Evidence map›Paper›PMID 33788846›Full record

ArticlePloS one2021

Clinical characteristics and outcomes for 7,995 patients with SARS-CoV-2 infection.

Jacob McPadden, Frederick Warner, H Patrick Young, Nathan C Hurley, Rebecca A Pulk, Avinainder Singh, Thomas J S Durant, Guannan Gong, Nihar Desai, Adrian Haimovich and 16 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% 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.

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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. The role of immune activation and antigen persistence in acute and long COVID.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2023
    Review
  9. Article
  10. Differences in pediatric SARS-CoV-2 symptomology and Co-infection rates among COVID-19 Pandemic waves.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
    Article
  11. Review
  12. Article
  13. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 6 institutions in 1 country.

Jacob McPaddenDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0001-8625-181X
Frederick WarnerCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0001-5588-7372
H Patrick YoungCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.
Nathan C HurleyDepartment of Computer Science and Engineering, Texas A&M University, College Station, Texas, United States of America.
Rebecca A PulkCorporate Pharmacy Services, Yale New Haven Health, New Haven, Connecticut, United States of America.ORCID 0000-0003-0949-9699
Avinainder SinghDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0003-1717-005X
Thomas J S DurantCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0003-1107-8148
Guannan GongCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0002-4972-6705
Nihar DesaiCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0003-2384-2545
Adrian HaimovichYale School of Medicine, New Haven, Connecticut, United States of America.
Richard Andrew TaylorDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.
Murat GunelDepartment of Genetics, Yale University School of Medicine, New Haven, Connecticut, United States of America.
Charles S Dela CruzDepartment of Internal Medicine, Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.
Shelli F FarhadianDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0001-7230-1409
Jonathan SinerDepartment of Internal Medicine, Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.
Merceditas VillanuevaDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America.
Keith ChurchwellYale New Haven Hospital, New Haven, Connecticut, United States of America.
Allen HsiaoDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0002-8080-0002
Charles J TorreDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0002-0348-7593
Eric J VelazquezDepartment of Internal Medicine, Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0003-2245-7477
Roy S HerbstYale Comprehensive Cancer Center, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0003-2535-5847
Akiko IwasakiDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0002-7824-9856
Albert I KoDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut, United States of America.
Bobak J MortazaviCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0002-2655-2095
Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0003-2046-127X
Wade L SchulzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, United States of America.ORCID 0000-0002-2048-4028
Yale University · USYale New Haven Hospital · USHoward Hughes Medical Institute · USTexas A&M University · USYale Cancer Center · USYale New Haven Health System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
MEDICAL INFORMATICS RESEARCH TRAINING AT YALET15LM007056 · NLM · YALE UNIVERSITY · PI Mark Bender Gerstein, LUCILA OHNO-MACHADO · 1987 to 2026
$22.2M
NCATS NIH HHS UL1 TR001863NLM NIH HHS T15 LM007056
6 · The paper itself

Abstract

objectiveSevere acute respiratory syndrome virus (SARS-CoV-2) has infected millions of people worldwide. Our goal was to identify risk factors associated with admission and disease severity in patients with SARS-CoV-2.

designThis was an observational, retrospective study based on real-world data for 7,995 patients with SARS-CoV-2 from a clinical data repository.

settingYale New Haven Health (YNHH) is a five-hospital academic health system serving a diverse patient population with community and teaching facilities in both urban and suburban areas. POPULATIONS: The study included adult patients who had SARS-CoV-2 testing at YNHH between March 1 and April 30, 2020. MAIN OUTCOME AND PERFORMANCE MEASURES: Primary outcomes were admission and in-hospital mortality for patients with SARS-CoV-2 infection as determined by RT-PCR testing. We also assessed features associated with the need for respiratory support.

resultsOf the 28605 patients tested for SARS-CoV-2, 7995 patients (27.9%) had an infection (median age 52.3 years) and 2154 (26.9%) of these had an associated admission (median age 66.2 years). Of admitted patients, 2152 (99.9%) had a discharge disposition at the end of the study period. Of these, 329 (15.3%) required invasive mechanical ventilation and 305 (14.2%) expired. Increased age and male sex were positively associated with admission and in-hospital mortality (median age 80.7 years), while comorbidities had a much weaker association with the risk of admission or mortality. Black race (OR 1.43, 95%CI 1.14-1.78) and Hispanic ethnicity (OR 1.81, 95%CI 1.50-2.18) were identified as risk factors for admission, but, among discharged patients, age-adjusted in-hospital mortality was not significantly different among racial and ethnic groups.

conclusionsThis observational study identified, among people testing positive for SARS-CoV-2 infection, older age and male sex as the most strongly associated risks for admission and in-hospital mortality in patients with SARS-CoV-2 infection. While minority racial and ethnic groups had increased burden of disease and risk of admission, age-adjusted in-hospital mortality for discharged patients was not significantly different among racial and ethnic groups. Ongoing studies will be needed to continue to evaluate these risks, particularly in the setting of evolving treatment guidelines.

Indexed as

AdolescentAdultAgedAged, 80 and overCohort StudiesCOVID-19COVID-19 TestingFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID33788846
PMCPMC8011821
OpenAlexW3144714362

What OpenQuestion holds

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LicenceCC BY
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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.