Evidence map›Paper›PMID 27153800›Full record

ArticleCritical care (London, England)2016

Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

Ghaleb A Almekhlafi, Mohammed M Albarrak, Yasser Mandourah, Sahar Hassan, Abid Alwan, Abdullah Abudayah, Sultan Altayyar, Mohamed Mustafa, Tareef Aldaghestani, Adnan Alghamedi and 4 more

Abstract read
In one paragraph

Article in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 7 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

43 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  19. Obese communities among the best predictors of COVID-19-related deaths.Cardiovascular endocrinology & metabolism · 2020
    Article
  20. A comparative overview of COVID-19, MERS and SARS: Review article.International journal of surgery (London, England) · 2020
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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

14 authors.

Ghaleb A AlmekhlafiDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia. gmekhlafi@yahoo.com.
Mohammed M AlbarrakIntensive Care Unit, Prince Sultan Cardiac Center, Riyadh, 11159, Saudi Arabia.
Yasser MandourahDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Sahar HassanDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Abid AlwanDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Abdullah AbudayahDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Sultan AltayyarDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Mohamed MustafaDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Tareef AldaghestaniDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Adnan AlghamediDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Ali TalagDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Muhammad K MalikDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.
Ali S OmraniDepartment of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, 11211, Saudi Arabia.
Yasser SakrDepartment of Anesthesiology and Intensive Care, Uniklinikum Jena, 07743, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMiddle East respiratory syndrome coronavirus infection is associated with high mortality rates but limited clinical data have been reported. We describe the clinical features and outcomes of patients admitted to an intensive care unit (ICU) with Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

methodsRetrospective analysis of data from all adult (>18 years old) patients admitted to our 20-bed mixed ICU with Middle East respiratory syndrome coronavirus infection between October 1, 2012 and May 31, 2014. Diagnosis was confirmed in all patients using real-time reverse transcription polymerase chain reaction on respiratory samples.

resultsDuring the observation period, 31 patients were admitted with MERS-CoV infection (mean age 59 ± 20 years, 22 [71 %] males). Cough and tachypnea were reported in all patients; 22 (77.4 %) patients had bilateral pulmonary infiltrates. Invasive mechanical ventilation was applied in 27 (87.1 %) and vasopressor therapy in 25 (80.6 %) patients during the intensive care unit stay. Twenty-three (74.2 %) patients died in the ICU. Nonsurvivors were older, had greater APACHE II and SOFA scores on admission, and were more likely to have received invasive mechanical ventilation and vasopressor therapy. After adjustment for the severity of illness and the degree of organ dysfunction, the need for vasopressors was an independent risk factor for death in the ICU (odds ratio = 18.33, 95 % confidence interval: 1.11-302.1, P = 0.04).

conclusionsMERS-CoV infection requiring admission to the ICU is associated with high morbidity and mortality. The need for vasopressor therapy is the main risk factor for death in these patients.

Indexed as

Intensive Care UnitsAdultAgedCohort StudiesCoronavirus InfectionsFemaleHumansMaleMiddle AgedMiddle East Respiratory Syndrome CoronavirusRespiration, ArtificialRetrospective StudiesSaudi ArabiaCoronavirusEpidemicMERS-CoVRespiratory failureSaudi Arabia

Identifiers

PMID27153800
PMCPMC4859954

What OpenQuestion 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 OpenQuestion graph.