Evidence map›Paper›PMID 32754159›Full record

ArticleFrontiers in immunology2020

Cytokine Storm in COVID-19-Immunopathological Mechanisms, Clinical Considerations, and Therapeutic Approaches: The REPROGRAM Consortium Position Paper.

Sonu Bhaskar, Akansha Sinha, Maciej Banach, Shikha Mittoo, Robert Weissert, Joseph S Kass, Santhosh Rajagopal, Anupama R Pai, Shelby Kutty

2 registry-linked trialsOpen access · goldAbstract readConsensus Statement
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 296 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
296citing papers in PubMed, 5 pooled it
11.0field-weighted citation impact, top 1% 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.

NCT04799444 unknown statusnot on this map

Complications Post COVID-19 - Observational Study in Children and Adults

Typeobservational_patient_registrySponsorPolish Mother Memorial Hospital Research InstituteRan2020 to 2022Enrolled500ConditionsCovid19
NCT05124158 completednot on this mapstarted 2021, after this paper: background citation

Association of the Severity of the Clinical Picture of COVID-19 and Psychiatric Morbidity

Typeobservational_patient_registrySponsorInstituto Mexicano del Seguro SocialRan2021 to 2022Enrolled78ConditionsCOVID-19, Psychiatric Disorder
3 · Its place in the literature

Who cites it

296 citing papers in PubMed, 5 syntheses or guidelines pooled it, 515 citations in OpenAlex.

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236 more citing papers are in PubMed but not listed here.

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

9 authors at 9 institutions in 6 countries.

Sonu BhaskarPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Akansha SinhaPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Maciej BanachPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Shikha MittooPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Robert WeissertPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Joseph S KassPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Santhosh RajagopalPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Anupama R PaiPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Shelby KuttyPandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Immunity Sub-committee†.
Baylor College of Medicine · USJohns Hopkins University · USNational Institute of Mental Health and Neurosciences · INPolish Mother’s Memorial Hospital Research Institute · PLSouth Western Sydney Local Health District · AUUniversity of Regensburg · DEUniversity of Toronto · CAUNSW Sydney · AUWorld Health Organization - India · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

Cytokine storm is an acute hyperinflammatory response that may be responsible for critical illness in many conditions including viral infections, cancer, sepsis, and multi-organ failure. The phenomenon has been implicated in critically ill patients infected with SARS-CoV-2, the novel coronavirus implicated in COVID-19. Critically ill COVID-19 patients experiencing cytokine storm are believed to have a worse prognosis and increased fatality rate. In SARS-CoV-2 infected patients, cytokine storm appears important to the pathogenesis of several severe manifestations of COVID-19: acute respiratory distress syndrome, thromboembolic diseases such as acute ischemic strokes caused by large vessel occlusion and myocardial infarction, encephalitis, acute kidney injury, and vasculitis (Kawasaki-like syndrome in children and renal vasculitis in adult). Understanding the pathogenesis of cytokine storm will help unravel not only risk factors for the condition but also therapeutic strategies to modulate the immune response and deliver improved outcomes in COVID-19 patients at high risk for severe disease. In this article, we present an overview of the cytokine storm and its implications in COVID-19 settings and identify potential pathways or biomarkers that could be targeted for therapy. Leveraging expert opinion, emerging evidence, and a case-based approach, this position paper provides critical insights on cytokine storm from both a prognostic and therapeutic standpoint.

Indexed as

Adrenal Cortex HormonesAngiotensin-Converting Enzyme 2Anti-Inflammatory Agents, Non-SteroidalBetacoronavirusCD4-CD8 RatioCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesClinical Decision-MakingCoronavirus InfectionsCOVID-19Critical CareCritical IllnessCytokinesEndothelial CellsFemaleHumansACE2 protein, humanAdrenal Cortex HormonesAngiotensin-Converting Enzyme 2Anti-Inflammatory Agents, Non-SteroidalCytokinesIL6 protein, humanInterleukin-6Interleukin-6 InhibitorsJanus Kinase InhibitorsPeptidyl-Dipeptidase AautoimmunityCOVID-19critical carecytokine stormguidelinesimmunological mechanismsimmunotherapiesneuroimmunology

Identifiers

PMID32754159
PMCPMC7365905
OpenAlexW3036613347

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.