Evidence map›Paper›PMID 37174229›Full record

ArticleInternational journal of environmental research and public health2023

Polypharmacy Management in a Gender Perspective: At the Heart of the Problem: Analysis of Major Cardiac Diseases, SARS-CoV-2 Affection and Gender Distribution in a Cohort of Patients in Internal Medicine Ward.

Filomena Pietrantonio, Angela Ciamei, Antonio Vinci, Tiziana Ciarambino, Elena Alessi, Matteo Pascucci, Michela Delli Castelli, Silvia Zito, Simona Sanguedolce, Marianna Rainone and 9 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

19 authors at 4 institutions in 1 country.

Filomena PietrantonioOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.ORCID 0000-0003-1119-0869
Angela CiameiOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Antonio VinciDepartment of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0002-4915-7733
Tiziana CiarambinoDepartment of Internal Medicine, Luigi Vanvitelli University, 81100 Caserta, Italy.ORCID 0000-0002-3917-1478
Elena AlessiOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Matteo PascucciOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Michela Delli CastelliOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Silvia ZitoOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Simona SanguedolceOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Marianna RainoneOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Jacopo Di LorenzoOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Fabio VinciOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Giulia LaurelliOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Claudia Di IorioOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Roberto CorsiHealth Management, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Serafino RicciDepartment of Hystological, Anatomical Sciences and Legal Medicine, Sapienza-University of Rome, 00196 Rome, Italy.
Alessandra Di BerardinoOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.
Matteo RuggeriNational Centre for Health Technology Assessment, National Health Institute, 00153 Rome, Italy.
Francesco RosielloOspedale dei Castelli, Local Health Authority Roma 6, 00041 Albano Laziale, Italy.ORCID 0000-0002-6532-1185
National Centre for Disease Prevention and Control · ITSapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 patients with any pre-existing major cardio-vascular disease (CVD) are at the highest risk of viral infection and of developing severe disease. The pathophysiological mechanism is characterized by the viral link to angiotensin-converting enzyme 2 (ACE2) and the involvement of the endothelial system with the release of cytokines and the inflicting of direct damage to the myocardium, the induction of microthrombosis, and the initiation of alterations in oxygen diffusion. The aim of the study is to analyze the clinical course and outcomes in patients (gender-stratified) with pre-existing major CVD.

methodsOut of the 1833 (973 M/860 F) patients admitted to the Internal Medicine COVID-19 Unit of "Castelli Hospital", Lazio, Italy, from 1 January 2021 to 31 December 2021, 600 patients (320 M/280 F) with a mean age of 77 (78.6 M/75.1 F) previously had CVD. Demographic characteristics, length of the stay (LOS) and oxygen therapy were evaluated.

resultsAll of the CVD COVID-19 patients underwent non-invasive ventilation (NIV). CVD was linked with increased LOS (21 days F/22 M) compared to no CVD (19 days). In total, 32.7% of total patients had major CVD.

conclusionsTimely identification and evaluation of patients with pre-existing major CVD are fundamental for adequate treatment based on gender, severity, state of illness and for risk reduction.

Indexed as

COVID-19Heart DiseasesAgedHospitalsHumansOxygenPolypharmacySARS-CoV-2Oxygencardiovascular diseaseCOVID-19gender medicineSARS-CoV-2

Identifiers

PMID37174229
PMCPMC10178862
OpenAlexW4376630183

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.