Evidence map›Paper›PMID 33957434›Full record

ArticleRespiratory medicine2021

The predictors of COVID-19 mortality in a nationwide cohort of Turkish patients.

Nurdan Kokturk, Cenk Babayigit, Seval Kul, Pelin Duru Cetinkaya, Sibel Atis Nayci, Serap Argun Baris, Oguz Karcioglu, Pinar Aysert, Ilim Irmak, Aycan Akbas Yuksel and 58 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  18. Azithromycin use and outcomes in patients with COVID-19: an observational real-world study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Observational
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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

68 authors at 20 institutions in 2 countries.

Nurdan KokturkDepartment of Pulmonary Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey. Electronic address: kokturk.nurdan@gmail.com.
Cenk BabayigitDepartment of Pulmonary Medicine, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey. Electronic address: cbabayigit@gmail.com.
Seval KulDepartment of Biostatistics, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey. Electronic address: sevalkul@gantep.edu.tr.
Pelin Duru CetinkayaDepartment of Pulmonary Medicine, University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkey. Electronic address: pelindurucetinkaya@hotmail.com.
Sibel Atis NayciDepartment of Pulmonary Medicine, Faculty of Medicine, Mersin University, Mersin, Turkey. Electronic address: atissibel@gmail.com.
Serap Argun BarisDepartment of Pulmonary Medicine, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. Electronic address: serapargun2002@yahoo.com.
Oguz KarciogluDepartment of Pulmonary Medicine, Halil Sıvgın Cubuk State Hospital, Ankara, Turkey. Electronic address: oguzkarcioglu@gmail.com.
Pinar AysertDepartment of Infectious Disease, Faculty of Medicine, Gazi University, Ankara, Turkey. Electronic address: pinar_aysert@yahoo.com.
Ilim IrmakDepartment of Pulmonary Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey. Electronic address: ilimirmak@hotmail.com.
Aycan Akbas YukselDepartment of Pulmonary Medicine, Faculty of Medicine, Ufuk University, Ankara, Turkey. Electronic address: aycnakbas@hotmail.com.
Yonca SekibagDepartment of Pulmonary Disease, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Electronic address: yoncahacioglu@gmail.com.
Oya Baydar ToprakDepartment of Pulmonary Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey. Electronic address: oyabaydarr@yahoo.com.tr.
Emel AzakDepartment of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Kocaeli University, Kocaeli Turkey. Electronic address: emelazak@mynet.com.
Sait MulamahmutogluDepartment of Pulmonary Disease, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Electronic address: saitmoglu@gmail.com.
Caglar CuhadarogluDepartment of Pulmonary Medicine, Altunizade Acibadem Hospital, Istanbul, Turkey. Electronic address: caglar.cuhadaroglu@acibadem.com.tr.
Aslihan DemirelDepartment of Infectious Disease, Kadikoy Florence Nightingale Hospital, Istanbul, Turkey. Electronic address: demirelaslihan@yahoo.com.
Bugra KergetDepartment of Pulmonary Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Electronic address: bjkerget1903@gmail.com.
Burcu Baran KetenciogluDepartment of Pulmonary Medicine, Faculty of Medicine, Erciyes University, Kayseri, Turkey. Electronic address: burcubaran@hotmail.com.
Hasan Selcuk OzgerDepartment of Infectious Disease, Faculty of Medicine, Gazi University, Ankara, Turkey. Electronic address: sozger@yahoo.com.
Gulcihan OzkanDepartment of Pulmonary Medicine, Maslak Acibadem Hospital, Istanbul, Turkey; Operating Room Services Department, Nisantasi University, Vocational School, Istanbul, Turkey. Electronic address: gulcihanozkan@gmail.com.
Zeynep TureDepartment of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey. Electronic address: dr.zeynepture@gmail.com.
Begum ErganDepartment of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: begumergan@hotmail.com.
Vildan Avkan OguzDepartment of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: vildan.oguz@gmail.com.
Oguz KilincDepartment of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: oguz.kilinc@deu.edu.tr.
