Evidence map›Paper›PMID 36244256›Full record

ArticleJournal of critical care2022

Cardiac function in critically ill patients with severe COVID: A prospective cross-sectional study in mechanically ventilated patients.

Emilio Daniel Valenzuela, Pablo Mercado, Ronald Pairumani, Juan Nicolás Medel, Edward Petruska, Diego Ugalde, Felipe Morales, Daniela Eisen, Carla Araya, Jorge Montoya and 8 more

Open access · greenAbstract readMulticenter Study
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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Multiorgan Assessment with Transesophageal Ultrasound in Prone Ventilation Patients with Acute Respiratory Distress Syndrome: An Observational Study in Argentina.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 4 countries.

Emilio Daniel ValenzuelaDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: eevalenzuela@uc.cl.
Pablo MercadoDepartamento de Paciente Crítico, Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana - Universidad del Desarrollo, Santiago, Chile.
Ronald PairumaniUnidad de Cuidados Intensivos, Hospital Barros Luco Trudeau, Santiago, Chile.
Juan Nicolás MedelUnidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Santiago, Chile.
Edward PetruskaUnidad de Cuidados Intensivos, Hospital Barros Luco Trudeau, Santiago, Chile.
Diego UgaldeUnidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Santiago, Chile.
Felipe MoralesUnidad de Cuidados Intensivos, Hospital Barros Luco Trudeau, Santiago, Chile.
Daniela EisenUnidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Santiago, Chile.
Carla ArayaUnidad de Cuidados Intensivos, Hospital Barros Luco Trudeau, Santiago, Chile.
Jorge MontoyaUnidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Santiago, Chile.
Alejandra GonzalezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Maximiliano RovegnoDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Javier RamirezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Javiera AguileraDepartamento de Paciente Crítico, Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana - Universidad del Desarrollo, Santiago, Chile.
Glenn HernándezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Alejandro BruhnDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Michel SlamaMedical Intensive Care Unit, CHU Sud Amiens, Amiens, France.
Jan BakkerDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Department of intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, Netherlands; Department of Pulmonary and Critical Care, New York University, NYU Langone Health, New York, USA; Department of Pulmonary and Critical Care, Columbia University Medical Center, New York, USA.
Pontificia Universidad Católica de Chile · CLHospital Barros Luco-Trudeau · CLHospital Clínico de la Universidad de Chile · CLUniversidad del Desarrollo · CLCentre Hospitalier Universitaire Amiens-Picardie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate cardiac function in mechanically ventilated patients with COVID-19. MATERIALS AND

methodsProspective, cross-sectional multicenter study in four university-affiliated hospitals in Chile. All consecutive patients with COVID-19 ARDS requiring mechanical ventilation admitted between April and July 2020 were included. We performed systematic transthoracic echocardiography assessing right and left ventricular function within 24 h of intubation.

results140 patients aged 57 ± 11, 29% female were included. Cardiac output was 5.1 L/min [IQR 4.5-6.2] and 86% of the patients required norepinephrine. ICU mortality was 29% (40 patients). Fifty-four patients (39%) exhibited right ventricle dilation out of whom 20 patients (14%) exhibited acute cor pulmonale (ACP). Eight out of the twenty patients with ACP exhibited pulmonary embolism (40%). Thirteen patients (9%) exhibited left ventricular systolic dysfunction (ejection fraction <45%). In the multivariate analysis acute cor pulmonale and PaO

conclusionsRight ventricular dilation is highly prevalent in mechanically ventilated patients with COVID-19 ARDS. Acute cor pulmonale was associated with reduced pulmonary function and, in only 40% of patients, with co-existing pulmonary embolism. Acute cor pulmonale is an independent risk factor for ICU mortality.

Indexed as

COVID-19Heart FailurePulmonary EmbolismPulmonary Heart DiseaseRespiratory Distress SyndromeCritical IllnessCross-Sectional StudiesFemaleHumansMaleProspective StudiesRespiration, ArtificialAcute cor pulmonaleCardiac functionCOVID-19Mechanical ventilationMortalityRight ventricular dilation

Identifiers

PMID36244256
PMCPMC9557772
OpenAlexW4304997604

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.