Evidence map›Paper›PMID 35932632›Full record

ArticleAdvances in medical sciences2022

Inflammatory and thrombotic parameters associated with the COVID-19 course in Poland (SARSTer study).

Piotr Czupryna, Anna Moniuszko-Malinowska, Magdalena Rogalska, Dorota Zarębska-Michaluk, Beata Lorenc, Marta Rorat, Dorota Kozielewicz, Magdalena Tudrujek-Zdunek, Katarzyna Sikorska, Aleksandra Berkan-Kawińska and 15 more

Abstract read
In one paragraph

Article in Advances in medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Rotational Thromboelastometry (ROTEMJournal of clinical medicine · 2023
    Article
  6. Review
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

25 authors.

Piotr CzuprynaDepartment of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland.
Anna Moniuszko-MalinowskaDepartment of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Electronic address: anna.moniuszko-malinowska@umb.edu.pl.
Magdalena RogalskaDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Bialystok, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases, Jan Kochanowski University, Kielce, Poland.
Beata LorencPomeranian Center of Infectious Diseases, Department of Infectious Diseases, Medical University of Gdańsk, Gdańsk, Poland.
Marta RoratDepartment of Forensic Medicine, Wrocław Medical University, Wrocław, Poland; First Infectious Diseases Ward, Gromkowski Regional Specialist Hospital in Wrocław, Wrocław, Poland.
Dorota KozielewiczDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Poland.
Magdalena Tudrujek-ZdunekDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, Lublin, Poland.
Katarzyna SikorskaDepartment of Tropical Medicine and Epidemiology, Medical University of Gdańsk, Gdańsk, Poland.
Aleksandra Berkan-KawińskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, Łódź, Poland.
Beata BolewskaDepartment of Infectious Diseases, University of Medical Sciences, Poznań, Poland.
Włodzimierz MazurClinical Department of Infectios Diseases, Specialistic Hospital in Chorzów, Chorzów, Poland.
Justyna KowalskaDepartment of Adult's Infectious Diseases, Medical University of Warsaw, Warsaw, Poland.
Barbara Oczko-GrzesikDepartment of Infectious Diseases in Bytom, Medical University of Silesia, Katowice, Poland.
Regina PodlasinHospital of Infectious Diseases in Warsaw, Warsaw, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, Łódź, Poland.
Krzysztof KłosDepartment of Infectious Diseases and Allergology, Military Institute of Medicine, Warsaw, Poland.
Aleksandra SzymczakDepartment of Infectious Diseases, Liver Diseases and Acquired Immune Deficiencies, Wrocław Medical University, Wrocław, Poland.
Piotr LeszczyńskiDepartment of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poland.
Katarzyna MaciejewskaDepartment of Infectious Diseases, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Sławomir PancewiczDepartment of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland.
Jerzy JaroszewiczDepartment of Infectious Diseases in Bytom, Medical University of Silesia, Katowice, Poland.
Robert MilewskiDepartment of Statistics and Medical Informatics, Medical University of Bialystok, Bialystok, Poland.
Monika GrothDepartment of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Bialystok, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to assess the coagulation and inflammatory markers connected with severe course of COVID-19 and no clinical improvement. MATERIAL AND

methodsThe study population included 2590 adult patients, diagnosed with COVID-19, selected from the SARSTer national database - an ongoing project led by the Polish Association of Epidemiologists and Infectiologists and supported by the Medical Research Agency. Clinical and laboratory parameters, such as C-reactive protein (CRP), white blood cells (WBCs), neutrophil and lymphocyte count, procalcitonin, ferritin, interleukin-6 (IL-6), D-dimer concentration and platelet (PLT) count were analyzed before and after treatment (remdesivir, tocilizumab, dexamethasone, anticoagulants).

resultsSignificant differences between patients with mild and severe course of the disease were observed in all examined parameters before treatment (p ​< ​0.05). After treatment only ferritin concentration did not differ significantly. In patients with pulmonary embolism, CRP concentration, neutrophil count, D-dimer and IL-6 concentration were significantly higher than in patients without embolism (p ​< ​0.05). The significant differences between the groups with and without fatal outcome were observed within all analyzed parameters. Significant differences in all examined parameters before treatment were observed between patients with and without clinical improvement (p ​< ​0.05). Multivariate logistic regression showed that no clinical improvement was associated with: IL-6>100 ​pg/ml (OR-2.14), D-dimer concentration over 1000 ​ng/ml (OR-1.62) and PLT count below 150,000/μl (OR-1.57).

conclusionsSevere course of the disease is associated with lower PLT and lymphocyte count, higher D-dimer, CRP, neutrophil count and IL-6 concentration. The best predictors of no clinical improvement in COVID-19 are: IL-6>100 ​pg/ml, D-dimer>1000 ​ng/ml and PLT<150,000/μl.

Indexed as

COVID-19ThrombosisAdultAnticoagulantsBiomarkersC-Reactive ProteinDexamethasoneFerritinsHumansInterleukin-6PolandProcalcitoninRetrospective StudiesAnticoagulantsBiomarkersC-Reactive ProteinDexamethasoneFerritinsInterleukin-6ProcalcitoninCOVID-19D-dimerFerritinIL-6Neutrophil

Identifiers

PMID35932632
PMCPMC9296792

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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.