Evidence map›Paper›PMID 30611205›Full record

ArticleBMC infectious diseases2019

Mortality in hospitalized patients with tuberculous meningitis.

Jaime Soria, Tatiana Metcalf, Nicanor Mori, Renee E Newby, Silvia M Montano, Luz Huaroto, Eduardo Ticona, Joseph R Zunt

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
7.7field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Model-Based Meta-analysis of Rifampicin Exposure and Mortality in Indonesian Tuberculous Meningitis Trials.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 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

8 authors at 4 institutions in 3 countries.

Jaime SoriaInfectious and Tropical Diseases Department, Hospital Nacional Dos de Mayo, Lima, Peru.
Tatiana MetcalfFaculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Nicanor MoriUniversidad Nacional Mayor de San Marcos, Lima, Peru.
Renee E NewbyNorthern Pacific Global Health Research Fellows Training Consortium, University of Washington, Seattle, USA. renuhn@uw.edu.ORCID http://orcid.org/0000-0002-9840-2977
Silvia M MontanoUniversidad Nacional Mayor de San Marcos, Lima, Peru.
Luz HuarotoInfectious and Tropical Diseases Department, Hospital Nacional Dos de Mayo, Lima, Peru.
Eduardo TiconaInfectious and Tropical Diseases Department, Hospital Nacional Dos de Mayo, Lima, Peru.
Joseph R ZuntDepartments of Neurology, Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, USA.
National University of San Marcos · PEPacific Northwest Diabetes Research Institute · USSeattle Pacific University · USUniversity of Washington · US

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
NPGH LEADERs YR12: OBSSR (Greenberg, Ngwafong Mukere) & NIBIB (Lee)D43TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI Dibyadyuti Datta, Chandy C. John · 2017 to 2026
$15.2M
FIC NIH HHS D43 TW009345FIC NIH HHS R24 TW007988NIH HHS R24TW007988
6 · The paper itself

Abstract

backgroundTo evaluate the mortality in hospitalized patients with tuberculous meningitis and describe factors associated with an increased risk of mortality.

methodsRetrospective study of hospitalized patients with tuberculous meningitis between 2006 and 2015 in Peru performing a generalized linear regression to identify factors predictive of in-hospital mortality.

resultsOf 263 patients, the median age was 35 years, 72.6% were men, 38% were positive for HIV upon admission, 24% had prior TB infections and 2.3% had prior MDR-TB infections. In-hospital mortality was 30.4% of all study patients with a final diagnosis of TBM. When multivariable analysis was applied, significant associations with in-hospital mortality were seen among patients with HIV (RR 2.06; Confidence Interval 95% (95% CI) 1.44-2.94), BMRC II (RR 1.78; 95% CI 1.07-2.97), BMRC III (RR 3.11; 95% CI 1.78-5.45) and positive CSF cultures (RR 1.95; 95% CI 1.39-2.74).

conclusionsIn-hospital mortality is higher among patients with HIV infections, age over 40 years, positive CSF TB culture and BMRC stage II or III.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHIVHIV InfectionsHospital MortalityHumansMaleMiddle AgedPeruRetrospective StudiesTuberculosis, MeningealTuberculosis, Multidrug-ResistantYoung AdultHIVMeningitisTuberculosis

Identifiers

PMID30611205
PMCPMC6321688
OpenAlexW2911821529

What OpenQuestion holds

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LicenceCC BY
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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.