Evidence map›Paper›PMID 41103630›Full record

ArticleAcute medicine & surgery

Bronchoalveolar Lavage Fluid Analysis in Severe COVID-19: Insights Into Cellular and Microbiological Characteristics.

Junya Hagiwara, Ryuichi Nakayama, Naofumi Bunya, Arisa Aoyagi, Keigo Sawamoto, Shuji Uemura, Hitoshi Saito, Eichi Narimatsu

Abstract read
In one paragraph

Article in Acute medicine & surgery. 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
–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. 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

8 authors.

Junya HagiwaraDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.ORCID https://orcid.org/0000-0002-6552-9023
Ryuichi NakayamaDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.ORCID https://orcid.org/0000-0002-3272-7680
Naofumi BunyaDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.
Arisa AoyagiDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.ORCID https://orcid.org/0000-0002-8066-9163
Keigo SawamotoDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.
Shuji UemuraDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.
Hitoshi SaitoDepartment of Anesthesiology Hokkaido University Hospital Sapporo Japan.
Eichi NarimatsuDepartment of Emergency Medicine Sapporo Medical University School of Medicine Sapporo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aimed to describe bronchoalveolar lavage fluid (BALF) findings in cases of refractory respiratory failure, despite standard treatment, among patients with severe coronavirus disease 2019 (COVID-19), compare BALF findings between patients with mechanical ventilation (MV) weaning success and those with failure within 28 days, and evaluate the safety and impact on respiratory mechanics of BALF examination in patients with severe COVID-19. Methods: This study was conducted at the Department of Emergency Medicine, Sapporo Medical University, Japan. We included 21 patients with concurrent severe COVID-19 and refractory respiratory failure who could not be weaned from MV despite standard treatment. We compared BALF cellular composition and culture results between patients who were successfully weaned from MV within 28 days and those who were not. Respiratory mechanics before and after BALF collection were also evaluated. Results: BALF analysis revealed a mixed cellular pattern with a median total cell count of 174/μL (interquartile range [IQR], 104-400/μL). The successfully weaned group showed significantly higher macrophage percentages (24.7% vs. 3.5%, Conclusions: BALF analysis revealed a mixed cellular pattern. The successfully weaned group had significantly higher macrophage percentages and counts. BALF examination can be safely performed in patients with severe COVID-19.

Indexed as

bronchoalveolar lavage fluidCOVID‐19mechanical ventilationrefractory respiratory failurerespiratory distress syndrome

Identifiers

PMID41103630
PMCPMC12521946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.