Evidence map›Paper›PMID 32949175›Full record

ArticleJournal of medical virology2021

Multiple organ injury on admission predicts in-hospital mortality in patients with COVID-19.

He Yan, Shanshan Lu, Liangpei Chen, Yufang Wang, Qiaomei Liu, Dongsheng Li, Xisheng Yan, Jie Yan

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Understanding on the possible routes for SARS CoV-2 invasion via ACE2 in the host linked with multiple organs damage.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2022
    Review
  4. Article
  5. 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

8 authors at 2 institutions in 1 country.

He YanDepartment of Forensic Science, School of Basic Medical Science, Central South University, Changsha, China.
Shanshan LuDepartment of Histology and Embryology, School of Basic Medical Science, Central South University, Changsha, China.
Liangpei ChenDepartment of Forensic Science, School of Basic Medical Science, Central South University, Changsha, China.
Yufang WangDepartment of Forensic Science, School of Basic Medical Science, Central South University, Changsha, China.
Qiaomei LiuDepartment of Medical Records Statistics, Wuhan Third Hospital & Tongren Hospital of Wuhan University, Wuhan, China.
Dongsheng LiDepartment of Cardiovascular Medicine, Wuhan Third Hospital & Tongren Hospital of Wuhan University, Wuhan, China.ORCID 0000-0001-6110-9630
Xisheng YanDepartment of Cardiovascular Medicine, Wuhan Third Hospital & Tongren Hospital of Wuhan University, Wuhan, China.
Jie YanDepartment of Forensic Science, School of Basic Medical Science, Central South University, Changsha, China.ORCID 0000-0001-6877-5193
Central South University · CNTongren Hospital · CN

Funding

Applied Basic Research Program of Wuhan Municipal Bureau of Science and Technology 2019020701011473Hubei Province Health and Family Planning Scientific Research Project WJ2019M006Hubei Province Natural Science Fund 2020CFB660National Natural Science Foundation of China 81772024National Natural Science Foundation of China 81871088Wuhan Municipal Population and Family Planning Commission Foundation WX16C03
6 · The paper itself

Abstract

Multiorgan injury has been implicated in patients with coronavirus disease 2019 (COVID-19). We aim to assess the impact of organ injury (OI) on prognosis according to the number of affected organs at admission. This is a retrospective cohort study of patients with confirmed COVID-19 in Wuhan Third Hospital & Tongren Hospital of Wuhan University from February 17 to March 22, 2020. We classified the patients according to the presence and number of damaged organs (heart, liver, and kidney). The percentage of patients with no, one, two, or three organs affected was 59.75%, 30.46%, 8.07%, and 1.72%, respectively. With the increasing number of OI, there is a tendency of gradual increase regarding the white blood cell counts, neutrophil counts, levels of C-reactive protein (CRP), lactate dehydrogenase, D-dimer, and fibrinogen as well as the incidence of most complications. In a Cox regression model, individuals with OI, old age, and an abnormal level of CRP were at a higher risk of death compared with those without. Patients with three organ injuries had the highest mortality rate (57.9%; hazard ratio [HR] with 95% confidence interval [CI] vs. patients without OI: 22.31 [10.42-47.77], those with two [23.6%; HR = 8.68, 95% CI = 4.58-16.48], one [8.6%; HR = 3.1, 95% CI = 1.7-5.7], or no OI [2.6%]; p < .001). The increasing number of OI was associated with a high risk of mortality in COVID-19 infection.

Indexed as

AgedCOVID-19C-Reactive ProteinFemaleFibrinogenHospitalizationHospital MortalityHumansIncidenceLeukocyte CountL-Lactate DehydrogenaseMaleMiddle AgedMultiple Organ FailurePrognosisRetrospective StudiesC-Reactive ProteinFibrinogenL-Lactate DehydrogenaseCOVID-19mortalityorgan injuryrisk factorSARS-CoV-2

Identifiers

PMID32949175
PMCPMC7537087
OpenAlexW3087589719

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.