Evidence map›Paper›PMID 33374341›Full record

Observational studyNutrients2020

Regular Use of VKA Prior to COVID-19 Associated with Lower 7-Day Survival in Hospitalized Frail Elderly COVID-19 Patients: The GERIA-COVID Cohort Study.

Pierre Ménager, Olivier Brière, Jennifer Gautier, Jérémie Riou, Guillaume Sacco, Antoine Brangier, Cédric Annweiler, On Behalf Of The Geria-Covid Study Group

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04756479 (Predictors of Intrahospital Mortality in Older Patients Admitted Due to COVID-19 in the COVID-19 AGEBRU Study), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT04756479 completednot on this map

Predictors of Intrahospital Mortality in Older Patients Admitted Due to COVID-19 in the COVID-19 AGEBRU Study

TypeobservationalSponsorBrugmann University HospitalRan2020 to 2020Enrolled160ConditionsCovid19, Old Age, Debility, Morbidity, Multiple
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 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

8 authors at 3 institutions in 2 countries.

Pierre MénagerDepartment of Geriatric Medicine, Le Mans Hospital, F-72037 Le Mans, France.
Olivier BrièreDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, F-49933 Angers, France.ORCID 0000-0002-4533-7024
Jennifer GautierDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, F-49933 Angers, France.ORCID 0000-0003-0200-9378
Jérémie RiouINSERM, MINT, 1066, University of Angers, F-49000 Angers, France.
Guillaume SaccoDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, F-49933 Angers, France.ORCID 0000-0002-6881-1649
Antoine BrangierDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, F-49933 Angers, France.
Cédric AnnweilerDepartment of Geriatric Medicine, Le Mans Hospital, F-72037 Le Mans, France.ORCID 0000-0002-7199-8109
On Behalf Of The Geria-Covid Study Group
Centre Hospitalier du Mans · FRInserm · FRWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin K concentrations are inversely associated with the clinical severity of COVID-19. The objective of this cohort study was to determine whether the regular use of vitamin K antagonist (VKA) prior to COVID-19 was associated with short-term mortality in frail older adults hospitalized for COVID-19.

methodsEighty-two patients consecutively hospitalized for COVID-19 in a geriatric acute care unit were included. The association of the regular use of VKA prior to COVID-19 with survival after 7 days of COVID-19 was examined using a propensity-score-weighted Cox proportional-hazards model accounting for age, sex, severe undernutrition, diabetes mellitus, hypertension, prior myocardial infarction, congestive heart failure, prior stroke and/or transient ischemic attack, CHA2DS2-VASc score, HAS-BLED score, and eGFR.

resultsAmong 82 patients (mean ± SD age 88.8 ± 4.5 years; 48% women), 73 survived COVID-19 at day 7 while 9 died. There was no between-group difference at baseline, despite a trend for more frequent use of VKA in those who did not survive on day 7 (33.3% versus 8.2%,

conclusionsRegular use of VKA was associated with increased mortality at day 7 in hospitalized frail elderly patients with COVID-19.

Indexed as

AnticoagulantsCOVID-19COVID-19 Drug TreatmentFrail ElderlyVitamin KAged, 80 and overAge FactorsDisease-Free SurvivalFemaleHumansLongitudinal StudiesMaleRisk FactorsSARS-CoV-2Severity of Illness IndexSex FactorsAnticoagulantsVitamin KanticoagulationCOVID-19older adultsSARS-CoV-2survivalvitamin K antagonist

Identifiers

PMID33374341
PMCPMC7824717
OpenAlexW3114502963

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.