Evidence map›Paper›PMID 34952452›Full record

SynthesisLegal medicine (Tokyo, Japan)2022

Postmortem findings in COVID-19 fatalities: A systematic review of current evidence.

Ritesh G Menezes, Tehlil Rizwan, Syed Saad Ali, Wardah Hassan, Akash Khetpal, Mohammad Aqil, Mohammed Madadin, Tariq Jamal Siddiqi, Muhammad Shariq Usman

Abstract readSystematic Review
In one paragraph

Synthesis in Legal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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

9 authors.

Ritesh G MenezesDepartment of Pathology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Electronic address: mangalore971@yahoo.co.in.
Tehlil RizwanDepartment of Medicine, AMITA Health Saint Joseph Hospital, Chicago, IL, USA.
Syed Saad AliDepartment of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Wardah HassanDepartment of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Akash KhetpalDepartment of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Mohammad AqilDeanship of Library Affairs, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Mohammed MadadinDepartment of Pathology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Tariq Jamal SiddiqiDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Muhammad Shariq UsmanDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the ongoing pandemic of coronavirus disease 2019 (COVID-19). Almost 17 months after the first COVID-19 case was reported, the exact pathogenesis of the virus is still open to interpretation. Postmortem studies have been relatively scarce due to the high infectivity rate of the virus. We systematically reviewed the literature available for studies that reported gross, histological, microscopic, and immunohistochemical findings in COVID-19 fatalities with the aim of reporting any recurrent findings among different demographics. PubMed and Scopus were searched up till the second of May 2021 and 46 studies with a total of 793 patients were shortlisted after the application of inclusion and exclusion criteria. The selected studies reported gross, histological, microscopic, and immunohistochemical autopsy findings in the lungs, heart, liver, gallbladder, bowels, kidney, spleen, bone marrow, lymph nodes, CNS, pancreas, endocrine/exocrine glands, and a few other miscellaneous locations. The SARS-CoV-2 virus was detected in multiple organs and so was the presence of widespread microthrombi. This finding suggests that the pathogenesis of this highly infectious virus might be linked to some form of coagulopathy. Further studies should focus on analyzing postmortem findings in a larger number of patients from different demographics in order to obtain more generalizable results.

Indexed as

COVID-19AutopsyHumansLungPandemicsSARS-CoV-2Coronavirus disease 2019COVID-19Postmortem findingsSystematic review

Identifiers

PMID34952452
PMCPMC8648585

What Socratic holds

Textmetadata
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.