Evidence map›Paper›PMID 33835685›Full record

ArticleInternal medicine journal2021

Classification and analysis of outcome predictors in non-critically ill COVID-19 patients.

Sergio Venturini, Daniele Orso, Francesco Cugini, Massimo Crapis, Sara Fossati, Astrid Callegari, Tommaso Pellis, Maurizio Tonizzo, Alessandro Grembiale, Alessia Rosso and 4 more

Abstract read
In one paragraph

Article in Internal medicine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

14 authors.

Sergio VenturiniDepartment of Infectious Diseases, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Daniele OrsoDepartment of Medicine, University of Udine, Udine, Italy.
Francesco CuginiDepartment of Emergency Medicine, ASUFC Hospital of San Daniele, Udine, Italy.ORCID 0000-0002-5805-9393
Massimo CrapisDepartment of Infectious Diseases, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Sara FossatiDepartment of Infectious Diseases, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Astrid CallegariDepartment of Infectious Diseases, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Tommaso PellisDepartment of Anesthesia and Intensive Care, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Maurizio TonizzoDepartment of Internal Medicine, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Alessandro GrembialeDepartment of Internal Medicine, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Alessia RossoDepartment of Internal Medicine, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Mario TamburriniDepartment of Pneumology, ASFO Santa Maria degli Angeli Hospital of Pordenone, Pordenone, Italy.
Natascia D'AndreaDepartment of Medicine, University of Udine, Udine, Italy.
Luigi VetrugnoDepartment of Medicine, University of Udine, Udine, Italy.
Tiziana BoveDepartment of Medicine, University of Udine, Udine, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected patients who could develop a severe form of COVID-19 must be considered of great importance to carry out adequate care and optimise the use of limited resources.

aimsTo use several machine learning classification models to analyse a series of non-critically ill COVID-19 patients admitted to a general medicine ward to verify if any clinical variables recorded could predict the clinical outcome.

methodsWe retrospectively analysed non-critically ill patients with COVID-19 admitted to the general ward of the hospital in Pordenone from 1 March 2020 to 30 April 2020. Patients' characteristics were compared based on clinical outcomes. Through several machine learning classification models, some predictors for clinical outcome were detected.

resultsIn the considered period, we analysed 176 consecutive patients admitted: 119 (67.6%) were discharged, 35 (19.9%) dead and 22 (12.5%) were transferred to intensive care unit. The most accurate models were a random forest model (M2) and a conditional inference tree model (M5) (accuracy = 0.79; 95% confidence interval 0.64-0.90, for both). For M2, glomerular filtration rate and creatinine were the most accurate predictors for the outcome, followed by age and fraction-inspired oxygen. For M5, serum sodium, body temperature and arterial pressure of oxygen and inspiratory fraction of oxygen ratio were the most reliable predictors.

conclusionsIn non-critically ill COVID-19 patients admitted to a medical ward, glomerular filtration rate, creatinine and serum sodium were promising predictors for the clinical outcome. Some factors not determined by COVID-19, such as age or dementia, influence clinical outcomes.

Indexed as

COVID-19Critical IllnessHospitalizationHumansIntensive Care UnitsRetrospective StudiesSARS-CoV-2COVID-19machine learningnon-critically illprediction

Identifiers

PMID33835685
PMCPMC8250466

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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.