicine2022

Ferritin as prognostic marker in COVID-19: the FerVid study.

Ombretta Para, Lorenzo Caruso, Giulia Pestelli, Flavio Tangianu, Davide Carrara, Lucia Maddaluni, Antonio Tamburello, Laura Castelnovo, Giacomo Fedi, Stefano Guidi and 5 more

Open access · greenAbstract read
In one paragraph

Article in Postgraduate medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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  9. Diagnostic and Prognostic Value of SCUBE-1 in COVID-19 Patients.The western journal of emergency medicine · 2024
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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

15 authors at 4 institutions in 1 country.

Ombretta ParaInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Lorenzo CarusoInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Giulia PestelliInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Flavio TangianuDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Davide CarraraU.O.C. General Medicine, Versilia Hospital, Viareggio, Italy.
Lucia MaddaluniInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Antonio TamburelloDepartment of Internal Medicine, Hospital of Legnano, Legnano, Italy.
Laura CastelnovoDepartment of Internal Medicine, Hospital of Legnano, Legnano, Italy.
Giacomo FediInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Stefano GuidiInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Caterina PestelliInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Benedetta PennellaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Tiziana CiarambinoHospital of Marcianise, ASL Caserta, Caserta, Italy.
Carlo NozzoliInternal Medicine Unit 1, University Hospital Careggi, Florence, Italy.
Francesco DentaliDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID 0000-0003-4195-7725
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Insubria · ITAzienda Ospedaliera Ospedale Civile di Legnano · ITOspedale Versilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn COVID-19 patients the progressive clinical deterioration seems secondary to the activation of a cytokine storm. Ferritin is considered a direct mediator of the immune system and some evidences suggested a shared physio-pathogenic basis between COVID-19 and 'Hyperferritinemic Syndromes.' The aim of our study was to evaluate the prognostic role of ferritin in COVID-19 patients.

methodsWe retrospectively studied consecutive COVID-19 patients admitted to four Italian Internal Medicine Units. Role of potential prognostic markers was evaluated with binary logistic regression analysis and results were expressed as odds ratios (ORs) with the corresponding 95% confidence intervals (CIs). Poor outcome was defined as death or need to transfer in the intensive care unit.

resultsTwo hundred patients were included (mean age 68.75 ± 13.22 years). Ferritin value was highly elevated (>3000 ng/mL) in 8% of our population; 13% of patients were transferred to intensive care units and 12% of patients died. At multivariate analysis, highly elevated ferritin levels (OR 16.67 C.I. 4.89-57.57 p < 0.001) and hemoglobin < 10 g/dL (OR 8.88 C.I. 2.02-39.09 p = 0.004) were independently associated with a bad outcome.Patients with ferritin values > 3000 ng/ml appeared to have an inflammatory activation with elevated values of CRP and D-dimer and low values of lymphocyte count.

conclusionOur results confirm the prognostic role of ferritin in hospitalized COVID-19 patients. Patients with high ferritin levels should be considered critically ill and treated in an adequate setting. Furthermore, COVID-19 seems to share some characteristics with hyperferritinemic syndromes with potential therapeutic implications.

Indexed as

COVID-19FerritinsAgedAged, 80 and overHumansMiddle AgedPrognosisRetrospective StudiesSARS-CoV-2FerritinsCOVID-19Ferritinhyperferritinemic syndromes

Identifiers

PMID34613875
PMCPMC8544665
OpenAlexW3203592520

What OpenQuestion holds

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Registered trials

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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.