Evidence map›Paper›PMID 38371516›Full record

ReviewFrontiers in medicine2024

Utility of bronchoalveolar lavage for COVID-19: a perspective from the Dragon consortium.

Sara Tomassetti, Luca Ciani, Valentina Luzzi, Leonardo Gori, Marco Trigiani, Leonardo Giuntoli, Federico Lavorini, Venerino Poletti, Claudia Ravaglia, Alfons Torrego and 23 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. [Expert consensus on airway lavage therapy for adult burn patients (2026 edition)].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

33 authors at 8 institutions in 5 countries.

Sara TomassettiInterventional Pulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Luca CianiInterventional Pulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Valentina LuzziInterventional Pulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Leonardo GoriPulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Marco TrigianiInterventional Pulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Leonardo GiuntoliInterventional Pulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Federico LavoriniPulmonology Unit, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.
Venerino PolettiDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, Italy.
Claudia RavagliaDepartment of Diseases of the Thorax, GB Morgagni Hospital, Forlì, Italy.
Alfons TorregoRespiratory Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Fabien MaldonadoDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, United States.
Robert LentzDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, United States.
Francesco AnnunziatoDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Laura MaggiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Gian Maria RossoliniDepartment of Experimental Medicine, University of Florence, Florence, Italy.
Simona PolliniDepartment of Experimental Medicine, University of Florence, Florence, Italy.
Ombretta ParaInternal Medicine Unit 1, AOU Careggi, Florence, Italy.
Greta CiurleoInternal Medicine Unit 2, AOU Careggi, Florence, Italy.
Alessandro CasiniInternal Medicine Unit 2, AOU Careggi, Florence, Italy.
Laura RaseroDepartment of Health Science, Clinical Innovations and Research Unit, Careggi University Hospital, Florence, Italy.
Alessandro BartoloniInfectious and Tropical Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Michele SpinicciInfectious and Tropical Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Mohammed MunavvarSchool of Biological Sciences, The University of Manchester, Manchester, United Kingdom.
Stefano GaspariniInterventional Pulmonology Unit, University Hospital Riuniti di Ancona, Ancona, Italy.
Camilla CominDepartment of Experimental and Clinical Medicine Section of Surgery, Histopathology, and Molecular Pathology, University of Florence, Florence, Italy.
Marco Matucci CerinicDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Anna PeiredDepartment of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy.
Monique HenketDepartment of Respiratory Medicine, Universitary Hospital of Liège, Liège, Belgium.
Benoit ErnstDepartment of Respiratory Medicine, Universitary Hospital of Liège, Liège, Belgium.
Renaud LouisDepartment of Respiratory Medicine, Universitary Hospital of Liège, Liège, Belgium.
Jean-Louis CorhayDepartment of Respiratory Medicine, Universitary Hospital of Liège, Liège, Belgium.
Cosimo NardiDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence, Florence, Italy.
Julien GuiotDepartment of Respiratory Medicine, Universitary Hospital of Liège, Liège, Belgium.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · ITCentre Hospitalier Universitaire de Liège · BEOspedale G.B. Morgagni - L.Pierantoni · ITVanderbilt University Medical Center · USHospital de Sant Pau · ESOspedali Riuniti di Ancona · ITUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosing COVID-19 and treating its complications remains a challenge. This review reflects the perspective of some of the Dragon (IMI 2-call 21, #101005122) research consortium collaborators on the utility of bronchoalveolar lavage (BAL) in COVID-19. BAL has been proposed as a potentially useful diagnostic tool to increase COVID-19 diagnosis sensitivity. In both critically ill and non-critically ill COVID-19 patients, BAL has a relevant role in detecting other infections or supporting alternative diagnoses and can change management decisions in up to two-thirds of patients. BAL is used to guide steroid and immunosuppressive treatment and to narrow or discontinue antibiotic treatment, reducing the use of unnecessary broad antibiotics. Moreover, cellular analysis and novel multi-omics techniques on BAL are of critical importance for understanding the microenvironment and interaction between epithelial cells and immunity, revealing novel potential prognostic and therapeutic targets. The BAL technique has been described as safe for both patients and healthcare workers in more than a thousand procedures reported to date in the literature. Based on these preliminary studies, we recognize that BAL is a feasible procedure in COVID-19 known or suspected cases, useful to properly guide patient management, and has great potential for research.

Indexed as

bronchoalveolar lavageCOVID-19infectionsinterstitial pneumoniainterventional pulmonology

Identifiers

PMID38371516
PMCPMC10869531
OpenAlexW4391482510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.