Evidence map›Paper›PMID 34718856›Full record

Observational studyInflammation research : official journal of the European Histamine Research Society ... [et al.]2022

Circulating levels of calprotectin, a signature of neutrophil activation in prediction of severe respiratory failure in COVID-19 patients: a multicenter, prospective study (CalCov study).

Luis García de Guadiana-Romualdo, Carlos Rodríguez Rojas, Daniel Morell-García, David Andaluz-Ojeda, María Dolores Rodríguez Mulero, Enrique Rodríguez-Borja, Antonieta Ballesteros-Vizoso, María Dolores Calvo, Lourdes Albert-Botella, Adela Pozo Giráldez and 20 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

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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

30 authors at 6 institutions in 3 countries.

Luis García de Guadiana-RomualdoLaboratory Medicine Department, Hospital Universitario Santa Lucía, Paraje Los Arcos, Calle Mezquita s/n, CP 30202, Cartagena, Spain. guadianarom@yahoo.es.ORCID http://orcid.org/0000-0003-3028-3198
Carlos Rodríguez RojasLaboratory of Biochemistry, Hospital Clínico Universitario Valencia, Valencia, Spain.
Daniel Morell-GarcíaLaboratory Medicine Department, Son Espases University Hospital, Palma de Mallorca, Spain.
David Andaluz-OjedaIntensive Care Medicine Department, Hospital Clínico Universitario, Valladolid, Spain.
María Dolores Rodríguez MuleroCritical Care Unit, Hospital Universitario Santa Lucía, Cartagena, Spain.
Enrique Rodríguez-BorjaLaboratory of Biochemistry, Hospital Clínico Universitario Valencia, Valencia, Spain.
Antonieta Ballesteros-VizosoLaboratory Medicine Department, Son Espases University Hospital, Palma de Mallorca, Spain.
María Dolores CalvoLaboratory Medicine Department, Hospital Clínico Universitario, Valladolid, Spain.
Lourdes Albert-BotellaLaboratory Medicine Department. Hospital Ibermutuamur, Murcia, Spain.
Adela Pozo GiráldezLaboratory of Biochemistry, Hospital Clínico Universitario Valencia, Valencia, Spain.
Isabel Llompart-AlabernLaboratory Medicine Department, Son Espases University Hospital, Palma de Mallorca, Spain.
Cristina Bolado JiménezEmergency Department, Hospital Clínico Universitario, Valladolid, Spain.
Marta Hernández OlivoPneumology Department, Hospital Universitario Santa Lucía, Cartagena, Spain.
Lucía Fernández PresaPneumology Department, Hospital Clínico Universitario Valencia, Valencia, Spain.
Juan Ortega-PérezHealth Research Institute of Balearic Islands, Son Espases University Hospital, Palma de Mallorca, Spain.
María José Fora RomeroEmergency Department, Hospital Clínico Universitario, Valladolid, Spain.
Valerio Campos-RodríguezInternal Medicine Department, Hospital Universitario Santa Lucía, Cartagena, Spain.
Andrea Ballester FérrizPneumology Department, Hospital Clínico Universitario Valencia, Valencia, Spain.
Alexandra M Guiu-MartíEmergency Medicine Department, Son Espases University Hospital, Palma de Mallorca, Spain.
Leyre Pinilla ArribasEmergency Department, Hospital Clínico Universitario, Valladolid, Spain.
María Galindo MartínezCritical Care Unit, Hospital Universitario Santa Lucía, Cartagena, Spain.
Edwin R Puerto-LaraEmergency Medicine Department, Son Espases University Hospital, Palma de Mallorca, Spain.
Ana Belen López TarazagaEmergency Department, Hospital Clínico Universitario, Valladolid, Spain.
María Salomé Ros BraquehaisPneumology Department, Hospital Universitario Santa Lucía, Cartagena, Spain.
Leonor Nogales MartínIntensive Care Medicine Department, Hospital Clínico Universitario, Valladolid, Spain.
Celia Juez SantamaríaDepartment of Hospital Pharmacy, Hospital Universitario Santa Lucía, Cartagena, Spain.
Wysalli Trapiello FernándezEmergency Department, Hospital Clínico Universitario, Valladolid, Spain.
Virginia Espinilla FernándezPreventive Medicine Department, Hospital Clínico Universitario, Valladolid, Spain.
Aleksandra HavelkaDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
María Dolores Albaladejo-OtónLaboratory Medicine Department, Hospital Universitario Santa Lucía, Paraje Los Arcos, Calle Mezquita s/n, CP 30202, Cartagena, Spain.
Hospital Clínico Universitario de Valladolid · ESSanta Lucía University General Hospital · ESHospital Clínico Universitario de Valencia · ESHospital Universitario Son Espases · ESHealth Research Institute of the Balearic Islands · ESKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSevere COVID-19 is characterized by a dysregulated immune response in which neutrophils play a critical role. Calprotectin reflects neutrophil activation and is involved in the self-amplifying thrombo-inflammatory storm in severe COVID-19. We aimed to evaluate the role of calprotectin in early prediction of severity in COVID-19 patients.

methodsThis was a multicenter prospective observational study enrolling consecutive adult COVID-19 patients. On arrival to emergency department, blood samples were collected for laboratory tests, including serum calprotectin. The primary outcome was severe respiratory failure requiring invasive mechanical ventilation and the secondary outcome was need for Intensive Care Unit (ICU) admission.

resultsStudy population included 395 patients, 57 (14.4%) required invasive mechanical ventilation and 100 (25.3%) were admitted to ICU. Median serum calprotectin levels were significantly higher in intubated (3.73 mg/L vs. 2.63 mg/L; p < 0.001) and ICU patients (3.48 mg/L vs. 2.60 mg/L; p = 0.001). Calprotectin showed a significant accuracy to predict the need for invasive mechanical ventilation (ROC AUC 0.723) and ICU admission (ROC AUC 0.650). In multivariate analysis, serum calprotectin was an independent predictor of invasive mechanical ventilation (OR 1.161) and ICU admission (OR 1.068).

conclusionSerum calprotectin can be used as an early predictor of severity in COVID-19 patients.

Indexed as

Neutrophil ActivationRespiration, ArtificialAdolescentAdultAgedAged, 80 and overArea Under CurveCOVID-19FemaleHumansImmune SystemInflammationIntensive Care UnitsLeukocyte L1 Antigen ComplexMaleMiddle AgedLeukocyte L1 Antigen ComplexCalprotectinCOVID-19ICU admissionInvasive mechanical ventilationNeutrophil activation

Identifiers

PMID34718856
PMCPMC8556860
OpenAlexW3209911111

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.