Evidence map›Paper›PMID 37255182›Full record

ArticleArquivos brasileiros de cardiologia2023

Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge.

Roberto Kalil-Filho, Roberta Saretta, André Franci, Luciano M Baracioli, Filomena R B G Galas, Juliana S Gil, Amanda Ferino, Camilla Giacovone, Isabella Oliveira, Johnatan Souza and 7 more

Abstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

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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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Roberto Kalil-FilhoHospital Sírio Libanês, São Paulo, SP - Brasil.
Roberta SarettaHospital Sírio Libanês, São Paulo, SP - Brasil.
André FranciHospital Sírio Libanês, São Paulo, SP - Brasil.
Luciano M BaracioliHospital Sírio Libanês, São Paulo, SP - Brasil.
Filomena R B G GalasHospital Sírio Libanês, São Paulo, SP - Brasil.
Juliana S GilHospital Sírio Libanês, São Paulo, SP - Brasil.
Amanda FerinoHospital Sírio Libanês, São Paulo, SP - Brasil.
Camilla GiacovoneHospital Sírio Libanês, São Paulo, SP - Brasil.
Isabella OliveiraHospital Sírio Libanês, São Paulo, SP - Brasil.
Johnatan SouzaHospital Sírio Libanês, São Paulo, SP - Brasil.
Vanessa BatistaHospital Sírio Libanês, São Paulo, SP - Brasil.
Augusto Scalabrini NetoHospital Sírio Libanês, São Paulo, SP - Brasil.
Livia do Valle CostaHospital Sírio Libanês, São Paulo, SP - Brasil.
Amanda Danieleto RuizHospital Sírio Libanês, São Paulo, SP - Brasil.
Carla B LedoHospital Sírio Libanês, São Paulo, SP - Brasil.
Teresa Cristina D C NascimentoHospital Sírio Libanês, São Paulo, SP - Brasil.ORCID 0000-0002-6940-0809
Luciano F DragerHospital Sírio Libanês, São Paulo, SP - Brasil.ORCID 0000-0002-2081-6846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost of the evidence about the impact of the post-acute COVID-19 Syndrome (PACS) reports individual symptoms without correlations with related imaging.

objectivesTo evaluate cardiopulmonary symptoms, their predictors and related images in COVID-19 patients discharged from hospital.

methodsConsecutive patients who survived COVID-19 were contacted 90 days after discharge. The Clinic Outcome Team structured a questionnaire evaluating symptoms and clinical status (blinded for hospitalization data). A multivariate analysis was performed to address the course of COVID-19, comorbidities, anxiety, depression, and post-traumatic stress during hospitalization, and cardiac rehabilitation after discharge. The significance level was set at 5%.

resultsA total of 480 discharged patients with COVID-19 (age: 59±14 years, 67.5% males) were included; 22.3% required mechanical ventilation. The prevalence of patients with PACS-related cardiopulmonary symptoms (dyspnea, tiredness/fatigue, cough, and chest discomfort) was 16.3%. Several parameters of chest computed tomography and echocardiogram were similar in patients with and without cardiopulmonary symptoms. The multivariate analysis showed that PACS-related cardiopulmonary-symptoms were independently related to female sex (OR 3.023; 95% CI 1.319-6.929), in-hospital deep venous thrombosis (OR 13.689; 95% CI 1.069-175.304), elevated troponin I (OR 1.355; 95% CI 1.048-1.751) and C-reactive protein during hospitalization (OR 1.060; 95% CI 1.023-1.097) and depression (OR 6.110; 95% CI 2.254-16.558).

conclusionPACS-related cardiopulmonary symptoms 90 days post-discharge are common and multifactorial. Beyond thrombotic and markers of inflammation/myocardial injury during hospitalization, female sex and depression were independently associated with cardiopulmonary-related PACS. These results highlighted the need for a multifaceted approach targeting susceptible patients.

Indexed as

COVID-19AftercareAgedFemaleHospitalizationHospitalsHumansMaleMiddle AgedPatient DischargeSARS-CoV-2

Identifiers

PMID37255182
PMCPMC10263399

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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.