Evidence map›Paper›PMID 39334467›Full record

ArticleVirology journal2024

Pentraxin-3 (PTX-3) as a potential biomarker for predicting death in hospitalized patients with COVID-19.

Milena Xavier Silva Barbosa, Anderson da Costa Armstrong, Carlos Dornels Freire de Souza, Rodrigo Feliciano do Carmo

Abstract read
In one paragraph

Article in Virology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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. Review
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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

4 authors.

Milena Xavier Silva BarbosaPostgraduate Program in Biosciences, Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba. sn, Petrolina, Pernambuco, Brazil.
Anderson da Costa ArmstrongCollege of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Pernambuco, Brazil.
Carlos Dornels Freire de SouzaCollege of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Pernambuco, Brazil.
Rodrigo Feliciano do CarmoPostgraduate Program in Biosciences, Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba. sn, Petrolina, Pernambuco, Brazil. rodrigo.carmo@univasf.edu.br.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001Fundação de Amparo à Ciência e Tecnologia do Estado de Pernambuco APQ-0422-2.02/19Fundação de Amparo à Ciência e Tecnologia do Estado de Pernambuco IBPG-1896-4.03/21Health Secretariat of Pernambuco 10/2021
6 · The paper itself

Abstract

backgroundPentraxin 3 (PTX3) is an acute-phase protein that belongs to the pentraxin family, which plays an important role in the body's defense against pathogens. PTX3 levels have been associated with inflammatory processes, and it is a possible biomarker for the diagnosis and prognosis of different infectious diseases, including COVID-19. The objective of this study was to analyze the potential of PTX3 as a plasma biomarker for predicting death in patients hospitalized with COVID-19.

methodsThe study included a total of 312 patients with COVID-19, admitted from July 2020 to August 2021 to hospital ward and intensive care unit beds at two hospitals in the Northeast Region of Brazil. PTX3 was measured using ELISA in samples collected within 24 h after hospital admission. Maximally selected rank statistics were used to determine the PTX3 cutoff point that best distinguished patients who died from those who survived. A receiver operating characteristic (ROC) curve was used to determine the performance of the biomarker. Survival analysis was performed using a Kaplan-Meier curve, and a Cox regression model was used to determine predictors associated with death.

resultsOf the 312 patients included in the study, 233 recovered and 79 died. Patients who died had higher PTX3 levels at the time of admission, when compared to those who recovered (median: 52.84 versus 10.79 ng/mL; p < 0.001). PTX3 showed area under the ROC (AUC) = 0.834, higher than other markers used in clinical practice, such as C-reactive protein (AUC = 0.72) and D-dimer (AUC = 0.77). Furthermore, according to the Kaplan-Meier survival curve, patients with PTX3 concentrations above the cutoff point (27.3 ng/mL) had a lower survival rate (p = 0.014). In multivariate Cox regression, PTX3 > 27.3 ng/mL was an important predictor of death, regardless of other confounding factors (hazard ratio = 1.79; p = 0.027).

conclusionPTX3 can be considered as a potential biomarker for predicting death in patients hospitalized with COVID-19.

Indexed as

BiomarkersCOVID-19C-Reactive ProteinHospitalizationROC CurveSerum Amyloid P-ComponentAdultAgedAged, 80 and overBrazilFemaleHumansMaleMiddle AgedPentraxinsPrognosisBiomarkersC-Reactive ProteinPentraxinsSerum Amyloid P-ComponentBiomarkersCOVID-19Innate immunityPentraxinSARS-CoV-2

Identifiers

PMID39334467
PMCPMC11428883

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LicenceCC BY-NC-ND
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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.