Evidence map›Paper›PMID 35187467›Full record

ArticleClinical infection in practice2022

Higher mortality of hospitalized haematologic patients with COVID-19 compared to non-haematologic is driven by thrombotic complications and development of ARDS: An age-matched cohorts study.

Ana Fernández-Cruz, Alba Puyuelo, Lucía Núñez Martín-Buitrago, Enrique Sánchez-Chica, Carmen Díaz-Pedroche, Rosa Ayala, Manuel Lizasoain, Rafael Duarte, Carlos Lumbreras, Juan Antonio Vargas

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical infection in practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  3. Observational
  4. Review
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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

10 authors at 2 institutions in 1 country.

Ana Fernández-CruzInfectious Diseases Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Alba PuyueloHaematology Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Lucía Núñez Martín-BuitragoHaematology Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Enrique Sánchez-ChicaInternal Medicine Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Carmen Díaz-PedrocheInternal Medicine Department, Hospital Doce de Octubre, Madrid, Spain.
Rosa AyalaHaematology Department, Hospital Doce de Octubre, Madrid, Spain.
Manuel LizasoainInfectious Diseases Department, Hospital Doce de Octubre, Madrid, Spain.
Rafael DuarteHaematology Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Carlos LumbrerasInfectious Diseases Department, Hospital Doce de Octubre, Madrid, Spain.
Juan Antonio VargasInternal Medicine Department, Hospital Puerta de Hierro-Majadahonda, Madrid, Spain.
Hospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe characteristics of COVID-19 in haematologic patients compared to non-haematologic patients have seldom been analyzed. Our aim was to analyze whether there are differences in clinical characteristics and outcome of haematologic patients with COVID-19 as compared to non-haematologic. PATIENTS AND

methodsRetrospective cohort study in 2 University hospitals of patients admitted with laboratory-confirmed COVID-19 included in the SEMICOVID19 database. The cohort with underlying haematologic disease was compared to a cohort of age and date-of-COVID-19-matched controls without haematologic disease (1:2).

results71 cases and 142 controls were included from March-May 2020.Twenty (28.1%) had received recent chemotherapy. Twelve (16.9%) were stem cell transplant recipients (SCT). Eleven (15.5%) were neutropenic concurrently with COVID-19 diagnosis.Haematologic patients presented ARDS (58.5 vs 20.7%, p = 0.0001), thrombotic complications (15.7 vs 2.1%, p = 0.002), DIC (5.7 vs 0.0%, p = 0.011), heart failure (14.3 vs 4.9%, p = 0.029) and required ICU admission (15.5 vs 2.8%, p = 0.001), MV (14.1% vs 2.1%, p 0.001), steroid (64.8 vs 33.1%, p = 0.0001), tocilizumab (33.8 vs 8.5%, p = 0.0001) or anakinra treatment (9.9% vs 0%, p = 0.0001) more often. In-hospital mortality was significantly higher (38.0% vs 18.3%, p = 0.002).

conclusionsOur results suggest COVID-19 has worse outcomes in haematologic patients than in non-haematologic, independently of age, and that the development of ARDS and thrombotic complications drive the higher in-hospital mortality.

Indexed as

ARDS, acute respiratory distress syndromeCI, confidence intervalCLL, chronic lymphocytic leukemiaCOVID-19COVID-19, Coronavirus disease 2019C-RP, C-reactive proteinDIC, disseminated intravascular coagulationECOG scale, Eastern Cooperative Oncology Group scaleG-CSF, granulocyte stimulating factorHaematologicHFNC, high flow nasal cannulaICU, Intensive Care UnitIL6, Interleukin 6IQR, interquartile rangeLDH, Lactate dehydrogenaseMDS, myelodysplastic syndromeMM, multiple myelomaMortalityMV, mechanical ventilationNHL, non-Hodgkin lymphomaNIMV, non-invasive mechanical ventilationOR, Odds ratioOutcomePaO2/FiO2, arterial oxygen tension/inspiratory oxygen fractionPEEP, positive end expiratory pressureSARS-CoV-2, Severe acute respiratory syndrome coronavirus 2SCT, stem cell transplantationSD, standard deviation

Identifiers

PMID35187467
PMCPMC8843327
OpenAlexW4213162663

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.