Evidence map›Paper›PMID 36769445›Full record

ArticleJournal of clinical medicine2023

SARS-CoV-2 Serum Viral Load and Prognostic Markers Proposal for COVID-19 Pneumonia in Low-Dose Radiation Therapy Treated Patients.

Berta Piqué, Karla Peña, Francesc Riu, Johana C Acosta, Laura Torres-Royo, Barbara Malave, Pablo Araguas, Rocío Benavides, Gabriel de Febrer, Jordi Camps and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04380818 (Low Dose Anti-inflammatory Radiotherapy for the Treatment of Pneumonia by COVID-19), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04380818 naunknown statusnot on this map

Low Dose Anti-inflammatory Radiotherapy for the Treatment of Pneumonia by COVID-19: Multi-central Prospective Study

TypeinterventionalSponsorGrupo de Investigación Clínica en Oncología RadioterapiaRan2020 to 2021Enrolled106ConditionsPneumonia, ViralArmsLow-dose radiotherapy, Hydroxychloroquine Sulfate, Ritonavir/lopinavir, Tocilizumab Injection [Actemra], Azithromycin
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  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

13 authors.

Berta PiquéMolecular Pathology Unit, Department of Pathology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Karla PeñaMolecular Pathology Unit, Department of Pathology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Francesc RiuMolecular Pathology Unit, Department of Pathology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Johana C AcostaDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Laura Torres-RoyoDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Barbara MalaveDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Pablo AraguasDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Rocío BenavidesDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
Gabriel de FebrerDepartment of Geriatric and Palliative Care, Hospital Universitari Sant Joan de Reus, 43204 Tarragona, Spain.ORCID 0000-0002-1015-4746
Jordi CampsUnitat de Recerca Biomèdica, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, 43003 Tarragona, Spain.ORCID 0000-0002-3165-3640
Jorge JovenUnitat de Recerca Biomèdica, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, 43003 Tarragona, Spain.ORCID 0000-0003-2749-4541
Meritxell ArenasDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.
David ParadaMolecular Pathology Unit, Department of Pathology, Hospital Universitari Sant Joan de Reus, Institut d'Investigació Sanitàri Pere Virgili, Universitat Rovira i Virgili, 43204 Tarragona, Spain.ORCID 0000-0002-8894-2312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have shown that the plasma RNA of SARS-CoV-2 seems to be associated with a worse prognosis of COVID-19. In the present study, we investigated plasma RNA in COVID-19 patients treated with low-dose radiotherapy to determine its prognostic value. Data were collected from the IPACOVID prospective clinical trial (NCT04380818). The study included 46 patients with COVID-19 pneumonia treated with a whole-lung dose of 0.5 Gy. Clinical follow-up, as well as laboratory variables, and SARS-CoV-2 serum viral load, were analyzed before LDRT, at 24 h, and one week after treatment. The mean age of the patients was 85 years, and none received any of the SARS-CoV-2 vaccine doses. The mortality ratio during the course of treatment was 33%. RT-qPCR showed amplification in 23 patients. Higher mortality rate was associated with detectable viremia. Additionally, C-reactive protein, lactate dehydrogenase, and aspartate aminotransferase were significant risk factors associated with COVID-19 mortality. Our present findings show that detectable SARS-CoV-2 plasma viremia 24 h before LDRT is significantly associated with increased mortality rates post-treatment, thus downsizing the treatment success.

Indexed as

COVID-19loadlow-dose radiation therapymarkerspneumoniaprognosticRNAviral

Identifiers

PMID36769445
PMCPMC9918037

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Registered trials

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.