Evidence map›Paper›PMID 35215865›Full record

ArticleViruses2022

Maternal Death by COVID-19 Associated with Elevated Troponin T Levels.

Johnatan Torres-Torres, Raigam Jafet Martinez-Portilla, Salvador Espino Y Sosa, Juan Mario Solis-Paredes, Jose Antonio Hernández-Pacheco, Paloma Mateu-Rogell, Anette Cravioto-Sapien, Adolfo Zamora-Madrazo, Guadalupe Estrada-Gutierrez, Miguel Angel Nares-Torices and 6 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

16 authors at 6 institutions in 1 country.

Johnatan Torres-TorresClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0002-9524-4133
Raigam Jafet Martinez-PortillaClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0003-4711-3857
Salvador Espino Y SosaClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0001-7276-8463
Juan Mario Solis-ParedesClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0003-4529-8296
Jose Antonio Hernández-PachecoClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.
Paloma Mateu-RogellClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0002-5677-5572
Anette Cravioto-SapienClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.
Adolfo Zamora-MadrazoClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.
Guadalupe Estrada-GutierrezClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.ORCID 0000-0001-9551-9021
Miguel Angel Nares-ToricesClinical Research Branch, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City 11000, Mexico.
Norma Patricia Becerra-NavarroABC Medical Center, Medical Association, Mexico City 05330, Mexico.
Virginia Medina-JimenezIberoamerican Research Network in Obstetrics, Gynecology and Translational Medicine, Mexico City 06720, Mexico.
Jose Rafael Villafan-BernalIberoamerican Research Network in Obstetrics, Gynecology and Translational Medicine, Mexico City 06720, Mexico.
Lourdes Rojas-ZepedaInstituto Materno Infantil del Estado de México, Toluca 50170, Mexico.
Diana Hipolita Loya-DiazMaternal Fetal Medicine Department, Hospital General de Mexico "Dr. Eduardo Liceaga", Mexico City 06720, Mexico.
Manuel Casillas-BarreraHospital de la Mujer, Mexico City 11340, Mexico.
Ibero American University · MXInstituto Nacional de Perinatología · MXCentro Médico ABC · MXHospital General de México · MXInstituto de Salud del Estado de México · MXInstituto Nacional de las Mujeres · MX

Funding

Instituto Nacional de Perinatología 2020-1-32
6 · The paper itself

Abstract

Cardiomyocyte injury and troponin T elevation has been reported within COVID-19 patients and are associated with a worse prognosis. Limited data report this association among COVID-19 pregnant patients.

objectiveWe aimed to analyze the association between troponin T levels in severe COVID-19 pregnant women and risk of viral sepsis, intensive care unit (ICU) admission, or maternal death.

methodsWe performed a prospective cohort of all obstetrics emergency admissions from a Mexican National Institute. All pregnant women diagnosed by reverse transcription-polymerase chain reaction (RT-qPCR) for SARS-CoV-2 infection between October 2020 and May 2021 were included. Clinical data were collected, and routine blood samples were obtained at hospital admission. Seric troponin T was measured at admission.

resultsFrom 87 included patients, 31 (35.63%) had severe COVID-19 pneumonia, and 6 (6.89%) maternal deaths. ROC showed a significant relationship between troponin T and maternal death (AUC 0.979, CI 0.500-1.000). At a cutoff point of 7 ng/mL the detection rate for severe pneumonia was 83.3% (95%CI: 0.500-0.100) at 10% false-positive rate.

conclusionCOVID-19 pregnant women with elevated levels of troponin T present a higher risk of death and severe pneumonia.

Indexed as

Maternal MortalityAdultCOVID-19FemaleHospitalizationHumansMexicoMyocytes, CardiacPneumoniaPregnancyPregnancy Complications, InfectiousProspective StudiesRisk FactorsSARS-CoV-2Severity of Illness IndexTroponin TTroponin TCOVID-19maternal deathtroponin T

Identifiers

PMID35215865
PMCPMC8878370
OpenAlexW4214507944

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.