Evidence map›Paper›PMID 33440831›Full record

ArticleJournal of clinical medicine2021

Mortality and Transfusion Requirements in COVID-19 Hospitalized Italian Patients According to Severity of the Disease.

Elvira Grandone, Raffaele Pesavento, Giovanni Tiscia, Antonio De Laurenzo, Davide Ceccato, Maria Teresa Sartori, Lucia Mirabella, Gilda Cinnella, Mario Mastroianno, Lidia Dalfino and 4 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

14 authors.

Elvira GrandoneThrombosis and Haemostasis Unit, Fondazione I.R.C.C.S. "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.ORCID 0000-0001-8391-7938
Raffaele PesaventoDepartment of Internal Medicine, University of Padua, 35122 Padua, Italy.
Giovanni TisciaThrombosis and Haemostasis Unit, Fondazione I.R.C.C.S. "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Antonio De LaurenzoThrombosis and Haemostasis Unit, Fondazione I.R.C.C.S. "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Davide CeccatoDepartment of Internal Medicine, University of Padua, 35122 Padua, Italy.
Maria Teresa SartoriDepartment of Internal Medicine, University of Padua, 35122 Padua, Italy.
Lucia MirabellaDepartment of Anesthesia and Intensive care, University of Foggia, 71122 Foggia, Italy.
Gilda CinnellaDepartment of Anesthesia and Intensive care, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-9864-2893
Mario MastroiannoScientific Direction, Fondazione I.R.C.C.S. "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Lidia DalfinoAnesthesia and Intensive care Unit, University of Bari, 70121 Bari, Italy.
Donatella ColaizzoThrombosis and Haemostasis Unit, Fondazione I.R.C.C.S. "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Roberto VettorDepartment of Internal Medicine, University of Padua, 35122 Padua, Italy.
Angelo OstuniImmunohematology and Transfusion Medicine Service, Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, University of Bari "Aldo Moro", 7012 Bari, Italy and Struttura Regionale Coordinamento, 70124 Bari, Italy.
Maurizio MargaglioneMedical Genetics, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-5627-9221

Funding

Ministero della Salute RC2020
6 · The paper itself

Abstract

There is paucity of data on the transfusion need and its impact on the overall mortality in patients with COVID-19. We explored mortality in hospitalized patients with COVID-19 who required transfusions. Information on clinical variables and in-hospital mortality were obtained from medical records of 422 patients admitted to medical wards or the Intensive Care Unit (ICU). In-hospital mortality occurred in 147 (34.8%) patients, 94 (63.9%) of whom were admitted to the ICU. The median fatalities age was 77 years (IQR 14). Overall, 100 patients (60 males) received transfusion during hospitalization. The overall mortality was significantly and independently associated with age, ICU admission, Chronic Kidney Disease (CKD), and the number of transfused Red Blood Cell (RBC) units. Specifically, CKD was associated with mortality in patients admitted to medical wards, whereas the number of transfused RBC units predicted mortality in those admitted to the ICU. Transfusion strongly interacted with the admission to ICU (OR: 9.9; 95% CI: 2.5-40.0). In patients with COVID-19, age is one of the strongest risk factors in predicting mortality independently of the disease's severity. CKD confers a higher risk of mortality in patients admitted to medical wards. In those admitted to the ICU, the more RBC units are transfused, the more mortality increases.

Indexed as

COVID-19ICUmedical wardmortalitytransfusion

Identifiers

PMID33440831
PMCPMC7826536

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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.