Evidence map›Paper›PMID 35597408›Full record

ArticleNitric oxide : biology and chemistry2022

Fractional exhaled Nitric Oxide (FeNO) level as a predictor of COVID-19 disease severity.

Yotam Lior, Noga Yatzkan, Ido Brami, Yuval Yogev, Reut Riff, Idan Hekselman, Moran Fremder, Gabriella Freixo-Lima, Moria Be'er, Israel Amirav and 1 more

Abstract read
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Article in Nitric oxide : biology and chemistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

11 authors.

Yotam LiorDivision of Anesthesia, Intensive Care, and Pain Medicine, Tel Aviv Medical Center, Tel Aviv, Israel Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: Yotam.lior1@gmail.com.
Noga YatzkanDivision of Anesthesia, Intensive Care, and Pain Medicine, Tel Aviv Medical Center, Tel Aviv, Israel Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ido BramiFaculty of Health Sciences. Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Yuval YogevFaculty of Health Sciences. Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Reut RiffDepartment of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel.
Idan HekselmanFaculty of Health Sciences. Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Moran FremderFaculty of Health Sciences. Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Gabriella Freixo-LimaFaculty of Health Sciences. Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Moria Be'erPediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Israel AmiravPediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Moran LaviePediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility of Fractional exhaled Nitric Oxide (FeNO) as a simple, non-invasive, cost-effective and portable biomarker and decision support tool for risk stratification of COVID-19 patients.

methodsWe conducted a single-center prospective cohort study of COVID-19 patients whose FeNO levels were measured upon ward admission by the Vivatmo-me handheld device. Demographics, COVID-19 symptoms, and relevant hospitalization details were retrieved from the hospital databases. The patients were divided into those discharged to recover at home and those who died during hospitalization or required admission to an intensive care unit, internal medicine ward, or dedicated facility (severe outcomes group).

resultsFifty-six patients were enrolled. The only significant demographic difference between the severe outcomes patients (n = 14) and the home discharge patients (n = 42) was age (64.21 ± 13.97 vs. 53.98 ± 15.57 years, respectively, P = .04). The admission FeNO measurement was significantly lower in the former group compared with the latter group (15.86 ± 14.74 vs. 25.77 ± 13.79, parts per billion [PPB], respectively, P = .008). Time to severe outcome among patients with FeNO measurements ≤11.8 PPB was significantly shorter compared with patients whose FeNO measured >11.8 PPB (19.25 ± 2.96 vs. 24.41 ± 1.09 days, respectively, 95% confidence interval [CI] 1.06 to 4.25). An admission FeNO ≤11.8 PPB was a significant risk factor for severe outcomes (odds ratio = 12.8, 95% CI: 2.78 to 58.88, P = .001), with a receiver operating characteristics curve of 0.752.

conclusionsFeNO measurements by the Vivatmo-me handheld device can serve as a biomarker and COVID-19 support tool for medical teams. These easy-to-use, portable, and noninvasive devices may serve as valuable ED bedside tools during a pandemic.

Indexed as

COVID-19ExhalationBiomarkersBreath TestsFractional Exhaled Nitric Oxide TestingHumansNitric OxideProspective StudiesSeverity of Illness IndexBiomarkersNitric OxideACE2COVID-19FeNOPrognosisScoring

Identifiers

PMID35597408
PMCPMC9116042

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.