Evidence map›Paper›PMID 35137376›Full record

SynthesisAdvances in experimental medicine and biology2021

Anatomopathological Aspects and Clinical Correlation of COVID-19: A Systematic Review.

Claúdio Gleidiston Lima da Silva, Jéssica Rayanne Pereira Santana, Luiz Fellipe Gonçalves Pinheiro, Grecia Oliveira de Sousa, Lívia Maria Angelo Galvão, Karla Graziely Soares Gomes, Karina Alves Medeiros, Luana Araújo Diniz, Ítalo Goncalves Pita de Oliveira, Esther Barbosa Gonçalves Felix and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Advances in experimental medicine and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Claúdio Gleidiston Lima da SilvaSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Jéssica Rayanne Pereira SantanaSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Luiz Fellipe Gonçalves PinheiroSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Grecia Oliveira de SousaSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Lívia Maria Angelo GalvãoSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Karla Graziely Soares GomesSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Karina Alves MedeirosSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Luana Araújo DinizSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Ítalo Goncalves Pita de OliveiraSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Esther Barbosa Gonçalves FelixSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Amanda Célia Fernandes SampaioSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.
Modesto Leite Rolim NetoSchool of Medicine, Federal University of Cariri, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil. modesto.neto@ufca.edu.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this systematic review was to analyze the main morphofunctional changes in the involvement of multiple organs in patients infected with SARS-CoV-2, correlating anatomopathological findings with the clinical picture.

methodsThe present study selected articles through electronic search of indexed journals in the PubMed and SciVerse Scopus databases, from December 2019 to May 2020, using the keywords "autopsy," "pathogenicity," and "COVID-19." Two hundred nine articles were identified, and the full texts of 18 articles were reviewed, 5 of them being selected for this review.

resultsThe ACE2 receptor plays a role in introducing viral material into the cell, having high expression in type II alveoli. Histopathological analyzes of the lungs of patients with COVID-19 show that SARS-CoV-2 produces, in this organ, in addition to an inflammatory process, a diffuse alveolar damage (DAD), which can cause acute respiratory distress syndrome (ARDS). Macroscopically, the lungs become heavier, firmer, and redder. The clinical features of these patients are variable; the most common are respiratory symptoms associated with fever, myalgia, or fatigue.

conclusionThe observations points to the consensus that the lungs are the main targets of COVID-19, with morphological and functional changes of interest, including important sequels, and presenting diffuse alveolar damage as a substrate for an unfavorable outcome with ARDS. Changes in micro and macroscopic levels corroborate to the clinical progression of the disease and that these alterations are not specific, which ratify, in addition to the anatomopathological examination, a need to use the association of clinical and epidemiological data for diagnostic confirmation.

Indexed as

COVID-19Respiratory Distress SyndromeHumansLungPulmonary AlveoliSARS-CoV-2Anatomopathological aspectsClinical correlationCOVID-19SARS-CoV-2

Identifiers

What OpenQuestion holds

Textmetadata
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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.