Evidence map›Paper›PMID 36316693›Full record

Observational studyRespiratory research2022

Lung perfusion assessed by SPECT/CT after a minimum of three months anticoagulation therapy in patients with SARS-CoV-2-associated acute pulmonary embolism: a retrospective observational study.

Thomas M Berghaus, Stefanie Bader, Christian Faul, Sabine Haberl, Florian Schwarz, Alessandro Liebich, Alexander Dierks, Malte Kircher, Constantin Lapa, Christian H Pfob

Open access · goldAbstract readObservational StudyLetter
In one paragraph

Observational study in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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, 5 citations in OpenAlex.

  1. Observational
  2. Article
  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

10 authors at 3 institutions in 1 country.

Thomas M BerghausDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, University of Augsburg, Stenglinstrasse 2, D-86156, Augsburg, Germany. thomas.berghaus@uk-augsburg.de.
Stefanie BaderDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, University of Augsburg, Stenglinstrasse 2, D-86156, Augsburg, Germany.
Christian FaulDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, University of Augsburg, Stenglinstrasse 2, D-86156, Augsburg, Germany.
Sabine HaberlDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, University of Augsburg, Stenglinstrasse 2, D-86156, Augsburg, Germany.
Florian SchwarzDepartment of Radiology, University Hospital Augsburg, University of Augsburg, Augsburg, Germany.
Alessandro LiebichNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Alexander DierksNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Malte KircherNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Constantin LapaNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Christian H PfobNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
University of Augsburg · DEUniversity Hospital Augsburg · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnticoagulant treatment is recommended for at least three months after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related acute pulmonary embolism (PE), but the persistent pulmonary clot burden after that time is unknown.

methodsLung perfusion was assessed by ventilation-perfusion (V/Q) SPECT/CT in 20 consecutive patients with SARS-CoV-2-associated acute PE after a minimum of three months anticoagulation therapy in a retrospective observational study.

resultsRemaining perfusion defects after a median treatment period of six months were observed in only two patients. All patients (13 men, seven women, mean age 55.6 ± 14.5 years) were on non-vitamin K direct oral anticoagulants (DOACs). No recurrent venous thromboembolism or anticoagulant-related bleeding complications were observed. Among patients with partial clinical recovery, high-risk PE and persistent pulmonary infiltrates were significantly more frequent (p < 0.001, respectively).

interpretationTemporary DOAC treatment seems to be safe and efficacious for resolving pulmonary clot burden in SARS-CoV-2-associated acute PE. Partial clinical recovery is more likely caused by prolonged SARS-CoV-2-related parenchymal lung damage rather than by persistent pulmonary perfusion defects.

Indexed as

COVID-19Pulmonary EmbolismAcute DiseaseAdultAgedAnticoagulantsFemaleHumansLungMaleMiddle AgedPerfusionSARS-CoV-2Single Photon Emission Computed Tomography Computed TomographyAnticoagulantsAcute pulmonary embolismAnticoagulation therapyCOVID-19DOACPersistent pulmonary perfusion defectsSARS-CoV-2SPECT/CT

Identifiers

PMID36316693
PMCPMC9620596
OpenAlexW4307885571

What OpenQuestion holds

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LicenceCC BY
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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.