Evidence map›Paper›PMID 40206268›Full record

ArticleResearch and practice in thrombosis and haemostasis2024

The impact of pulmonary embolism on health outcomes of COVID-19 at 3 months after hospitalization.

Chantal Visser, Julia C Berentschot, Cindy M M de Jong, M Louisa Antoni, L Martine Bek, Rita J G van den Berg-Emons, Bram van den Borst, Hugo Ten Cate, Arina J Ten Cate-Hoek, Dionne C W Braeken and 11 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

21 authors.

Chantal VisserDepartment of Hematology, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Julia C BerentschotDepartment of Respiratory Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Cindy M M de JongDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
M Louisa AntoniDepartment of Cardiology, Heart Lung Centre, Leiden University Medical Center, Leiden, the Netherlands.
L Martine BekDepartment of Rehabilitation Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Rita J G van den Berg-EmonsDepartment of Rehabilitation Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Bram van den BorstDepartment of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.
Hugo Ten CateDepartment of Internal Medicine, Division of Vascular Medicine, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands.
Arina J Ten Cate-HoekCardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands.
Dionne C W BraekenThrombosis Expertise Center, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands.
J J Miranda GeelhoedDepartment of Pulmonary Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Majanka H Heijenbrok-KalDepartment of Rehabilitation Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Sander M J van KuijkDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands.
Lucia J M KroftDepartment of Radiology, Leiden University Medical Center, Leiden, the Netherlands.
Jenneke LeentjensDepartment of Internal Medicine, Radboud University Medical Center, Radboud University, Nijmegen, the Netherlands.
Anna H E RoukensDepartment of Infectious Disease, Leiden University Medical Center, Leiden, the Netherlands.
Suzanne C CannegieterDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Frederikus A KlokDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Marieke J H A KruipDepartment of Hematology, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Merel E HellemonsDepartment of Respiratory Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Dutch COVID & Thrombosis Coalition@CovidDutch

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: COVID-19 patients frequently experience pulmonary embolism (PE), but its long-term consequences remain uncertain. Objectives: To assess the impact of PE in COVID-19 patients on health outcomes at 3 months after hospitalization. Methods: In this multicenter cross-sectional study, we aggregated data from existing databases to evaluate the impact of PE on health outcomes at 3 months after hospitalization. We assessed 1) questionnaires on health-related quality of life (5-level EuroQol 5-dimensional questionnaire [EQ-5D-5L] questionnaire), anxiety, depression, cognitive failure, and posttraumatic stress disorder; 2) pulmonary function tests (diffusing capacity of the lungs for carbon monoxide [DLCO] and spirometry); and 3) radiological abnormalities. We developed 3 models to assess the association between PE and the EQ-5D-5L index and the percentage of predicted DLCO (DLCO%): a crude model (model 1), adjusted for age, sex, and presence of comorbidities (model 2), and model 2 additionally adjusted for intensive care unit admission (model 3). Results: We included 465 patients who had been hospitalized for COVID-19, of whom 102 (21.9%) had developed a PE during admission. Patients with PE had poorer EQ-5D-5L index values, more impairment in pulmonary functions, and more frequent radiological abnormalities than patients without PE. Symptoms of anxiety, depression, cognitive failure, and posttraumatic stress disorder did not differ between the 2 groups. In model 2, PE was associated with lower EQ-5D-5L index and lower DLCO%. After additionally adjusting for intensive care unit admission, the association between PE and lower EQ-5D-5L index (mean difference = -0.069, [95% CI, -0.12 to -0.017]) remained but not between PE and DLCO%. Conclusion: Our findings suggest that PE in COVID-19 patients is associated with reduced health-related quality of life at 3 months after hospitalization. While PE may be a marker of COVID-19 severity, its presence during hospitalization could indicate potential long-term health issues, which may be considered during follow-up care.

Indexed as

COVID-19patient reported outcome measurespulmonary embolismquality of liferespiratory function tests

Identifiers

PMID40206268
PMCPMC11980619

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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.