Evidence map›Paper›PMID 32565226›Full record

Observational studyThe journal of allergy and clinical immunology. In practice2020

Prompt Predicting of Early Clinical Deterioration of Moderate-to-Severe COVID-19 Patients: Usefulness of a Combined Score Using IL-6 in a Preliminary Study.

Alessandra Vultaggio, Emanuele Vivarelli, Gianni Virgili, Ersilia Lucenteforte, Alessandro Bartoloni, Carlo Nozzoli, Alessandro Morettini, Andrea Berni, Danilo Malandrino, Oliviero Rossi and 18 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The journal of allergy and clinical immunology. In practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 8% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  5. Predicting the outcome of death by CALL Score in COVID-19 patients.Revista da Associacao Medica Brasileira (1992) · 2024
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  14. Comparison of laboratory parameters in mildJournal of thoracic disease · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 3 institutions in 1 country.

Alessandra VultaggioImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Emanuele VivarelliImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Gianni VirgiliDepartment of Ophthalmology, Careggi University Hospital, Florence, Italy.
Ersilia LucenteforteDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Alessandro BartoloniDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Carlo NozzoliInternal Medicine Unit 1, Careggi University Hospital, Florence, Italy.
Alessandro MorettiniInternal Medicine Unit 2, Careggi University Hospital, Florence, Italy.
Andrea BerniInternal Medicine Unit 3, Careggi University Hospital, Florence, Italy.
Danilo MalandrinoInternal Medicine Unit 3, Careggi University Hospital, Florence, Italy.
Oliviero RossiImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Francesca NenciniImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Filippo PieralliIntermediate Care Unit, Careggi University Hospital, Florence, Italy.
Adriano PerisIntensive Care Unit and Regional ECMO Referral Centre, Careggi University Hospital, Florence, Italy.
Filippo LagiDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Giulia ScoccheraInternal Medicine Unit 2, Careggi University Hospital, Florence, Italy.
Michele SpinicciDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Michele TrottaDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Marcello MazzettiDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Paola ParronchiDepartment of Experimental and Clinical Medicine, Immunology and Cell Therapy Unit, Careggi University Hospital, Florence, Italy.
Lorenzo CosmiDepartment of Experimental and Clinical Medicine, Immunology and Cell Therapy Unit, Careggi University Hospital, Florence, Italy.
Francesco LiottaDepartment of Experimental and Clinical Medicine, Immunology and Cell Therapy Unit, Careggi University Hospital, Florence, Italy.
Paolo FontanariCardiac Anesthesia and Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Alessio MazzoniDepartment of Experimental and Clinical Medicine, Flow Cytometric Diagnostic Centre and Immunotherapy (CDCI), Careggi University Hospital, Florence, Italy.
Lorenzo SalvatiDepartment of Experimental and Clinical Medicine, Immunology and Cell Therapy Unit, Careggi University Hospital, Florence, Italy.
Enrico MaggiTranslational Immunology Unit, Immunology Area, Pediatric Hospital Bambino Gesù, IRCCS, Rome, Italy.
Francesco AnnunziatoDepartment of Experimental and Clinical Medicine, Flow Cytometric Diagnostic Centre and Immunotherapy (CDCI), Careggi University Hospital, Florence, Italy.
Fabio AlmerigognaImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Andrea MatucciImmunoallergology Unit, Careggi University Hospital, Florence, Italy. Electronic address: andrea.matucci@unifi.it.
Azienda Ospedaliero-Universitaria Careggi · ITBambino Gesù Children's Hospital · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe early identification of patients at risk of clinical deterioration is of interest considering the timeline of COVID-19 after the onset of symptoms.

objectiveThe aim of our study was to evaluate the usefulness of testing serum IL-6 and other serological and clinical biomarkers, to predict a short-term negative clinical course of patients with noncritical COVID-19.

methodsA total of 208 patients with noncritical COVID-19 pneumonia at admission were consecutively enrolled. Clinical and laboratory findings obtained on admission were analyzed by using survival analysis and stepwise logistic regression for variable selection. Three-day worsening as outcome in a logistic model to generate a prognostic score was used.

resultsClinical worsening occurred in 63 patients (16 = died; 39 = transferred to intensive care unit; 8 worsening of respiratory failure). Forty-five of them worsened within 3 days after admission. The risk of clinical worsening was progressively enhanced along with increasing quartiles of IL-6 levels. Multivariate analysis showed that IL-6 (P = .005), C-reactive protein (CRP) (P = .003), and SaO

conclusionsCombining IL-6, CRP, and SaO

Indexed as

Clinical DeteriorationAdultAgedAged, 80 and overBetacoronavirusBiomarkersComorbidityCoronavirus InfectionsCOVID-19C-Reactive ProteinFemaleHumansInterleukin-6Kaplan-Meier EstimateLength of StayMaleBiomarkersC-Reactive ProteinInterleukin-6OxygenCOVID-19C-reactive proteinIL-6Risk factorsSARS-CoV-2

Identifiers

PMID32565226
PMCPMC7303032
OpenAlexW3036239415

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.