Evidence map›Paper›PMID 35011941›Full record

ReviewJournal of clinical medicine2021

Acute Mesenteric Ischemia in COVID-19 Patients.

Dragos Serban, Laura Carina Tribus, Geta Vancea, Anca Pantea Stoian, Ana Maria Dascalu, Andra Iulia Suceveanu, Ciprian Tanasescu, Andreea Cristina Costea, Mihail Silviu Tudosie, Corneliu Tudor and 3 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Review
  2. Article
  3. Gastric Ischemia after SARS-CoV-2 Infection.Life (Basel, Switzerland) · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Gastrointestinal perforation and vascular thrombosis in patients with corona virus disease-19: A life-threatening problem.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2022
    Article
  16. Article
  17. Review
  18. 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

13 authors.

Dragos SerbanFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0002-1380-2112
Laura Carina TribusFaculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Geta VanceaFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0003-2133-909X
Anca Pantea StoianFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0003-0555-526X
Ana Maria DascaluFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0002-7474-2395
Andra Iulia SuceveanuFaculty of Medicine, Ovidius University Constanta, 900470 Constanta, Romania.
Ciprian TanasescuFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Andreea Cristina CosteaDepartment of Nephrology, Diaverum Clinic Constanta, 900612 Constanta, Romania.
Mihail Silviu TudosieFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Corneliu TudorFourth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Gabriel Andrei GanguraFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Lucian DutaFourth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Daniel Ovidiu CosteaFaculty of Medicine, Ovidius University Constanta, 900470 Constanta, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute mesenteric ischemia is a rare but extremely severe complication of SARS-CoV-2 infection. The present review aims to document the clinical, laboratory, and imaging findings, management, and outcomes of acute intestinal ischemia in COVID-19 patients. A comprehensive search was performed on PubMed and Web of Science with the terms "COVID-19" and "bowel ischemia" OR "intestinal ischemia" OR "mesenteric ischemia" OR "mesenteric thrombosis". After duplication removal, a total of 36 articles were included, reporting data on a total of 89 patients, 63 being hospitalized at the moment of onset. Elevated D-dimers, leukocytosis, and C reactive protein (CRP) were present in most reported cases, and a contrast-enhanced CT exam confirms the vascular thromboembolism and offers important information about the bowel viability. There are distinct features of bowel ischemia in non-hospitalized vs. hospitalized COVID-19 patients, suggesting different pathological pathways. In ICU patients, the most frequently affected was the large bowel alone (56%) or in association with the small bowel (24%), with microvascular thrombosis. Surgery was necessary in 95.4% of cases. In the non-hospitalized group, the small bowel was involved in 80%, with splanchnic veins or arteries thromboembolism, and a favorable response to conservative anticoagulant therapy was reported in 38.4%. Mortality was 54.4% in the hospitalized group and 21.7% in the non-hospitalized group (

Indexed as

acute mesenteric ischemiaCOVID-19cytokinesendothelitishypercoagulabilitySARS-CoV-2thromboemboembolism

Identifiers

PMID35011941
PMCPMC8745985

What OpenQuestion holds

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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.