Evidence map›Paper›PMID 34972516›Full record

SynthesisBMC cardiovascular disorders2021

Myocardial injury in hospitalized COVID-19 patients: a retrospective study, systematic review, and meta-analysis.

Khalid Changal, Spiro Veria, Sean Mack, David Paternite, Shoaib Altaf Sheikh, Mitra Patel, Tanveer Mir, Mujeeb Sheikh, P Kasi Ramanathan

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 4 institutions in 1 country.

Khalid ChangalCardiovascular Medicine, University of Toledo, Toledo, OH, USA.
Spiro VeriaDepartment of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Sean MackDepartment of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
David PaterniteDepartment of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Shoaib Altaf SheikhInternal Medicine, Nazareth Hospital (Trinity Health), Philadelphia, PA, USA.
Mitra PatelDepartment of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Tanveer MirInternal Medicine, Detroit Medical Center, Wayne State University, Detroit, MI, USA.
Mujeeb SheikhDepartment of Cardiovascular Medicine, Interventional Cardiology, Promedica Toledo Hospital, 2109 Hughes Dr, Jobst Tower 3rd Floor, Toledo, OH, 43606, USA. Smujeeb73@gmail.com.
P Kasi RamanathanDepartment of Cardiovascular Medicine, Interventional Cardiology, Promedica Toledo Hospital, 2109 Hughes Dr, Jobst Tower 3rd Floor, Toledo, OH, 43606, USA.
University of Toledo · USProMedica Toledo Hospital · USDetroit Medical Center · USNazareth Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe majority of studies evaluating the effect of myocardial injury on the survival of COVID-19 patients have been performed outside of the United States (U.S.). These studies have often utilized definitions of myocardial injury that are not guideline-based and thus, not applicable to the U.S. PATIENT POPULATION:

methodsThe current study is a two-part investigation of the effect of myocardial injury on the clinical outcome of patients hospitalized with COVID-19. The first part is a retrospective analysis of 268 patients admitted to our healthcare system in Toledo, Ohio, U.S.; the second part is a systematic review and meta-analysis of all similar studies performed within the U.S.

resultsIn our retrospective analysis, patients with myocardial injury were older (mean age 73 vs. 59 years, P 0.001), more likely to have hypertension (86% vs. 67%, P 0.005), underlying cardiovascular disease (57% vs. 24%, P 0.001), and chronic kidney disease (26% vs. 10%, P 0.004). Myocardial injury was also associated with a lower likelihood of discharge to home (35% vs. 69%, P 0.001), and a higher likelihood of death (33% vs. 10%, P 0.001), acute kidney injury (74% vs. 30%, P 0.001), and circulatory shock (33% vs. 12%, P 0.001). Our meta-analysis included 12,577 patients from 8 U.S. states and 55 hospitals who were hospitalized with COVID-19, with the finding that myocardial injury was significantly associated with increased mortality (HR 2.43, CI 2.28-3.6, P 0.0005). The prevalence of myocardial injury ranged from 9.2 to 51%, with a mean prevalence of 27.2%.

conclusionHospitalized COVID-19 patients in the U.S. have a high prevalence of myocardial injury, which was associated with poorer survival and outcomes.

Indexed as

AgedCardiovascular DiseasesCOVID-19FemaleHospitalizationHumansMaleMiddle AgedMyocardial InfarctionOhioPrognosisRenal Insufficiency, ChronicRetrospective StudiesSARS-CoV-2Troponin ITroponin I

Identifiers

PMID34972516
PMCPMC8719604
OpenAlexW4206787808

What OpenQuestion holds

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LicenceCC BY
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.