Evidence map›Paper›PMID 35863211›Full record

ArticleJournal of critical care2022

Heart rate variability and adrenal size provide clues to sudden cardiac death in hospitalized COVID-19 patients.

Benjamin L Ranard, Murad Megjhani, Kalijah Terilli, Hirad Yarmohammadi, John Ausiello, Soojin Park

Open access · greenAbstract read
In one paragraph

Article in Journal of critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 26% 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, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

6 authors at 3 institutions in 1 country.

Benjamin L RanardDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America.
Murad MegjhaniProgram for Hospital and Intensive Care Informatics, Departments of Neurology and Biomedical Informatics, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America.
Kalijah TerilliProgram for Hospital and Intensive Care Informatics, Departments of Neurology and Biomedical Informatics, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America.
Hirad YarmohammadiDivision of Cardiology, Department of Medicine, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America.
John AusielloDivision of Endocrinology, Department of Medicine, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America.
Soojin ParkProgram for Hospital and Intensive Care Informatics, Departments of Neurology and Biomedical Informatics, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States of America. Electronic address: sp3291@cumc.columbia.edu.
NewYork–Presbyterian Hospital · USColumbia University · USNew York Hospital Queens · US

Funding

Patient Safety and Health Services Research TrainingT32HS026121 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ADELMAN, JASON STUART, BARR, R GRAHAM · 2018 to 2024
$2.4M
Machine Learning to Optimize Management of Acute Hydrocephalus PatientsR21NS113055 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PARK, SOOJIN · 2020 to 2020
$446k
AHRQ HHS T32 HS026121NINDS NIH HHS R21 NS113055
6 · The paper itself

Abstract

purposeTo examine the association between a measure of heart rate variability and sudden cardiac death (SCD) in COVID-19 patients.

methodsPatients with SARS-COV-2 infection admitted to Columbia University Irving Medical Center who died between 4/25/2020 and 7/14/2020 and had an autopsy were examined for root mean square of successive differences (RMSSD), organ weights, and evidence of SCD.

resultsThirty COVID-19 patients were included and 12 had SCD. The RMSSD over 7 days without vs with SCD was median 0.0129 (IQR 0.0074-0.026) versus 0.0098 (IQR 0.0056-0.0197), p < 0.0001. The total adjusted adrenal weight of the non-SCD group was 0.40 g/kg (IQR 0.35-0.55) versus 0.25 g/kg (IQR 0.21-0.31) in the SCD group, p = 0.0007.

conclusionsHospitalized patients with COVID-19 who experienced SCD had lower parasympathetic activity (RMSSD) and smaller sized adrenal glands. Further research is required to replicate these findings.

Indexed as

COVID-19AutopsyDeath, Sudden, CardiacHeart RateHumansRisk FactorsSARS-CoV-2

Identifiers

PMID35863211
PMCPMC9291038
OpenAlexW4285725490

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.