Evidence map›Paper›PMID 34916742›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2021

The COSEVAST Study Outcome: Evidence of COVID-19 Severity Proportionate to Surge in Arterial Stiffness.

Neeraj Kumar, Sanjeev Kumar, Abhyuday Kumar, Divendu Bhushan, Amarjeet Kumar, Ajeet Kumar, Veena Singh, Prabhat K Singh

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

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  6. Distinct Features of Vascular Diseases in COVID-19.Journal of inflammation research · 2023
    Review
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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

8 authors at 2 institutions in 1 country.

Neeraj KumarDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-9161-7000
Sanjeev KumarDepartment of CTVS, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0003-4867-9326
Abhyuday KumarDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-9247-6713
Divendu BhushanDepartment of General Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-8718-5890
Amarjeet KumarDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-4272-5750
Ajeet KumarDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-1464-6684
Veena SinghDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-6300-7811
Prabhat K SinghDirector, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0003-1888-4679
All India Institute of Medical Sciences · INPatna Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection affects the cardiovascular system at many levels. It initially infects endothelial cells, inducing marked endothelial damage and inflammation. However, there was no empirical evidence of functional compromise of arterial walls. AIMS AND

objectiveOur primary objective was to study functional arterial damage in coronavirus disease 2019 (COVID-19) and establish the noninvasive measurement of arterial stiffness as an independent marker of disease severity. MATERIALS AND

methodsWe recorded the arterial stiffness of 23 mild, 21 moderate, and 20 severe COVID-19 patients grouped on the latest National Institute of Health (NIH) severity criteria. We observed arterial stiffness of COVID-19 patients with standard parameters like noninvasive estimated carotid-femoral pulse wave velocity (cfPWV), age-normalized increase in cfPWV (ANI_cfPWV), age-normalized increase in aortic augmentation pressure (ANI_AugP), and heart rate-normalized augmentation index (HRN_ AIx). All the parameters were also corrected for statistically significant confounding factors.

resultsModerate and severe COVID-19 patients have extremely significantly elevated arterial stiffness than mild patients. In mild patients, cfPWV (829.1 ± 139.2 cm/second) was significantly lower than both moderate (1067 ± 152.5 cm/second,

conclusionThis study establishes the functional deterioration of arteries in proportion to the severity of COVID-19. HOW TO CITE THIS ARTICLE: Kumar N, Kumar S, Kumar A, Bhushan D, Kumar A, Kumar A,

Indexed as

Arterial stiffnessCOVID-19COVID-19 ARDSEndothelial injuryIntensive care unit

Identifiers

PMID34916742
PMCPMC8645816
OpenAlexW3157126225

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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.