Merve ErcelikDepartment of Pulmonary Medicine, Faculty of Medicine, Duzce University, Duzce, Turkey. Electronic address: evrem-33@hotmail.com.
Tansu Ulukavak CiftciDepartment of Pulmonary Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey. Electronic address: tansu.ciftci@gazi.edu.tr.
Ozlem AliciDepartment of Infectious Disease, Faculty of Medicine, Turkiye Gazetesi Private Hospital, Istanbul, Turkey. Electronic address: oalici@gmail.com.
Esra Nurlu TemelDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Electronic address: dresratemel@gmail.com.
Ozlem AtaogluDepartment of Pulmonary Medicine, Faculty of Medicine, Duzce University, Duzce, Turkey. Electronic address: dr.ozlemozturk@outlook.com.
Asena AydinDepartment of Pulmonary Medicine, Kestel State Hospital, Bursa, Turkey. Electronic address: asenaarisoy@gmail.com.
Dilek Cetiner BahcetepeDepartment of Pulmonary Medicine, Kestel State Hospital, Bursa, Turkey. Electronic address: dilekbahcetepe@gmail.com.
Yusuf Taha GulluDepartment of Pulmonary Medicine, Faculty of Medicine, On Dokuz Mayis University, Samsun, Turkey. Electronic address: tahagullu@gmail.com.
Fusun FakiliDepartment of Pulmonary Medicine, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey. Electronic address: fusunfakili@yahoo.com.
Figen DeveciDepartment of Pulmonary Medicine, Faculty of Medicine, Firat University, Elazig, Turkey. Electronic address: fgndeveci@yahoo.com.
Neslihan KoseDepartment of Pulmonary Medicine, Bilecik Training and Research Hospital, Bilecik, Turkey. Electronic address: neslihankose.nks@gmail.com.
Muge Meltem TorDepartment of Pulmonary Medicine, Faculty of Medicine, Zonguldak Bulent Ecevit University, Zonguldak, Turkey. Electronic address: meltemtor@gmail.com.
Gulsah GunluogluDepartment of Pulmonary Medicine, University of Health Science, Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey. Electronic address: gunluoglu76@yahoo.com.
Sedat AltinDepartment of Pulmonary Medicine, University of Health Science, Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey. Electronic address: draltinsedat@gmail.com.
Teyfik TurgutDepartment of Pulmonary Medicine, Faculty of Medicine, Firat University, Elazig, Turkey. Electronic address: teyfikt@yahoo.com.
Tibel TunaDepartment of Pulmonary Medicine, Faculty of Medicine, On Dokuz Mayis University, Samsun, Turkey. Electronic address: tibeltuna@hotmail.com.
Onder OzturkDepartment of Pulmonary Medicine, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Electronic address: dronderozturk@gmail.com.
Oner DikensoyDepartment of Pulmonary Medicine, Faculty of Medicine, Taksim, Acibadem University, Istanbul, Turkey. Electronic address: dikensoy@yahoo.com.
Pinar Yildiz GulhanDepartment of Pulmonary Medicine, Faculty of Medicine, Duzce University, Duzce, Turkey. Electronic address: pinaryildiz691@hotmail.com.
Ilknur BasyigitDepartment of Pulmonary Medicine, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. Electronic address: ilknur.basyigit@gmail.com.
Hasim BoyaciDepartment of Pulmonary Medicine, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. Electronic address: haboyaci@yahoo.com.
I Kivilcim OguzulgenDepartment of Pulmonary Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey. Electronic address: ikoguzulgen@gmail.com.
Sermin BorekciDepartment of Pulmonary Disease, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Electronic address: serminborekci@yahoo.com.tr.
Bilun GemiciogluDepartment of Pulmonary Disease, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Electronic address: bilung@gmail.com.
Firat BayraktarDepartment of Internal Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: firat.bayraktar@gmail.com.
Osman ElbekDepartment of Pulmonary Medicine, Kadikoy Florence Nightingale Hospital, Istanbul, Turkey. Electronic address: osmanelbek@yahoo.com.
Ismail HantaDepartment of Pulmonary Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey. Electronic address: ismailhnt@gmail.com.
Hacer Kuzu OkurDepartment of Pulmonary Medicine, Altunizade Acibadem Hospital, Istanbul, Turkey. Electronic address: hacerkuzu@hotmail.com.
