Evidence map›Paper›PMID 34800689›Full record

Observational studyInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Bacteraemic pneumococcal pneumonia and SARS-CoV-2 pneumonia: differences and similarities.

Leyre Serrano Fernández, Luis Alberto Ruiz Iturriaga, Pedro Pablo España Yandiola, Raúl Méndez Ocaña, Silvia Pérez Fernández, Eva Tabernero Huget, Ane Uranga Echeverria, Paula Gonzalez Jimenez, Patricia García Hontoria, Antoni Torres Martí and 2 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Five-decade prevalence of delirium in pneumonia, risk factors and associated mortality: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Review
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

12 authors at 6 institutions in 1 country.

Leyre Serrano FernándezPneumology Service, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain; Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Bizkaia, Spain. Electronic address: leyre.serranofernandez@osakidetza.eus.
Luis Alberto Ruiz IturriagaPneumology Service, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain; Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Bizkaia, Spain. Electronic address: luisalberto.ruiziturriaga@osakidetza.eus.
Pedro Pablo España YandiolaPneumology Service, Hospital Universitario Galdakao-Usansolo, Galdakao, Bizkaia, Spain. Electronic address: pedropablo.espanayandiola@osakidetza.eus.
Raúl Méndez OcañaPneumology Service, Hospital Universitari i politècnic La Fe, Valencia, Spain; Instituto de Investigación Sanitaria La Fe, Valencia, Spain. Electronic address: rmendezalcoy@gmail.com.
Silvia Pérez FernándezBioinformatics and Statistics Unit, Biocruces Bizkaia Health Research Institute, Barakaldo. Bizkaia, Spain. Electronic address: silvia.perezfernandez@osakidetza.eus.
Eva Tabernero HugetPneumology Service, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. Electronic address: e.tabernero.huguet@osakidetza.eus.
Ane Uranga EcheverriaPneumology Service, Hospital Universitario Galdakao-Usansolo, Galdakao, Bizkaia, Spain. Electronic address: ane.urangaecheverria@osakidetza.eus.
Paula Gonzalez JimenezPneumology Service, Hospital Universitari i politècnic La Fe, Valencia, Spain; Instituto de Investigación Sanitaria La Fe, Valencia, Spain. Electronic address: paulagonzalezjimenez@gmail.com.
Patricia García HontoriaPneumology Service, Hospital Universitario Galdakao-Usansolo, Galdakao, Bizkaia, Spain. Electronic address: patricia.garciahontoria@osakidetza.eus.
Antoni Torres MartíPneumology Service, Hospital Clinic/Institut D´Investigacions Biomediques August Pi I Sunyer, University of Barcelona, Barcelona, Spain. Electronic address: atorres@clinic.cat.
Rosario Menendez VillanuevaPneumology Service, Hospital Universitari i politècnic La Fe, Valencia, Spain; Instituto de Investigación Sanitaria La Fe, Valencia, Spain. Electronic address: rosmenend@gmail.com.
Rafael Zalacain JorgePneumology Service, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. Electronic address: rafael.zalacainjorge@osakidetza.eus.
Hospital de Galdakao · ESHospital Universitari i Politècnic La Fe · ESHospital de Cruces · ESUniversity of the Basque Country · ESBioCruces Health research Institute · ESHospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse differences in clinical presentation and outcome between bacteraemic pneumococcal community-acquired pneumonia (B-PCAP) and sSvere Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pneumonia.

methodsThis observational multi-centre study was conducted on patients hospitalized with B-PCAP between 2000 and 2020 and SARS-CoV-2 pneumonia in 2020. Thirty-day survival, predictors of mortality, and intensive care unit (ICU) admission were compared.

resultsIn total, 663 patients with B-PCAP and 1561 patients with SARS-CoV-2 pneumonia were included in this study. Patients with B-PCAP had more severe disease, a higher ICU admission rate and more complications. Patients with SARS-CoV-2 pneumonia had higher in-hospital mortality (10.8% vs 6.8%; P=0.004). Among patients admitted to the ICU, the need for invasive mechanical ventilation (69.7% vs 36.2%; P<0.001) and mortality were higher in patients with SARS-CoV-2 pneumonia. In patients with B-PCAP, the predictive model found associations between mortality and systemic complications (hyponatraemia, septic shock and neurological complications), lower respiratory reserve and tachypnoea; chest pain and purulent sputum were protective factors in these patients. In patients with SARS-CoV-2 pneumonia, mortality was associated with previous liver and cardiac disease, advanced age, altered mental status, tachypnoea, hypoxaemia, bilateral involvement, pleural effusion, septic shock, neutrophilia and high blood urea nitrogen; in contrast, ≥7 days of symptoms was a protective factor in these patients. In-hospital mortality occurred earlier in patients with B-PCAP.

conclusionsAlthough B-PCAP was associated with more severe disease and a higher ICU admission rate, the mortality rate was higher for SARS-CoV-2 pneumonia and deaths occurred later. New prognostic scales and more effective treatments are needed for patients with SARS-CoV-2 pneumonia.

Indexed as

COVID-19Pneumonia, PneumococcalHumansIntensive Care UnitsRespiration, ArtificialSARS-CoV-2Bacteraemic pneumococcal pneumoniaCommunity-acquired pneumoniaMortalityProcess of careSARS-CoV-2Survival

Identifiers

PMID34800689
PMCPMC8598257
OpenAlexW3211437382

What OpenQuestion holds

Textmetadata
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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.