Evidence map›Paper›PMID 33606773›Full record

Trial reportPloS one2021

Probabilistic analysis of COVID-19 patients' individual length of stay in Swiss intensive care units.

Alexander Henzi, Gian-Reto Kleger, Matthias P Hilty, Pedro D Wendel Garcia, Johanna F Ziegel, RISC-19-ICU Investigators for Switzerland

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 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

6 authors.

Alexander HenziInstitute of Mathematical Statistics and Actuarial Science, University of Bern, Bern, Switzerland.ORCID 0000-0001-5995-0543
Gian-Reto KlegerDivision of Intensive Care Medicine, Cantonal Hospital, St.Gallen, Switzerland.
Matthias P HiltyThe RISC-19-ICU Registry Board, University of Zurich, Zürich, Switzerland.ORCID 0000-0002-2765-881X
Pedro D Wendel GarciaThe RISC-19-ICU Registry Board, University of Zurich, Zürich, Switzerland.
Johanna F ZiegelInstitute of Mathematical Statistics and Actuarial Science, University of Bern, Bern, Switzerland.ORCID 0000-0002-5916-9746
RISC-19-ICU Investigators for Switzerland

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleThe COVID-19 pandemic induces considerable strain on intensive care unit resources.

objectivesWe aim to provide early predictions of individual patients' intensive care unit length of stay, which might improve resource allocation and patient care during the on-going pandemic.

methodsWe developed a new semiparametric distributional index model depending on covariates which are available within 24h after intensive care unit admission. The model was trained on a large cohort of acute respiratory distress syndrome patients out of the Minimal Dataset of the Swiss Society of Intensive Care Medicine. Then, we predict individual length of stay of patients in the RISC-19-ICU registry. MEASUREMENTS: The RISC-19-ICU Investigators for Switzerland collected data of 557 critically ill patients with COVID-19. MAIN

resultsThe model gives probabilistically and marginally calibrated predictions which are more informative than the empirical length of stay distribution of the training data. However, marginal calibration was worse after approximately 20 days in the whole cohort and in different subgroups. Long staying COVID-19 patients have shorter length of stay than regular acute respiratory distress syndrome patients. We found differences in LoS with respect to age categories and gender but not in regions of Switzerland with different stress of intensive care unit resources.

conclusionA new probabilistic model permits calibrated and informative probabilistic prediction of LoS of individual patients with COVID-19. Long staying patients could be discovered early. The model may be the basis to simulate stochastic models for bed occupation in intensive care units under different casemix scenarios.

Indexed as

HospitalizationHospital MortalityIntensive Care UnitsLength of StayModels, BiologicalSARS-CoV-2AgedCOVID-19FemaleHumansMaleMiddle AgedSwitzerland

Identifiers

PMID33606773
PMCPMC7894868

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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.