Evidence map›Paper›PMID 34696336›Full record

ArticleViruses2021

Novel Ratio Soluble Fms-like Tyrosine Kinase-1/Angiotensin-II (sFlt-1/ANG-II) in Pregnant Women Is Associated with Critical Illness in COVID-19.

Salvador Espino-Y-Sosa, Raigam Jafet Martinez-Portilla, Johnatan Torres-Torres, Juan Mario Solis-Paredes, Guadalupe Estrada-Gutierrez, Jose Antonio Hernandez-Pacheco, Aurora Espejel-Nuñez, Paloma Mateu-Rogell, Angeles Juarez-Reyes, Francisco Eduardo Lopez-Ceh and 4 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  13. Placental Syndromes-A New Paradigm in Perinatology.International journal of environmental research and public health · 2022
    Review
  14. Article
  15. The etiology of preeclampsia.American journal of obstetrics and gynecology · 2022
    Review
  16. Article
  17. Review
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Salvador Espino-Y-SosaClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0001-7276-8463
Raigam Jafet Martinez-PortillaClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0003-4711-3857
Johnatan Torres-TorresClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0002-9524-4133
Juan Mario Solis-ParedesClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0003-4529-8296
Guadalupe Estrada-GutierrezClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0001-9551-9021
Jose Antonio Hernandez-PachecoClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.
Aurora Espejel-NuñezClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0001-9087-8017
Paloma Mateu-RogellClinical Research Deparment, Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0002-5677-5572
Angeles Juarez-ReyesMaternal Fetal Medicine Department, Hospital General de Mexico, "Dr. Eduardo Liceaga", Mexico City 06720, Mexico.ORCID 0000-0001-7943-946X
Francisco Eduardo Lopez-CehMaternal Fetal Medicine Department, Hospital General de Mexico, "Dr. Eduardo Liceaga", Mexico City 06720, Mexico.ORCID 0000-0002-6459-4501
Jose Rafael Villafan-BernalIberoamerican Research Network in Obstetrics, Gynecology and Translational Medicine, Mexico City 06720, Mexico.ORCID 0000-0002-6135-4270
Lourdes Rojas-ZepedaMaternal Fetal Medicine Department, Instituto Materno Infantil del Estado de Mexico, Mexico City 50170, Mexico.
Iris Paola Guzman-GuzmanFaculty of Chemical-Biological Sciences, Autonomous University of Guerrero, Chilpancingo 39086, Mexico.ORCID 0000-0003-1535-4226
Liona C PoonDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China.
Ibero American University · MXInstituto Nacional de Perinatología · MXHospital General de México · MXChinese University of Hong Kong · HKInstituto de Salud del Estado de México · MXUniversidad Autónoma de Guerrero · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn healthy pregnancies, components of the Renin-Angiotensin system (RAS) are present in the placental villi and contribute to invasion, migration, and angiogenesis. At the same time, soluble fms-like tyrosine kinase 1 (sFlt-1) production is induced after binding of ANG-II to its receptor (AT-1R) in response to hypoxia. As RAS plays an essential role in the pathogenesis of COVID-19, we hypothesized that angiogenic marker (sFlt-1) and RAS components (ANG-II and ACE-2) may be related to adverse outcomes in pregnant women with COVID-19; Methods: Prospective cohort study. Primary outcome was severe pneumonia. Secondary outcomes were ICU admission, intubation, sepsis, and death. Spearman's Rho test was used to analyze the correlation between sFlt-1 and ANG-II levels. The sFlt-1/ANG-II ratio was determined and the association with each adverse outcome was explored by logistic regression analysis and the prediction was assessed using receiver-operating-curve (ROC); Results: Among 80 pregnant women with COVID-19, the sFlt-1/ANG-II ratio was associated with an increased probability of severe pneumonia (odds ratio [OR]: 1.31;

Indexed as

AdultAngiotensin IIBiomarkersCohort StudiesCOVID-19Critical IllnessFemaleHumansMexicoPlacentaPre-EclampsiaPregnancyPregnant PeopleProspective StudiesSARS-CoV-2Vascular Endothelial Growth Factor Receptor-1Angiotensin IIBiomarkersFLT1 protein, humanVascular Endothelial Growth Factor Receptor-1angiotensin-IICOVID-19maternal deathsFlt-1

Identifiers

PMID34696336
PMCPMC8538263
OpenAlexW3201501446

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.