Evidence map›Paper›PMID 37900573›Full record

ArticleFrontiers in cardiovascular medicine2023

Effects of SARS-COV-2 infection on outcomes in patients hospitalized for acute cardiac conditions. A prospective, multicenter cohort study (Swiss Cardiovascular SARS-CoV-2 Consortium).

Konstantinos C Koskinas, Raphael Twerenbold, David Carballo, Christian M Matter, Stephane Cook, Dik Heg, Andre Frenk, Stephan Windecker, Stefan Osswald, Thomas F Lüscher and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
0.4field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
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

11 authors at 8 institutions in 3 countries.

Konstantinos C KoskinasDepartment of Cardiology, Bern University Hospital Inselspital, Bern, Switzerland.
Raphael TwerenboldDepartment of Cardiology, Basel University Hospital, Basel, Switzerland.
David CarballoDivision of Cardiology, Geneva University Hospitals, Geneva, Switzerland.
Christian M MatterDepartment of Cardiology, Zurich University Hospital, Zurich, Switzerland.
Stephane CookDepartment of Cardiology, Fribourg Canton Hospital, Fribourg, Switzerland.
Dik HegCTU Bern, University of Bern, Bern, Switzerland.
Andre FrenkDepartment of Cardiology, Bern University Hospital Inselspital, Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology, Bern University Hospital Inselspital, Bern, Switzerland.
Stefan OsswaldDepartment of Cardiology, Basel University Hospital, Basel, Switzerland.
Thomas F LüscherDepartment of Cardiology, Royal Brompton & Harefield Hospitals and National Heart and Lung Institute, Imperial College, London, United Kingdom.
Francois MachDivision of Cardiology, Geneva University Hospitals, Geneva, Switzerland.
University Hospital of Bern · CHUniversity Hospital of Geneva · CHFribourg Development Agency · CHImperial College London · GBUniversität Hamburg · DEUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although the severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) causing coronavirus disease 2019 (COVID-19) primarily affects the respiratory system, the disease entity has been associated with cardiovascular complications. This study sought to assess the effect of concomitant SARS-COV-2 infection on clinical outcomes of patients hospitalized primarily for acute cardiac conditions on cardiology wards in Switzerland. Methods: In this prospective, observational study conducted in 5 Swiss cardiology centers during the COVID-19 pandemic, patients hospitalized due to acute cardiac conditions underwent a reverse-transcriptase polymerase chain reaction test at the time of admission and were categorized as SARS-COV-2 positive (cases) or negative (controls). Patients hospitalized on cardiology wards underwent treatment for the principal acute cardiac condition according to local practice. Clinical outcomes were recorded in-hospital, at 30 days, and after 1 year and compared between cases and controls. To adjust for imbalanced baseline characteristics, a subgroup of patients derived by propensity matching was analyzed. Results: Between March 2020 and February 2022, 538 patients were enrolled including 122 cases and 416 controls. Mean age was 68.0 ± 14.7 years, and 75% were men. Compared with controls, SARS-COV-2-positive patients more commonly presented with acute heart failure (35% vs. 17%) or major arrhythmia (31% vs. 9%), but less commonly with acute coronary syndrome (26% vs. 53%) or severe aortic stenosis (4% vs. 18%). Mortality was significantly higher in cases vs. controls in-hospital (16% vs. 1%), at 30 days (19.0% vs. 2.2%), and at 1 year (28.7% vs. 7.6%: Conclusions: In this observational study of patients hospitalized for acute cardiac conditions, SARS-COV-2 infection at index hospitalization was associated with markedly higher all-cause and non-cardiovascular mortality throughout one-year follow-up. These findings highlight the need for effective, multifaceted management of both cardiac and non-cardiac morbidities and prolonged surveillance in patients with acute cardiac conditions complicated by SARS-COV-2 infection.

Indexed as

cardiovascularCOVID-19mortalitypandemicprognosis

Identifiers

PMID37900573
PMCPMC10613056
OpenAlexW4387601748

What OpenQuestion holds

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LicenceCC BY
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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.