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Cited by 437

The DOI matches its Crossref record; 217 of the 217 references it cites were found in a registry or an index.

Severe covid-19 pneumonia: pathogenesis and clinical management

Open access
Attaway, Amy H, Scheraga, Rachel G, Bhimraj, Adarsh, Biehl, Michelle, Hatipoğlu, Umur·2021·BMJ

Abstract

Severe covid-19 pneumonia has posed critical challenges for the research and medical communities. Older age, male sex, and comorbidities increase the risk for severe disease. For people hospitalized with covid-19, 15-30% will go on to develop covid-19 associated acute respiratory distress syndrome (CARDS). Autopsy studies of patients who died of severe SARS CoV-2 infection reveal presence of diffuse alveolar damage consistent with ARDS but with a higher thrombus burden in pulmonary capillaries. When used appropriately, high flow nasal cannula (HFNC) may allow CARDS patients to avoid intubation, and does not increase risk for disease transmission. During invasive mechanical ventilation, low tidal volume ventilation and positive end expiratory pressure (PEEP) titration to optimize oxygenation are recommended. Dexamethasone treatment improves mortality for the treatment of severe and critical covid-19, while remdesivir may have modest benefit in time to recovery in patients with severe disease but shows no statistically significant benefit in mortality or other clinical outcomes. Covid-19 survivors, especially patients with ARDS, are at high risk for long term physical and mental impairments, and an interdisciplinary approach is essential for critical illness recovery.

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Registry

Crossref · 10.1136/bmj.n436

Cites

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Citations

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Metadata

Authors
Attaway, A. H., Scheraga, R. G., Bhimraj, A., Biehl, M., & Hatipoğlu, U.
Venue
BMJ
Publisher
BMJ
Published
2021-03-10
Volume
372
Pages
n436
ISSN
1756-1833 (ISSN-L)
OpenAlex
W3135838854
Cited by
437
References
217
FWCI
27.02
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Severe covid-19 pneumonia: pathogenesis and clinical management. https://app.cochat.ai/papers/10.1136/bmj.n436
The paper
Attaway, A. H., Scheraga, R. G., Bhimraj, A., Biehl, M., & Hatipoğlu, U. (2021). Severe covid-19 pneumonia: pathogenesis and clinical management. BMJ. https://doi.org/10.1136/bmj.n436

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.