Evidence map›Paper›PMID 33317374›Full record

ArticleJournal of intensive care medicine2021

Fever in the ICU: A Predictor of Mortality in Mechanically Ventilated COVID-19 Patients.

Rachel L Choron, Christopher A Butts, Christopher Bargoud, Nicole J Krumrei, Amanda L Teichman, Mary E Schroeder, Michelle T Bover Manderski, Jenny Cai, Cherry Song, Michael B Rodricks and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of intensive care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 12% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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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

12 authors at 1 institution in 1 country.

Rachel L ChoronDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.ORCID https://orcid.org/0000-0002-2297-9956
Christopher A ButtsDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Christopher BargoudDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Nicole J KrumreiDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Amanda L TeichmanDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Mary E SchroederDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Michelle T Bover ManderskiDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.
Jenny CaiDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Cherry SongDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Michael B RodricksDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Matthew LissauerDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.ORCID https://orcid.org/0000-0002-6008-9778
Rajan GuptaDivision of Acute Care Surgery, Department of Surgery, 43982Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Rutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile fever may be a presenting symptom of COVID-19, fever at hospital admission has not been identified as a predictor of mortality. However, hyperthermia during critical illness among ventilated COVID-19 patients in the ICU has not yet been studied. We sought to determine mortality predictors among ventilated COVID-19 ICU patients and we hypothesized that fever in the ICU is predictive of mortality. MATERIALS AND

methodsWe conducted a retrospective cohort study of 103 ventilated COVID-19 patients admitted to the ICU between March 14 and May 27, 2020. Final follow-up was June 5, 2020. Patients discharged from the ICU or who died were included. Patients still admitted to the ICU at final follow-up were excluded.

results103 patients were included, 40 survived and 63(61.1%) died. Deceased patients were older {66 years[IQR18] vs 62.5[IQR10], (

conclusionsThis is one of the first studies to identify ICU hyperthermia as predictive of mortality in ventilated COVID-19 patients. Additional predictors included male sex, age, and acidosis. With COVID-19 cases increasing, identification of ICU mortality predictors is crucial to improve risk stratification, resource management, and patient outcomes.

Indexed as

Hospital MortalityAdultAgedCOVID-19Critical Care OutcomesFemaleFeverHumansIntensive Care UnitsMaleMiddle AgedRespiration, ArtificialRetrospective StudiesRisk FactorsSARS-CoV-2coronavirusCOVID-19critically illfeverhyperthermiaICUmortality

Identifiers

PMID33317374
PMCPMC7738811
OpenAlexW3113200620

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.