Evidence map›Paper›PMID 36418669›Full record

SynthesisClinical and experimental medicine2023

Predictive value of C-reactive protein for disease severity and survival in COVID-19 patients: a systematic review and meta-analysis.

Lihong Chi, Shuai Wang, Xiaoyu Wang, Chengwu Yang, Jianghong Luo

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and experimental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Article
  7. Utility of Protein Markers in COVID-19 Patients.International journal of molecular sciences · 2025
    Review
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  12. Observational
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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

5 authors.

Lihong Chi *Department of Public Health and Health Management, Gannan Medical University, Ganzhou, Jiangxi, 341004, China.
Shuai Wang *Department of Public Health and Health Management, Gannan Medical University, Ganzhou, Jiangxi, 341004, China.
Xiaoyu WangDepartment of Public Health and Health Management, Gannan Medical University, Ganzhou, Jiangxi, 341004, China.
Chengwu YangDepartment of Population and Quantitative Health Sciences, TH Chan School of Medicine, UMass Chan Medical School, 368 Plantation Street, Worcester, MA, 01605, USA. Chengwu.Yang@umassmed.edu.
Jianghong LuoDepartment of Public Health and Health Management, Gannan Medical University, Ganzhou, Jiangxi, 341004, China. luojh1212@gmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious disease that can develop multiple complications and even be life-threatening. The aim of this study is to summarize current evidence of C-reactive protein's (CRP) predictive value for disease severity and survival of COVID-19 patients, focusing on curing patients and reducing the risk of death. We systematically searched related studies from four large databases: Web of Science, PubMed, China National Knowledge Infrastructure (CNKI), and Wanfang Database, all published between December 2019 and June 2021. Then, we implemented meta-analysis using random-effects models through STATA 15.1 and Review Manager 5.3. We also implemented sensitivity analysis and used funnel plots to check publication bias. From the systematic search of the four databases, we were able to identify 18 studies containing a total of 3052 patients. Meta-analysis results showed that 1) CRP levels were lower in non-severe patients than in severe patients (Standardized Mean Difference (SMD) =  - 0.87 mg/L, 95% Confidence Interval (CI) = [ - 1.27, - 0.47], p < 0.001); 2) CRP levels were lower in non-intensive care unit (ICU) patients than in ICU patients (SMD = - 1.39 mg/L, 95% CI = [- 1.68, - 1.11], p < 0.001), and 3) CRP levels were lower in survivors than in non-survivors (SMD =- 1.32 mg/L, 95% CI = [- 1.95, - 0.69], p < 0.001). Sensitivity analysis showed these results were stable. Funnel plots indicated no publication bias. The CRP level may timely reflect disease severity and predict survival of COVID-19 patients and may be worthy of further popularization and application in clinic practice.

Indexed as

COVID-19C-Reactive ProteinHumansPatient AcuityC-Reactive ProteinCOVID-19C-reactive proteinMeta-analysisSurvivalSystematic review

Identifiers

PMID36418669
PMCPMC9684914

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.