Evidence map›Paper›PMID 36243636›Full record

Observational studyArchivos de bronconeumologia2022

Utility of Differential White Cell Count and Cell Population Data for Ruling Out COVID-19 Infection in Patients With Community-Acquired Pneumonia.

Ane Uranga, Eloisa Urrechaga, Urko Aguirre, Maider Intxausti, Carlos Ruiz-Martinez, Maria Jose Lopez de Goicoechea, Cristina Ponga, Jose María Quintana, Cristina Sancho, Pilar Sanz and 3 more

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Archivos de bronconeumologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. 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

13 authors at 4 institutions in 1 country.

Ane UrangaDepartment of Pneumology, Universitary Hospital of Galdakao-Usansolo, Galdakao, Spain; BioCruces Bizkaia Health Reasearch Institute, Baracaldo, Spain. Electronic address: ane.urangaecheverria@osakidetza.eus.
Eloisa UrrechagaBioCruces Bizkaia Health Reasearch Institute, Baracaldo, Spain; Laboratory, Universitary Hospital of Galdakao-Usansolo, Galdakao, Spain.
Urko AguirreOsakidetza Basque Health Service, Galdakao-Usansolo University Hospital, Research Unit, Galdakao, Spain; Health Service Research Network on Chronic Diseases (REDISSEC), Bizkaia, Spain; Kronikgune Institute for Health Services Research, Barakaldo, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Maider IntxaustiDepartment of Pneumology, Universitary Hospital of Basurto, Bilbao, Spain.
Carlos Ruiz-MartinezDepartment of Pneumology, Universitary Hospital of San Pedro Logroño, La Rioja, Spain.
Maria Jose Lopez de GoicoecheaDepartment of Microbiology, Universitary Hospital of Galdakao-Usansolo, Galdakao, Spain.
Cristina PongaBioCruces Bizkaia Health Reasearch Institute, Baracaldo, Spain; Laboratory, Universitary Hospital of Galdakao-Usansolo, Galdakao, Spain.
Jose María QuintanaOsakidetza Basque Health Service, Galdakao-Usansolo University Hospital, Research Unit, Galdakao, Spain; Health Service Research Network on Chronic Diseases (REDISSEC), Bizkaia, Spain; Kronikgune Institute for Health Services Research, Barakaldo, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Cristina SanchoDepartment of Pneumology, Universitary Hospital of Basurto, Bilbao, Spain.
Pilar SanzDepartment of Biomedical Diagnostics, Universitary Hospital of San Pedro Logroño, La Rioja, Spain.
Pedro Pablo EspañaDepartment of Pneumology, Universitary Hospital of Galdakao-Usansolo, Galdakao, Spain; BioCruces Bizkaia Health Reasearch Institute, Baracaldo, Spain.
LEUCOCAP STUDY GROUP
LEUCOCAP STUDY GROUP
Hospital de Galdakao · ESHospital San Pedro · ESOsasun Sistemen Ikerketa Institutua · ESHospital de Basurto · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe main aim of this study was to assess the utility of differential white cell count and cell population data (CPD) for the detection of COVID-19 in patients admitted for community-acquired pneumonia (CAP) of different etiologies.

methodsThis was a multicenter, observational, prospective study of adults aged ≥18 years admitted to three teaching hospitals in Spain from November 2019 to November 2021 with a diagnosis of CAP. At baseline, a Sysmex XN-20 analyzer was used to obtain detailed information related to the activation status and functional activity of white cells.

resultsThe sample was split into derivation and validation cohorts of 1065 and 717 patients, respectively. In the derivation cohort, COVID-19 was confirmed in 791 patients and ruled out in 274 patients, with mean ages of 62.13 (14.37) and 65.42 (16.62) years, respectively (p<0.001). There were significant differences in all CPD parameters except MO-Y. The multivariate prediction model showed that lower NE-X, NE-WY, LY-Z, LY-WY, MO-WX, MO-WY, and MO-Z values and neutrophil-to-lymphocyte ratio were related to COVID-19 etiology with an AUC of 0.819 (0.790, 0.846). No significant differences were found comparing this model to another including biomarkers (p=0.18).

conclusionsAbnormalities in white blood cell morphology based on a few cell population data values as well as NLR were able to accurately identify COVID-19 etiology. Moreover, systemic inflammation biomarkers currently used were unable to improve the predictive ability. We conclude that new peripheral blood biomarkers can help determine the etiology of CAP fast and inexpensively.

Indexed as

Community-Acquired InfectionsCOVID-19PneumoniaAdolescentAdultBiomarkersHumansLeukocyte CountProspective StudiesBiomarkersBiomarkersCell population dataCOVID-19LeucocytesPneumoniaSymex XN

Identifiers

PMID36243636
PMCPMC9489980
OpenAlexW4296967236

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.