Evidence map›Paper›PMID 38389047›Full record

ArticleBMC infectious diseases2024

Clinical characteristics and influencing factors of severe fever with thrombocytopenia syndrome complicated by viral myocarditis: a retrospective study.

Qian Du, Jin Yu, Qianhui Chen, Xiaoping Chen, Qunqun Jiang, Liping Deng, Anling Li, Yong Xiong

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Multidimensional mechanisms of SFTSV-host interactions: viral protein functions, mFrontiers in cellular and infection microbiology · 2026
    Review
  5. Article
  6. Article
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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

8 authors at 1 institution in 1 country.

Qian Du *Department of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Jin Yu *Department of Neurosurgery, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Qianhui ChenDepartment of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Xiaoping ChenDepartment of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Qunqun JiangDepartment of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Liping DengDepartment of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China. dengliping@whu.edu.cn.
Anling LiDepartment of Laboratory Medicine, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China. anling888@126.com.
Yong XiongDepartment of Infectious Disease, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China. yongxiong64@163.com.
Wuhan University · CN

Funding

Discipline Cultivation Funding, Zhongnan Hospital of Wuhan University ZNXKPY2021021Research Foundation of Zhongnan Hospital of Wuhan University ZNJC202243
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the clinical characteristics of severe fever with thrombocytopenia syndrome complicated by viral myocarditis (SFTS-VM) and analyze relevant influencing factors.

methodsRetrospective analysis was conducted on clinical data from 79 SFTS-VM patients, categorized into common (SFTS-CVM, n = 40) and severe groups (SFTS-SVM, n = 39). Clinical manifestations, laboratory results, cardiac ultrasonography, and electrocardiogram features were analyzed. Univariate and multivariate analyses identified significant indicators, which were further assessed using ROC curves to predict SFTS-SVM.

resultsSFTS-SVM group exhibited higher rates of hypotension, shock, abdominal pain, cough with sputum, and consciousness disorders compared to SFTS-CVM group. Laboratory findings showed elevated platelet count, ALT, AST, amylase, lipase, LDH, D-dimer, procalcitonin, TNI, and NT-proBNP in SFTS-SVM. Abnormal electrocardiograms, especially atrial fibrillation, were more prevalent in SFTS-SVM (P < 0.05). Multivariate analysis identified elevated LDH upon admission (OR = 1.004, 95% CI: 1-1.008, P = 0.050), elevated NT-proBNP (OR = 1.005, 95% CI: 1.001-1.008, P = 0.007), and consciousness disorders (OR = 112.852, 95% CI: 3.676 ~ 3464.292, P = 0.007) as independent risk factors for SFTS-SVM. LDH and NT-proBNP had AUCs of 0.728 and 0.744, respectively, in predicting SFTS-SVM. Critical values of LDH (> 978.5U/L) and NT-proBNP (> 857.5pg/ml)) indicated increased likelihood of SFTS progression into SVM.

conclusionElevated LDH, NT-proBNP, and consciousness disorders independently correlate with SFTS-SVM. LDH and NT-proBNP can aid in early identification of SFTS-SVM development when above specified thresholds.

Indexed as

MyocarditisPhlebovirusSevere Fever with Thrombocytopenia SyndromeThrombocytopeniaVirus DiseasesConsciousness DisordersFeverHumansRetrospective StudiesClinical characteristicsLDHNT-proBNPSevere fever with thrombocytopenia syndromeViral myocarditis

Identifiers

PMID38389047
PMCPMC10885462
OpenAlexW4392021285

What OpenQuestion holds

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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.