Evidence map›Paper›PMID 33004529›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2020

Targeting coagulation activation in severe COVID-19 pneumonia: lessons from bacterial pneumonia and sepsis.

Ricardo J José, Andrew Williams, Ari Manuel, Jeremy S Brown, Rachel C Chambers

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 20% 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Protease-activated receptor 1 as a potential therapeutic target for COVID-19.Experimental biology and medicine (Maywood, N.J.) · 2021
    Review
  12. Article
  13. Article
  14. The Role of High-Density Lipoprotein in COVID-19.Frontiers in pharmacology · 2021
    Review
  15. Article
  16. Prediction of Sepsis in COVID-19 Using Laboratory Indicators.Frontiers in cellular and infection microbiology · 2020
    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

5 authors at 4 institutions in 1 country.

Ricardo J JoséCentre for Inflammation and Tissue Repair, University College London, London, UK r.jose@ucl.ac.uk.ORCID https://orcid.org/0000-0003-3645-6862
Andrew WilliamsCentre for Inflammation and Tissue Repair, University College London, London, UK.
Ari ManuelUniversity Hospital Aintree, Liverpool, UK.
Jeremy S BrownCentre for Inflammation and Tissue Repair, University College London, London, UK.
Rachel C ChambersCentre for Inflammation and Tissue Repair, University College London, London, UK.ORCID https://orcid.org/0000-0003-1370-9417
Centre for Inflammation Research · GBRoyal Brompton Hospital · GBUniversity College Hospital · GBUniversity of Liverpool · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has rapidly spread throughout the world, resulting in a pandemic with high mortality. There are no effective treatments for the management of severe COVID-19 and current therapeutic trials are focused on antiviral therapy and attenuation of hyper-inflammation with anti-cytokine therapy. Severe COVID-19 pneumonia shares some pathological similarities with severe bacterial pneumonia and sepsis. In particular, it disrupts the haemostatic balance, which results in a procoagulant state locally in the lungs and systemically. This culminates in the formation of microthrombi, disseminated intravascular coagulation and multi-organ failure. The deleterious effects of exaggerated inflammatory responses and activation of coagulation have been investigated in bacterial pneumonia and sepsis and there is recognition that although these pathways are important for the host immune response to pathogens, they can lead to bystander tissue injury and are negatively associated with survival. In the past two decades, evidence from preclinical studies has led to the emergence of potential anticoagulant therapeutic strategies for the treatment of patients with pneumonia, sepsis and acute respiratory distress syndrome, and some of these anticoagulant approaches have been trialled in humans. Here, we review the evidence from preclinical studies and clinical trials of anticoagulant treatment strategies in bacterial pneumonia and sepsis, and discuss the importance of these findings in the context of COVID-19.

Indexed as

BetacoronavirusAnticoagulantsBiomarkersBlood CoagulationCoronavirus InfectionsCOVID-19HumansPandemicsPneumonia, BacterialPneumonia, ViralSARS-CoV-2SepsisAnticoagulantsBiomarkers

Identifiers

PMID33004529
PMCPMC7537941
OpenAlexW3090053206

What Socratic 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 Socratic graph.