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ArticleBiomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia2025

Fat embolism and COVID-19 infection: autopsy and post-mortem laboratory findings in SARS-CoV-2 positive patients.

Adriana Gavronova, Lukas Hamerlik, Margita Bartkova, Vaclav Svrchokryl, Veronika Kralikova, Katerina Vranova, Peter Ondra, Martin Dobias

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Article in Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 2025. 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
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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Adriana GavronovaDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Lukas HamerlikDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Margita BartkovaClinical laboratory, Psychiatric Hospital, Sternberk, Czech Republic.
Vaclav SvrchokrylDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Veronika KralikovaDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Katerina VranovaDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Peter OndraDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.
Martin DobiasDepartment of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe article is one of the very first autopsy reports worldwide, which associates COVID-19 infection and pulmonary fat embolism.

aimsTo point to a crucial connection between a severe acute respiratory syndrome caused by coronavirus 2 (SARS-CoV-2) infection and pulmonary fat embolism as one of the possible major mechanisms of severe COVID-19 symptoms.

methodsLung, brain and kidney tissues examination of 16 full human autopsy cases. All deceased suffered from COVID-19 infection, none of them was admitted to hospital prior to death, immediate causes of death vary. Autopsies accompanied by microbiological examination and histological examination using Oil Red O staining were performed. Consequently, we have implemented a control cohort consisting of 16 deceased with no presence of pulmonary infection and various immediate causes of death.

resultsOf the 16 autopsy cases, 11 (68.8%) were males and 5 (31.3%) females, with overall mean age 68.1 (39-86) years. Causes of death of studied subjects were natural, mostly from respiratory failure (in 12 cases, 75%). Cardiopulmonary resuscitation was performed in 7 cases (43.8%). None of dissected persons had larger signs of body trauma. Pulmonary fat embolism was found in 11 cases (68.8%), which generalised to kidneys in 8 patients (50% of all cases, 72.3% of cases with pulmonary fat embolism) and to brain tissue in 1 case.

conclusionWe demonstrated a reasonable relation between a COVID-19 disease and a variously severe fat embolism, severity of which does not directly correlate with body weight. Further investigation or even change of medical treatment needs to be considered in patients with COVID-19.

Indexed as

COVID-19Embolism, FatPulmonary EmbolismAdultAgedAged, 80 and overAutopsyFemaleHumansLungMaleMiddle AgedSARS-CoV-2autopsycoronavirusCOVID-19fat embolismFESpost-mortem

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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.