Evidence map›Paper›PMID 34767614›Full record

ArticlePloS one2021

Atypical lymphocytes in the peripheral blood of COVID-19 patients: A prognostic factor for the clinical course of COVID-19.

Jun Sugihara, Sho Shibata, Masafumi Doi, Takuya Shimmura, Shinichiro Inoue, Osamu Matsumoto, Hiroyuki Suzuki, Ayaka Makino, Yasunari Miyazaki

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Are atypical lymphocytes a new predictive factor in the development of COVID-19?Revista da Sociedade Brasileira de Medicina Tropical · 2022
    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

9 authors at 2 institutions in 1 country.

Jun SugiharaDepartment of Respiratory Medicine, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.ORCID 0000-0002-9372-9671
Sho ShibataDepartment of Respiratory Medicine, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Masafumi DoiDepartment of Respiratory Medicine, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Takuya ShimmuraDepartment of Respiratory Medicine, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.ORCID 0000-0003-4947-0049
Shinichiro InoueDepartment of Respiratory Medicine, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Osamu MatsumotoClinical Laboratory, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Hiroyuki SuzukiClinical Laboratory, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Ayaka MakinoClinical Laboratory, Kashiwa Municipal Hospital, Kashiwa, Chiba, Japan.
Yasunari MiyazakiDepartment of Respiratory Medicine, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Kashiwa Municipal Hospital · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical observations have shown that there is a relationship between coronavirus disease 2019 (COVID-19) and atypical lymphocytes in the peripheral blood; however, knowledge about the time course of the changes in atypical lymphocytes and the association with the clinical course of COVID-19 is limited.

objectiveOur purposes were to investigate the dynamics of atypical lymphocytes in COVID-19 patients and to estimate their clinical significance for diagnosis and monitoring disease course. MATERIALS AND

methodsWe retrospectively identified 98 inpatients in a general ward at Kashiwa Municipal Hospital from May 1st, 2020, to October 31st, 2020. We extracted data on patient demographics, symptoms, comorbidities, blood test results, radiographic findings, treatment after admission and clinical course. We compared clinical findings between patients with and without atypical lymphocytes, investigated the behavior of atypical lymphocytes throughout the clinical course of COVID-19, and determined the relationships among the development of pneumonia, the use of supplemental oxygen and the presence of atypical lymphocytes.

resultsPatients with atypical lymphocytes had a significantly higher prevalence of pneumonia (80.4% vs. 42.6%, p < 0.0001) and the use of supplemental oxygen (25.5% vs. 4.3%, p = 0.0042). The median time to the appearance of atypical lymphocytes after disease onset was eight days, and atypical lymphocytes were observed in 16/98 (16.3%) patients at the first visit. Atypical lymphocytes appeared after the confirmation of lung infiltrates in 31/41 (75.6%) patients. Of the 13 oxygen-treated patients with atypical lymphocytes, approximately two-thirds had a stable or improved clinical course after the appearance of atypical lymphocytes.

conclusionAtypical lymphocytes frequently appeared in the peripheral blood of COVID-19 patients one week after disease onset. Patients with atypical lymphocytes were more likely to have pneumonia and to need supplemental oxygen; however, two-thirds of them showed clinical improvement after the appearance of atypical lymphocytes.

Indexed as

AdultCOVID-19FemaleHospitalizationHumansIntensive Care UnitsLeukocyte DisordersLeukocytes, MononuclearLymphocytesMaleMiddle AgedOxygenPneumoniaRespiratory Tract InfectionsSARS-CoV-2Oxygen

Identifiers

PMID34767614
PMCPMC8589156
OpenAlexW3213288364

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LicenceCC BY
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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.