Evidence map›Paper›PMID 33594046›Full record

ArticleNature communications2021

Real-time prediction of COVID-19 related mortality using electronic health records.

Patrick Schwab, Arash Mehrjou, Sonali Parbhoo, Leo Anthony Celi, Jürgen Hetzel, Markus Hofer, Bernhard Schölkopf, Stefan Bauer

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

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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.

Patrick SchwabF. Hoffmann-La Roche Ltd, Basel, Switzerland. patrick.schwab@icloud.com.ORCID 0000-0002-2868-7794
Arash MehrjouMax Planck Institute for Intelligent Systems, Tübingen, Germany.ORCID 0000-0002-3832-7784
Sonali ParbhooJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, USA.
Leo Anthony CeliDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
Jürgen HetzelDepartment of Medical Oncology and Pneumology, University Hospital of Tübingen, Tübingen, Germany.
Markus HoferDepartment of Pneumology, Kantonsspital Winterthur, Winterthur, Switzerland.
Bernhard SchölkopfMax Planck Institute for Intelligent Systems, Tübingen, Germany.
Stefan BauerMax Planck Institute for Intelligent Systems, Tübingen, Germany.ORCID 0000-0003-1712-060X

Funding

Critical Care Informatics: Ethical considerations around the use and sharing of health-related dataR01EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, MARK, ROGER GREENWOOD · 2014 to 2021
$3.8M
NIBIB NIH HHS R01 EB017205
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is a respiratory disease with rapid human-to-human transmission caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Due to the exponential growth of infections, identifying patients with the highest mortality risk early is critical to enable effective intervention and prioritisation of care. Here, we present the COVID-19 early warning system (CovEWS), a risk scoring system for assessing COVID-19 related mortality risk that we developed using data amounting to a total of over 2863 years of observation time from a cohort of 66 430 patients seen at over 69 healthcare institutions. On an external cohort of 5005 patients, CovEWS predicts mortality from 78.8% (95% confidence interval [CI]: 76.0, 84.7%) to 69.4% (95% CI: 57.6, 75.2%) specificity at sensitivities greater than 95% between, respectively, 1 and 192 h prior to mortality events. CovEWS could enable earlier intervention, and may therefore help in preventing or mitigating COVID-19 related mortality.

Indexed as

Computer SystemsElectronic Health RecordsCOVID-19Early Warning ScoreHumansOrgan Dysfunction ScoresSARS-CoV-2Survival AnalysisTime Factors

Identifiers

PMID33594046
PMCPMC7886884

What OpenQuestion holds

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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.