Evidence map›Paper›PMID 33272308›Full record

ArticleSubstance abuse treatment, prevention, and policy2020

A double-edged sword of using opioids and COVID-19: a toxicological view.

Mahshid Ataei, Farshad M Shirazi, Roland J Lamarine, Samaneh Nakhaee, Omid Mehrpour

Open access · goldAbstract readLetter
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 19% 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, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Opioid usage and COVID-19 prognosis: A systematic review and meta-analysis.The American journal of emergency medicine · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Substances of abuse and their effect on SAR-CoV-2 pathogenesis.NeuroImmune pharmacology and therapeutics · 2023
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Opioids in COVID-19: Two Sides of a Coin.Frontiers in pharmacology · 2021
    Review
  16. Review
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 3 institutions in 2 countries.

Mahshid AtaeiMedical Toxicology and Drug Abuse Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Farshad M ShiraziArizona Poison and Drug Information Center, the University of Arizona, College of Pharmacy and University of Arizona College of Medicine, Tucson, AZ, USA.
Roland J LamarineProfessor of Public Health, California State University Chico, California, USA.
Samaneh NakhaeeMedical Toxicology and Drug Abuse Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Omid MehrpourMedical Toxicology and Drug Abuse Research Center, Birjand University of Medical Sciences, Birjand, Iran. omid.mehrpour@yahoo.com.au.ORCID 0000-0002-1070-8841
Birjand University of Medical Sciences · IRUniversity of Arizona · USCalifornia State University, Chico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Today, COVID-19 is spreading around the world. Information about its mechanism, prognostic factors, and management is minimal. COVID-19, as a human disease, has several identifying phases. Physicians of patients with COVID-19 may be interested in knowing whether opioid use disorder may affect their patients' course or prognosis. This information may be crucial when considering the opioid epidemic in the US and other parts of the world. Opioid use at high doses and over several months duration can mitigate the immune system's function, which may complicate the course of COVID-19 disease. Potential suppression of parts of the immune response may be important in prevention, clinical support, and therapeutic use of medications in various phases of the COVID-19. Specifically, opioid use disorders via an inhalation route may enhance the "late hyper-inflammatory phase" or result in end-organ damage. It is well established that opioids decrease ventilation as their effect on the medullary respiratory centers increases the risk of pneumonia. This increased risk has been associated with immune-suppressive opioids. The ultimate role of opioids in COVID-19 is not clear. This paper endorses the need for clinical studies to decipher the role and impact of chronic opioid use on viral diseases such as COVID-19.

Indexed as

COVID-19HumansImmunocompromised HostOpioid-Related DisordersPandemicsSARS-CoV-2COVID-19Immune systemOpioidsPrognosis

Identifiers

PMID33272308
PMCPMC7711252
OpenAlexW3109965879

What Socratic holds

Textmetadata
LicenceCC BY
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.