Evidence map›Paper›PMID 33535989›Full record

ArticleBMC infectious diseases2021

Clinical characteristics of hospitalized mild/moderate COVID-19 patients with a prolonged negative conversion time of SARS-CoV-2 nucleic acid detection.

Ya Yang, Xiaogang Hu, Lirong Xiong, Peishu Fu, Wei Feng, Wei Li, Liwen Zhang, Fengjun Sun

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

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

  1. Pooled it
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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 at 5 institutions in 1 country.

Ya YangDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Xiaogang HuDepartment of Pharmacy, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Lirong XiongDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Peishu FuDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Wei FengDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Wei LiDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Liwen ZhangDepartment of Tuberculosis, Chongqing Public Health Medical Center, Chongqing, 400036, China. 763336760@qq.com.
Fengjun SunDepartment of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China. fengj_sun@163.com.
Chongqing Medical University · CNFirst Affiliated Hospital of Chongqing Medical University · CNArmy Medical University · CNChongqing Public Health Medical Center · CNChongqing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of COVID-19 has been devastating on a global scale. The negative conversion time (NCT) of SARS-CoV-2 RNA is closely related to clinical manifestation and disease progression in COVID-19 patients. Our study aimed to predict factors associated with prolonged NCT of SARS-CoV-2 RNA in mild/moderate COVID-19 patients.

methodsThe clinical features, laboratory data and treatment outcomes of COVID-19 patients were retrospectively analyzed. Then univariate and multivariate analysis were used to screen out risk factors of influencing prolonged NCT of SARS-CoV-2 RNA.

resultsThirty-two hospitalized mild/moderate COVID-19 patients were enrolled. The general clinical symptoms were cough (78.1%), fever (75%), diarrhea (68.8%), expectoration (56.3%), and nausea (37.5%). More than 40% of the patients had decreased erythrocyte, hemoglobin and leucocyte and 93.8% patients were detected in abnormalities of chest CT. The median NCT of SARS-CoV-2 RNA was 19.5 days (IQR: 14.25-25). Univariate analysis found fever, nausea, diarrhea and abnormalities in chest CTs were positively associated with prolonged NCT of viral RNA (P< 0.05). The multivariate Cox proportional hazard model revealed that fever [Exp (B), 0.284; 95% CI, 0.114-0.707; P<0.05] and nausea [Exp (B), 0.257; 95%CI, 0.096-0.689; P<0.05] were two significant independent factors.

conclusionsFever and nausea were two significant independent factors in prolonged NCT of viral RNA in mild/moderate COVID-19 patients, which provided a useful references for disease progression and treatment of COVID-19.

Indexed as

AdultCoughCOVID-19COVID-19 Nucleic Acid TestingDiarrheaFemaleFeverHospitalizationHumansMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRetrospective StudiesRisk FactorsRNA, ViralRNA, ViralClinical characteristicsCOVID-19Negative conversion timeSARS-CoV-2

Identifiers

PMID33535989
PMCPMC7856599
OpenAlexW3110446123

What Socratic holds

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LicenceCC BY
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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 Socratic graph.