Evidence map›Paper›PMID 36431273›Full record

ArticleJournal of clinical medicine2022

Clinical Outcomes and Prolonged SARS-CoV-2 Viral Shedding in ICU Patients with Severe COVID-19 Infection and Nosocomial Bacterial Pneumonia: A Retrospective Cohort Study.

Chuan-Yen Sun, Jia-Yih Feng, Jhong-Ru Huang, Hisao-Chin Shen, Yuh-Min Chen, Wei-Chih Chen, Kuang-Yao Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 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
0.8field-weighted citation impact, top 27% 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, 8 citations in OpenAlex.

  1. Article
  2. Article
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  4. Observational
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

7 authors at 2 institutions in 1 country.

Chuan-Yen SunDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Jia-Yih FengDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Jhong-Ru HuangDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Hisao-Chin ShenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0001-8637-2937
Yuh-Min ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0003-0585-8463
Wei-Chih ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0003-4172-5529
Kuang-Yao YangDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-2803-980X
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TW

Funding

Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of Education Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of EducationNational Science and Technology Council, Taiwan MOST 109-2314-B-010-051-MY3Taipei Veterans General Hospital V111B-024Taipei Veterans General Hospital V111C-050
6 · The paper itself

Abstract

objectivesThis study explored the clinical outcomes and association of prolonged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) shedding in patients with severe coronavirus disease 2019 (COVID-19) infection who developed nosocomial pneumonia.

methodsThis was a retrospective study conducted in a medical center in Taiwan. From May to September 2021, patients from four intensive care units were enrolled after SARS-CoV-2 was confirmed through quantitative polymerase chain reaction and all cases were compatible with the definitions of severe COVID-19 infection. Baseline characteristics, disease severity, clinical outcomes, and times of viral shedding were recorded.

resultsA total of 72 patients were diagnosed as having severe COVID-19 infection and 30 developed nosocomial pneumonia, comprising hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP). The patients with severe COVID-19 infection and concomitant HAP/VAP had longer intensive care unit (ICU) stays and fewer ventilator-free days at Day 28. An independent risk factor for nosocomial pneumonia was a greater SOFA score at admission. Furthermore, the patients with severe COVID-19 infection who developed HAP/VAP had a significantly longer duration of SARS-CoV-2 shedding (19.50 days vs. 15.00 days,

conclusionsPatients with severe COVID-19 infection who developed nosocomial pneumonia had longer SARS-CoV-2 shedding days, more complications, and worse outcomes.

Indexed as

coronavirus disease 2019prolonged viral sheddingsecondary pneumoniasevere acute respiratory syndrome coronavirus 2

Identifiers

PMID36431273
PMCPMC9693095
OpenAlexW4309267357

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Registered trials

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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.