Evidence map›Paper›PMID 33933339›Full record

ArticleEuropean journal of internal medicine2021

Joint effect of heart failure and coronary artery disease on the risk of death during hospitalization for COVID-19.

Fabio Angeli, Jacopo Marazzato, Paolo Verdecchia, Antonella Balestrino, Claudio Bruschi, Piero Ceriana, Luca Chiovato, Laura Adelaide Dalla Vecchia, Roberto De Ponti, Francesco Fanfulla and 8 more

Abstract read
In one paragraph

Article in European journal of internal medicine, 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.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. COVID-19 andInfectious disease reports · 2023
    Article
  7. Review
  8. Article
  9. COVID-19, vaccines and deficiency of ACEEuropean journal of internal medicine · 2022
    Review
  10. Article
  11. Article
  12. 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

18 authors.

Fabio AngeliDepartment of Medicine and Surgery, University of Insubria, Varese, Italy; Istituti Clinici Scientifici Maugeri IRCCS, Italy. Electronic address: angeli.internet@gmail.com.
Jacopo MarazzatoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Paolo VerdecchiaFondazione Umbra Cuore e Ipertensione-ONLUS and Division of Cardiology, Hospital S. Maria della Misericordia, Perugia, Italy.
Antonella BalestrinoIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Claudio BruschiIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Piero CerianaIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Luca ChiovatoIstituti Clinici Scientifici Maugeri IRCCS, Italy; Department of Internal Medicine and Therapeutics, University of Pavia, Italy.
Laura Adelaide Dalla VecchiaIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Roberto De PontiDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Francesco FanfullaIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Maria Teresa La RovereIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Francesca PeregoIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Simonetta ScalviniIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Antonio SpanevelloDepartment of Medicine and Surgery, University of Insubria, Varese, Italy; Istituti Clinici Scientifici Maugeri IRCCS, Italy.
Egidio TraversiIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Dina ViscaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy; Istituti Clinici Scientifici Maugeri IRCCS, Italy.
Michele VitaccaIstituti Clinici Scientifici Maugeri IRCCS, Italy.
Tiziana BachettiIstituti Clinici Scientifici Maugeri IRCCS, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsheart failure (HF) and coronary artery disease (CAD) are independent predictors of death in patients with COVID-19. The adverse prognostic impact of the combination of HF and CAD in these patients is unclear. METHODS AND

resultswe analysed data from 954 consecutive patients hospitalized for SARS-CoV-2 in five Italian Hospitals from February 23 to May 22, 2020. The study was a systematic prospective data collection according to a pre-specified protocol. All-cause mortality during hospitalization was the outcome measure. Mean duration of hospitalization was 33 days. Mortality was 11% in the total population and 7.4% in the group without evidence of HF or CAD (reference group). Mortality was 11.6% in the group with CAD and without HF (odds ratio [OR]: 1.6, p = 0.120), 15.5% in the group with HF and without CAD (OR: 2.3, p = 0.032), and 35.6% in the group with CAD and HF (OR: 6.9, p<0.0001). The risk of mortality in patients with CAD and HF combined was consistently higher than the sum of risks related to either disorder, resulting in a significant synergistic effect (p<0.0001) of the two conditions. Age-adjusted attributable proportion due to interaction was 64%. Adjusting for the simultaneous effects of age, hypotension, and lymphocyte count did not significantly lower attributable proportion which persisted statistically significant (p = 0.0360).

conclusionThe combination of HF and CAD exerts a marked detrimental impact on the risk of mortality in hospitalized patients with COVID-19, which is independent on other adverse prognostic markers.

Indexed as

Coronary Artery DiseaseCOVID-19Heart FailureHospitalizationHumansItalyProspective StudiesRisk FactorsSARS-CoV-2Coronary artery diseaseCOVID-19Heart failureHospital MortalityPrognosis

Identifiers

PMID33933339
PMCPMC8055166

What OpenQuestion holds

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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.