Evidence map›Paper›PMID 33330318›Full record

ArticleFrontiers in public health2020

Prediction of COVID-19 Patients at High Risk of Progression to Severe Disease.

Zhenyu Dai, Dong Zeng, Dawei Cui, Dawei Wang, Yanling Feng, Yuhan Shi, Liangping Zhao, Jingjing Xu, Wenjuan Guo, Yuexiang Yang and 7 more

Abstract readComparative Study
In one paragraph

Article in Frontiers in public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. The effect of ACE2 receptor, IFN-γ, and TNF-α polymorphisms on the severity and prognosis of the disease in SARS-CoV-2 infection.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Speech as a Biomarker for COVID-19 Detection Using Machine Learning.Computational intelligence and neuroscience · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. 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

17 authors.

Zhenyu DaiDepartment of Invasive Technology, Yancheng Clinical Medical College of Nanjing Medical University, Yancheng, China.
Dong ZengDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Dawei CuiDepartment of Blood Transfusion, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Dawei WangDepartment of Infectious Disease, The Second People's Hospital of Yancheng City, Yancheng, China.
Yanling FengDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Yuhan ShiDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Liangping ZhaoDepartment of Gynecology and Obstetrics, Tongji Medical College, Wuhan Central Hospital, Huazhong University of Science and Technology, Wuhan, China.
Jingjing XuDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Wenjuan GuoDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Yuexiang YangDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Xinguo ZhaoDepartment of Respiration, The Fifth People's Hospital of Wuxi, Wuxi, China.
Duoduo LiDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Ye ZhengDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Ao WangDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Minmin WuDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Shu SongDepartment of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Hongzhou LuDepartment of Infectious Disease and Immunology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to develop a novel scoring model for the prediction of coronavirus disease-19 (COVID-19) patients at high risk of severe disease, we retrospectively studied 419 patients from five hospitals in Shanghai, Hubei, and Jiangsu Provinces from January 22 to March 30, 2020. Multivariate Cox regression and orthogonal projections to latent structures discriminant analysis (OPLS-DA) were both used to identify high-risk factors for disease severity in COVID-19 patients. The prediction model was developed based on four high-risk factors. Multivariate analysis showed that comorbidity [hazard ratio (HR) 3.17, 95% confidence interval (CI) 1.96-5.11], albumin (ALB) level (HR 3.67, 95% CI 1.91-7.02), C-reactive protein (CRP) level (HR 3.16, 95% CI 1.68-5.96), and age ≥60 years (HR 2.31, 95% CI 1.43-3.73) were independent risk factors for disease severity in COVID-19 patients. OPLS-DA identified that the top five influencing parameters for COVID-19 severity were CRP, ALB, age ≥60 years, comorbidity, and lactate dehydrogenase (LDH) level. When incorporating the above four factors, the nomogram had a good concordance index of 0.86 (95% CI 0.83-0.89) and had an optimal agreement between the predictive nomogram and the actual observation with a slope of 0.95 (

Indexed as

Disease ProgressionPrognosisSeverity of Illness IndexAdultAgedAged, 80 and overAge FactorsChinaCOVID-19FemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk AssessmentCOVID-19nomogramrisk factorsscoring modelseverity

Identifiers

PMID33330318
PMCPMC7732480

What OpenQuestion holds

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LicenceCC BY
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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.