Evidence map›Paper›PMID 35033701›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

Eosinophilia Is Associated with Improved COVID-19 Outcomes in Inhaled Corticosteroid-Treated Patients.

Joe G Zein, Ronald Strauss, Amy H Attaway, Bo Hu, Alex Milinovich, Nesreen Jawhari, Soulaima S Chamat, Victor E Ortega

Open access · bronzeAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 26 citations in OpenAlex.

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  9. Immune Response Dynamics and Biomarkers in COVID-19 Patients.International journal of molecular sciences · 2024
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  13. Differences in Mortality Among Patients With Asthma and COPD Hospitalized With COVID-19.The journal of allergy and clinical immunology. In practice · 2023
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  19. Inhaled corticosteroids for the treatment of COVID-19.European respiratory review : an official journal of the European Respiratory Society · 2022
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  20. 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

8 authors at 3 institutions in 2 countries.

Joe G ZeinDepartment of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio; Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: zeinj@ccf.org.
Ronald StraussCleveland Allergy and Asthma Center, Cleveland, Ohio.
Amy H AttawayDepartment of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio; Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Bo HuDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Alex MilinovichDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Nesreen JawhariCleveland Allergy and Asthma Center, Cleveland, Ohio.
Soulaima S ChamatFaculty of Medicine, Lebanese University, Hadath, Lebanon.
Victor E OrtegaDivision of Pulmonary Medicine, Department of Medicine, Mayo Clinic, Scottsdale, Ariz.
Cleveland Clinic Lerner College of Medicine · USLebanese University · LBMayo Clinic in Arizona · US

Funding

Gender-based precision care for asthmaK08HL133381 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ZEIN, JOE · 2017 to 2021
$836k
NHLBI NIH HHS K08 HL133381
6 · The paper itself

Abstract

backgroundIn addition to their proinflammatory effect, eosinophils have antiviral properties. Similarly, inhaled corticosteroids (ICS) were found to suppress coronavirus replication in vitro and were associated with improved outcomes in coronavirus disease 2019 (COVID-19). However, the interplay between the two and its effect on COVID-19 needs further evaluation.

objectiveTo determine the associations among preexisting blood absolute eosinophil counts, ICS, and COVID-19-related outcomes.

methodsWe analyzed data from the Cleveland Clinic COVID-19 Research Registry (April 1, 2020 to March 31, 2021). Of the 82,096 individuals who tested positive, 46,397 had blood differential cell counts obtained before severe acute respiratory syndrome coronavirus 2 testing dates. Our end points included the need for hospitalization, admission to the intensive care unit (ICU), and in-hospital mortality. The effect of eosinophilia on outcomes was estimated after propensity weighting and adjustment.

resultsOf the 46,397 patients included in the final analyses, 19,506 had preexisting eosinophilia (>0.15 × 10

conclusionsThe association between eosinophilia and improved COVID-19 outcomes depends on ICS. Future randomized controlled trials are needed to determine the role of ICS and its interaction with eosinophilia in COVID-19 therapy.

Indexed as

COVID-19EosinophiliaPulmonary Disease, Chronic ObstructiveAdrenal Cortex HormonesCOVID-19 TestingHumansSARS-CoV-2Adrenal Cortex HormonesAsthmaChronic obstructive pulmonary diseaseCOVID-19EosinophiliaInhaled corticosteroidsSevere acute respiratory syndrome coronavirus 2

Identifiers

PMID35033701
PMCPMC8757367
OpenAlexW4206178118

What OpenQuestion holds

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Registered trials

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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.