Evidence map›Paper›PMID 37448943›Full record

ArticleJournal of family medicine and primary care2023

Novel markers of COVID-19 mortality-A comparative study with patients of acute coronary syndrome.

Yash Paul Sharma, Atit A Gawalkar, Akash Batta, Yamasandi Siddegowda Shrimanth, Pruthvi C Revaiah, Pragya Karki, Vikas Chaudhary, Ganesh Kasinadhuni, Krishna Santosh, Dinakar Bootla and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

14 authors at 1 institution in 1 country.

Yash Paul SharmaDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Atit A GawalkarDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Akash BattaDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Yamasandi Siddegowda ShrimanthDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Pruthvi C RevaiahDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Pragya KarkiDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Vikas ChaudharyDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ganesh KasinadhuniDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Krishna SantoshDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Dinakar BootlaDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Sanjeev KumarDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Nitin Kumar J PatelDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Bharat Singh SambyalDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Prashant PandaDepartment of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: COVID-19 can cause severe pneumonia that can progress to multiple organ failure. It is believed that dysregulation of inflammation and cytokine storm, contributes to severe COVID-19. As inflammatory mediators play an important role in the pathogenesis of the severe disease, inflammatory markers like fever, leucocytosis, and C-reactive protein are known to predict severe disease. Various other biomarkers have been known to have prognostic value in patients with COVID-19 infection. Inflammation, both local and systemic plays an important role in the pathogenesis of acute coronary syndrome (ACS). Thus in this study, we aimed to compare and describe the various biomarkers, and mortality between patients admitted with COVID-19 infection and ACS patients without COVID-19 infection. Methods: In a retrospective observational case-control study, a total of 108 patients admitted to our hospital during the month of May 2021 with COVID-19 were enrolled. Patients of the acute coronary syndrome (tested negative for COVID-19 infection) admitted during the same month were enrolled (including both the intensive care unit and ward) as controls. Results: The median age of patients with COVID was significantly lower than that of patients with acute coronary syndrome [49 years (IQR, 36-62 years) and 60 years (IQR, 52-66 years)]. Left ventricular ejection fraction was significantly higher among patients with COVID infection (58.5 ± 6.3% versus 36.9 ± 9.3%). The total leukocyte count was significantly higher among patients with COVID-19 compared to those with acute coronary syndrome [13200 per microliter (8625-17500) vs 9800 per microliter (8150-12150), Conclusions: Elevated total leukocyte counts reflect underlying secondary bacterial infection among patients with COVID-19 and help initiate appropriate antibiotics. Depletion of intravascular volume reflected by an increased urea/creatinine ratio increases the risk of mortality and warrants aggressive measures of rehydration and albumin infusion.

Indexed as

Acute coronary syndromebiomarkersCOVID-19total leukocyte count

Identifiers

PMID37448943
PMCPMC10336926
OpenAlexW4382750965

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.