Evidence map›Paper›PMID 26002981›Full record

ArticleThe Journal of infectious diseases2015

The Contribution of Ebola Viral Load at Admission and Other Patient Characteristics to Mortality in a Médecins Sans Frontières Ebola Case Management Centre, Kailahun, Sierra Leone, June-October 2014.

Gabriel Fitzpatrick, Florian Vogt, Osman B Moi Gbabai, Tom Decroo, Marian Keane, Hilde De Clerck, Allen Grolla, Raphael Brechard, Kathryn Stinson, Michel Van Herp

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 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

71 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Diagnostics of Ebola virus.Frontiers in public health · 2023
    Review
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Gabriel FitzpatrickMédecins Sans Frontières, Dublin, Ireland.
Florian VogtMédecins Sans Frontières, Operational Research Department, Brussels, Belgium.
Osman B Moi GbabaiPrimary Health Care Unit Kailahun, Ministry of Health and Sanitation, Sierra Leone.
Tom DecrooMédecins Sans Frontières, Operational Research Department, Luxembourg.
Marian KeaneSchool of Mathematical Sciences, Dublin City University, Ireland.
Hilde De ClerckMédecins Sans Frontières, Operational Research Department, Brussels, Belgium.
Allen GrollaSpecial Pathogens Program, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba.
Raphael BrechardMédecins Sans Frontières, Operational Research Department, Brussels, Belgium.
Kathryn StinsonMédecins Sans Frontières, Operational Research Department, Brussels, Belgium.
Michel Van HerpMédecins Sans Frontières, Operational Research Department, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper describes patient characteristics, including Ebola viral load, associated with mortality in a Médecins Sans Frontières Ebola case management centre (CMC).Out of 780 admissions between June and October 2014, 525 (67%) were positive for Ebola with a known outcome. The crude mortality rate was 51% (270/525). Ebola viral load (whole-blood sample) data were available on 76% (397/525) of patients. Univariate analysis indicated viral load at admission, age, symptom duration prior to admission, and distance traveled to the CMC were associated with mortality (P < .05). The multivariable model predicted mortality in those with a viral load at admission greater than 10 million copies per milliliter (P < .05, odds ratio >10), aged ≥ 50 years (P = .08, odds ratio = 2) and symptom duration prior to admission less than 5 days (P = .14). The presence of confusion, diarrhea, and conjunctivitis were significantly higher (P < .05) in Ebola patients who died.These findings highlight the importance viral load at admission has on mortality outcomes and could be used to cohort cases with viral loads greater than 10 million copies into dedicated wards with more intensive medical support to further reduce mortality.

Indexed as

AdolescentAdultDisease OutbreaksEbolavirusFemaleHemorrhagic Fever, EbolaHospitalizationHumansMalePolymerase Chain ReactionRetrospective StudiesSierra LeoneViral LoadYoung AdultEbola virusmortalityoutbreakSierra Leoneviral load

Identifiers

PMID26002981
PMCPMC4633764

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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 OpenQuestion graph.