Evidence map›Paper›PMID 34999755›Full record

ArticleAmerican journal of clinical pathology2022

Pulmonary Pathology of End-Stage COVID-19 Disease in Explanted Lungs and Outcomes After Lung Transplantation.

Abdallah Flaifel, Benjamin Kwok, Jane Ko, Stephanie Chang, Deane Smith, Fang Zhou, Luis A Chiriboga, Briana Zeck, Neil Theise, Darya Rudym and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Potential mechanisms for lung fibrosis associated with COVID-19 infection.QJM : monthly journal of the Association of Physicians · 2023
    Review
  8. Review
  9. Review
  10. Article
  11. What remains in the pulmonary tissue after acute COVID-19?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  12. Article
  13. 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

14 authors at 1 institution in 1 country.

Abdallah FlaifelDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Benjamin KwokMedicine, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Jane KoRadiology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Stephanie ChangCardiothoracic Surgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.ORCID 0000-0002-6254-7832
Deane SmithCardiothoracic Surgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Fang ZhouDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.ORCID 0000-0002-5542-2994
Luis A ChiribogaDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.ORCID 0000-0002-2028-6873
Briana ZeckDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Neil TheiseDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Darya RudymMedicine, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Melissa LeskoMedicine, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Luis AngelMedicine, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Andre MoreiraDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Navneet NarulaDepartments of Pathology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
NYU Langone Health · US

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
Sandy Recovery Ventana Medical Systems Discovery XTS10OD018338 · OD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHIRIBOGA, LUIS A · 2014 to 2014
$123k
NCI NIH HHS P30 CA016087NIH HHS S10 OD018338
6 · The paper itself

Abstract

objectivesPatients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection may develop end-stage lung disease requiring lung transplantation. We report the clinical course, pulmonary pathology with radiographic correlation, and outcomes after lung transplantation in three patients who developed chronic respiratory failure due to postacute sequelae of SARS-CoV-2 infection.

methodsA retrospective histologic evaluation of explanted lungs due to coronavirus disease 2019 was performed.

resultsNone of the patients had known prior pulmonary disease. The major pathologic findings in the lung explants were proliferative and fibrotic phases of diffuse alveolar damage, interstitial capillary neoangiogenesis, and mononuclear inflammation, specifically macrophages, with varying numbers of T and B lymphocytes. The fibrosis varied from early collagen deposition to more pronounced interstitial collagen deposition; however, pulmonary remodeling with honeycomb change was not present. Other findings included peribronchiolar metaplasia, microvascular thrombosis, recanalized thrombi in muscular arteries, and pleural adhesions. No patients had either recurrence of SARS-CoV-2 infection or allograft rejection following transplant at this time.

conclusionsThe major pathologic findings in the lung explants of patients with SARS-CoV-2 infection suggest ongoing fibrosis, prominent macrophage infiltration, neoangiogenesis, and microvascular thrombosis. Characterization of pathologic findings could help develop novel management strategies.

Indexed as

COVID-19Lung TransplantationThrombosisFibrosisHumansLungRetrospective StudiesSARS-CoV-2COVID-19FibrosisLungPathologyTransplantation

Identifiers

PMID34999755
PMCPMC8755396
OpenAlexW4205273032

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.