Evidence map›Paper›PMID 33496923›Full record

ArticleInternal and emergency medicine2021

Inflammatory biomarkers as independent prognosticators of 28-day mortality for COVID-19 patients admitted to general medicine or ICU wards: a retrospective cohort study.

Tyler Pitre, Aaron Jones, Johnny Su, Wryan Helmeczi, Grace Xu, Catherine Lee, Adib Shamsuddin, Adhora Mir, Sarah MacGregor, MyLinh Duong and 5 more

Abstract read
In one paragraph

Article in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Antiviral drug treatment for nonsevere COVID-19: a systematic review and network meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Pooled it
  3. Article
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  5. Article
  6. Article
  7. Are the thorax Computed Tomography findings of ICU patients diagnosed with COVID-19 pneumonia related to the duration of hospital stay and mortality?Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2023
    Article
  8. Article
  9. Evaluation of Time-Varying Biomarkers in Mortality Outcome in COVID-19: an Application of Extended Cox Regression Model.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2022
    Article
  10. Article
  11. Perspective: repurposed drugs for COVID-19.Archives of medical science : AMS · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Tyler PitreDepartment of Medicine, McMaster University, Hamilton, Canada. tyler.pitre@medportal.ca.ORCID 0000-0003-3015-0723
Aaron JonesWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Johnny SuDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Wryan HelmecziDepartment of Internal Medicine, University of Ottawa, Ottawa, ON, Canada.
Grace XuWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Catherine LeeWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Adib ShamsuddinWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Adhora MirWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Sarah MacGregorWaterloo regional campus, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
MyLinh DuongDepartment of Medicine, McMaster University, Hamilton, Canada.
Terence HoDepartment of Medicine, McMaster University, Hamilton, Canada.
Marla K BeauchampDepartment of Medicine, McMaster University, Hamilton, Canada.
Andrew P CostaDepartment of Medicine, McMaster University, Hamilton, Canada.
Rebecca KruisselbrinkDepartment of Medicine, McMaster University, Hamilton, Canada.
COREG Investigators

Funding

CIHR 172754the Hamilton Academic Health Sciences Organization HAH-21-04
6 · The paper itself

Abstract

Inflammatory biomarkers may be associated with disease severity and increased mortality in COVID-19 patients but have not been studied in North American populations. We sought to determine whether a set of commonly ordered inflammatory biomarkers can predict 28-day mortality. We analyzed a multi-centered (four) COVID-19 registry cohort from March 4th to December 7th, 2020. This cohort included COVID-19-positive patients admitted to medical wards or intensive care units. Patients presenting to the emergency department for COVID-19 symptoms and then subsequently discharged were also included. We performed Cox-regression analysis to measure whether commonly used biomarkers were associated with an increased 28-day mortality. Of 336 COVID-19-positive patients, 267 required hospital admission, and 69 were seen in the emergency room and discharged. The median age was 63 years (IQR 80-50) and the female-to-male ratio was 49:51. Derivation of internally validated cut-offs suggested that C-reactive protein ≥ 78.4 mg/L, neutrophil-to-lymphocyte ratio ≥ 6.1, lymphocyte-to-white blood cell ratio < 0.127, and a modified Glasgow prognostic score equal to 2 vs. 1 or 0 were associated with the highest increased risk of 28-day mortality. We provide early estimates of cut-off values for inflammatory biomarkers and indices measured at the time of admission that may be useful to clinicians for predicting 28-day mortality in North American COVID-19 patients.

Indexed as

AgedBiomarkersCOVID-19COVID-19 TestingC-Reactive ProteinCritical IllnessFemaleHospital MortalityHumansIntensive Care UnitsLymphocytesMaleMiddle AgedNeutrophilsPrognosisRetrospective StudiesBiomarkersC-Reactive ProteinBiomarkersCOVID-19CRPmGPSNLR

Identifiers

PMID33496923
PMCPMC7836340

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.