Evidence map›Paper›PMID 33895645›Full record

ArticleThe American journal of emergency medicine2021

On-admission anemia predicts mortality in COVID-19 patients: A single center, retrospective cohort study.

Seung Mi Oh, John P Skendelas, Eric Macdonald, Michael Bergamini, Swati Goel, Jaeun Choi, Kathryn R Segal, Kumar Vivek, Singh Nair, Jonathan Leff

Open access · greenAbstract read
In one paragraph

Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Kidney involvement and anemia in COVID-19 infection.World journal of nephrology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The impact of chronic cardiovascular disease on COVID-19 clinical course.Journal of clinical and translational research · 2022
    Article
  20. Relationship of anemia with COVID-19 deaths: A retrospective cross-sectional study.Journal of anaesthesiology, clinical pharmacology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Seung Mi OhDepartment of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461, USA. Electronic address: seungmi.oh@einsteinmed.org.
John P SkendelasDepartment of Cardiothoracic & Vascular Surgery, Montefiore Medical Center, Bronx, NY 10467, USA.
Eric MacdonaldDepartment of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Michael BergaminiDepartment of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Swati GoelDivision of Hematology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Jaeun ChoiDepartment of Epidemiology & Population Health (Biostatistics), Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Kathryn R SegalDepartment of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Kumar VivekDepartment of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Singh NairDepartment of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Jonathan LeffDepartment of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA; Division of Cardiothoracic Anesthesiology, Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Albert Einstein College of Medicine · USMontefiore Medical Center · US

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
NCATS NIH HHS UL1 TR002556
6 · The paper itself

Abstract

objectivesWe investigated the impact of anemia based on admission hemoglobin (Hb) level as a prognostic risk factor for severe outcomes in hospitalized patients with coronavirus disease 2019 (COVID-19).

methodsA single-center, retrospective cohort study was conducted from a random sample of 733 adult patients (age ≥ 18 years) obtained from a total of 4356 laboratory confirmed SARS-CoV-2 cases who presented to the Emergency Department of Montefiore Medical Center between March-June 2020. The primary outcome was a composite endpoint of in-hospital severe outcomes of COVID-19. A secondary outcome was in-hospital all-cause mortality.

resultsAmong the 733 patients included in our final analysis, 438 patients (59.8%) presented with anemia. 105 patients (14.3%) had mild, and 333 patients (45.5%) had moderate-severe anemia. Overall, 437 patients (59.6%) had a composite endpoint of severe outcomes. On-admission anemia was an independent risk factor for all-cause mortality, (Odds Ratio 1.52, 95% CI [1.01-2.30], p = 0.046) but not for composite severe outcomes. However, moderate-severe anemia (Hb < 11 g/dL) on admission was independently associated with both severe outcomes (OR1.53, 95% CI [1.05-2.23], p = 0.028) and mortality (OR 1.67, 95% CI [1.09-2.56], p = 0.019) during hospitalization.

conclusionAnemia on admission was independently associated with increased odds of all-cause mortality in patients hospitalized with COVID-19. Furthermore, moderate-severe anemia (Hb <11 g/dL) was an independent risk factor for severe COVID-19 outcomes. Moving forward, COVID-19 patient management and risk stratification may benefit from addressing anemia on admission.

Indexed as

Hospital MortalityAcute Kidney InjuryAgedAged, 80 and overAnemiaBlood TransfusionCause of DeathCohort StudiesCOVID-19FemaleHemoglobinsHospitalizationHumansHypotensionIntensive Care UnitsMaleHemoglobinsAnemiaCOVID-19Emergency departmentHypoxic respiratory failureMortalitySepsis

Identifiers

PMID33895645
PMCPMC8007204
OpenAlexW3141145306

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.