Evidence map›Paper›PMID 37917760›Full record

ArticlePloS one2023

Ventilatory support and inflammatory peptides in hospitalised patients with COVID-19: A prospective cohort trial.

Maximilian Robert Gysan, Christopher Milacek, Christina Bal, Andreas Zech, Jonas Brugger, Ruxandra-Iulia Milos, Lukasz Antoniewicz, Marco Idzko, Daniela Gompelmann

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

9 authors at 1 institution in 1 country.

Maximilian Robert GysanDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID 0009-0004-4737-6854
Christopher MilacekDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Christina BalDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Andreas ZechDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Jonas BruggerInstitute for Medical Statistics, Medical University of Vienna, Vienna, Austria.
Ruxandra-Iulia MilosDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Lukasz AntoniewiczDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Marco IdzkoDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Daniela GompelmannDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral studies have shown that SARS-CoV-2 can induce a massive release of cytokines which contributes to disease severity and mortality. Therefore, cytokine levels in the serum may help to predict disease severity and survival in COVID-19 patients.

methodsIn this prospective trial, 88 patients who were hospitalised for COVID-19 were enrolled. Blood samples for serum peptide measurements were taken at the time closest to hospitalisation, at day 5, 9 and 13 (±1). The concentrations of cytokines (IL-1α, IL-1β, IL-1RA, IL-6, L-7, L-10, IFN-γ and TNF-α), chemokines (CCL-3, CCL-4 and CCL-7) and growth factors (G-CSF, GM-CSF and VEGF) were assessed and correlated with the type of ventilation, occurrence of consolidations on imaging and the level of care.

resultsCOVID-19 patients (median age 68 years, IQR 55-77) stayed in hospital between 5-171 days. Compared to patients in the general care unit, patients in the intermediate care unit (IMCU) and intensive care unit (ICU) presented significantly elevated serum IL-6 (p = 0.004) and lower IFN-γ levels (p = 0.005), respectively. The peak inspiratory pressure in ventilated patients correlated positively with IL-1RA, G-CSF and inversely with IFN-γ serum levels (all p<0.05). VEGF serum levels inversely correlated with the fraction of inspired oxygen in patients receiving high-flow nasal canula oxygen therapy (p = 0.047). No significant correlation between serum concentrations of the measured peptides and the type of ventilation, occurrence of radiological consolidations or in-hospital mortality has been observed.

conclusionIL1-RA, IL-6, IFN-γ, G-CSF, CCL-7 and VEGF serum levels could prove helpful as biomarkers to assess disease severity and the need for intensive care in COVID-19 patients.

Indexed as

COVID-19CytokinesGranulocyte Colony-Stimulating FactorHumansInfantInterleukin 1 Receptor Antagonist ProteinInterleukin-6OxygenProspective StudiesSARS-CoV-2Vascular Endothelial Growth Factor ACytokinesGranulocyte Colony-Stimulating FactorInterleukin 1 Receptor Antagonist ProteinInterleukin-6OxygenVascular Endothelial Growth Factor A

Identifiers

PMID37917760
PMCPMC10621867
OpenAlexW4388215431

What OpenQuestion holds

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LicenceCC BY
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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.