Evidence map›Paper›PMID 32443442›Full record

ArticleJournal of clinical medicine2020

Intensive Care Risk Estimation in COVID-19 Pneumonia Based on Clinical and Imaging Parameters: Experiences from the Munich Cohort.

Egon Burian, Friederike Jungmann, Georgios A Kaissis, Fabian K Lohöfer, Christoph D Spinner, Tobias Lahmer, Matthias Treiber, Michael Dommasch, Gerhard Schneider, Fabian Geisler and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 6 pooled it
7.8field-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

45 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Associations between Serum Interleukins (IL-1BioMed research international · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Early reduction of SARS-CoV-2-replication in bronchial epithelium by kinin BJournal of molecular medicine (Berlin, Germany) · 2022
    Article
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

16 authors at 1 institution in 1 country.

Egon BurianDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.ORCID 0000-0003-0428-8569
Friederike JungmannDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Georgios A KaissisDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.ORCID 0000-0001-8382-8062
Fabian K LohöferDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Christoph D SpinnerDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.ORCID 0000-0002-3875-5367
Tobias LahmerDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Matthias TreiberDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Michael DommaschDepartment of Internal Medicine I, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Gerhard SchneiderClinic for Anesthesiology and Intensive Care Medicine, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Fabian GeislerDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.ORCID 0000-0003-1545-485X
Wolfgang HuberDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Ulrike ProtzerInstitute of Virology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Roland M SchmidDepartment of Internal Medicine II, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Markus SchwaigerSchool of Medicine, Dean, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Marcus R MakowskiDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Rickmer F BrarenDepartment of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Technical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The evolving dynamics of coronavirus disease 2019 (COVID-19) and the increasing infection numbers require diagnostic tools to identify patients at high risk for a severe disease course. Here we evaluate clinical and imaging parameters for estimating the need of intensive care unit (ICU) treatment. We collected clinical, laboratory and imaging data from 65 patients with confirmed COVID-19 infection based on polymerase chain reaction (PCR) testing. Two radiologists evaluated the severity of findings in computed tomography (CT) images on a scale from 1 (no characteristic signs of COVID-19) to 5 (confluent ground glass opacities in over 50% of the lung parenchyma). The volume of affected lung was quantified using commercially available software. Machine learning modelling was performed to estimate the risk for ICU treatment. Patients with a severe course of COVID-19 had significantly increased interleukin (IL)-6, C-reactive protein (CRP), and leukocyte counts and significantly decreased lymphocyte counts. The radiological severity grading was significantly increased in ICU patients. Multivariate random forest modelling showed a mean ± standard deviation sensitivity, specificity and accuracy of 0.72 ± 0.1, 0.86 ± 0.16 and 0.80 ± 0.1 and a receiver operating characteristic-area under curve (ROC-AUC) of 0.79 ± 0.1. The need for ICU treatment is independently associated with affected lung volume, radiological severity score, CRP, and IL-6.

Indexed as

clinical parameterscomputed tomographyCOVID-19intensive care unitradiological parameterssevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Identifiers

PMID32443442
PMCPMC7291055
OpenAlexW3024251435

What OpenQuestion 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 OpenQuestion graph.