Gulseren SagcanDepartment of Pulmonary Medicine, Altunizade Acibadem Hospital, Istanbul, Turkey. Electronic address: gulserensagcan@yahoo.com.
Oguz UzunDepartment of Pulmonary Medicine, Faculty of Medicine, On Dokuz Mayis University, Samsun, Turkey. Electronic address: oguzuzun67@yahoo.com.tr.
Metin AkgunDepartment of Pulmonary Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Electronic address: akgunm@gmail.com.
Goksel AltinisikDepartment of Pulmonary Medicine, Faculty of Medicine, Pamukkale University, Denizli, Turkey. Electronic address: gaergur@gmail.com.
Berna DursunDepartment of Pulmonary Medicine, Ankara Memorial Hospital, Ankara, Turkey. Electronic address: bernatoraks@gmail.com.
Ebru Cakir EdisDepartment of Pulmonary Medicine, Faculty of Medicine, Trakya University, Edirne, Turkey. Electronic address: ebruckr@yahoo.com.
Erkmen GulhanDepartment of Thoracic Surgery, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey. Electronic address: egulhan@rocketmail.com.
Fusun Oner EyubogluDepartment of Pulmonary Medicine, Baskent University, School of Medicine, Ankara, Turkey. Electronic address: fusuneyuboglu@gmail.com.
Okkes GultekinDepartment of Pulmonary Medicine, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. Electronic address: o.gultekin@hotmail.com.tr.
Yavuz HavlucuDepartment of Pulmonary Medicine, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. Electronic address: dyhavlucu@yahoo.com.
Metin OzkanDepartment of Pulmonary Medicine, Ankara Memorial Hospital, Ankara, Turkey. Electronic address: metin58@yahoo.com.
Aysin Sakar CoskunDepartment of Pulmonary Medicine, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. Electronic address: aysins@hotmail.com.
Abdullah SayinerDepartment of Pulmonary Medicine, Faculty of Medicine, Ege University, Izmir, Turkey. Electronic address: abdullah.sayiner@ege.edu.tr.
Ali Fuat KalyoncuDepartment of Pulmonary Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey. Electronic address: fuattoraks@gmail.com.
Oya ItilDepartment of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: oya.itil@deu.edu.tr.
Hasan BayramDepartment of Pulmonary Medicine, Koc University Research Center for Translational Medicine (KUTTAM), Koc University School of Medicine, Istanbul, Turkey. Electronic address: habayram@ku.edu.tr.
Dokuz Eylül University · TRGazi University · TRAcıbadem University · TRIstanbul University-Cerrahpaşa · TRKocaeli Üniversitesi · TRSağlık Bilimleri Üniversitesi · TRDüzce Üniversitesi · TRManisa Celal Bayar University · TROndokuz Mayıs University · TRAtatürk University · TRCukurova University · TRFırat University · TRGaziantep University · TRHacettepe University · TRIstanbul Florence Nightingale Hospital · TRMemorial Ankara Hospital · TRSivas State Hospital · TRSüleyman Demirel University · TRAnkara Atatürk Eğitim ve Araştırma Hastanesi · TRBaşkent University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19-related death rate varies between countries and is affected by various risk factors. This multicenter registry study was designed to evaluate the mortality rate and the related risk factors in Turkey. We retrospectively evaluated 1500 adults with COVID-19 from 26 centers who were hospitalized between March 11 and July 31, 2020. In the study group, 1041 and 459 cases were diagnosed as definite and highly probable cases, respectively. There were 993 PCR-positive cases (66.2%). Among all cases, 1144 (76.3%) were diagnosed with non-severe pneumonia, whereas 212 (14.1%) had severe pneumonia. Death occurred in 67 patients, corresponding to a mortality rate of 4.5% (95% CI:3.5-5.6). The univariate analysis demonstrated that various factors, including male sex, age ≥65 years and the presence of dyspnea or confusion, malignity, chronic obstructive lung disease, interstitial lung disease, immunosuppressive conditions, severe pneumonia, multiorgan dysfunction, and sepsis, were positively associated with mortality. Favipiravir, hydroxychloroquine and azithromycin were not associated with survival. Following multivariate analysis, male sex, severe pneumonia, multiorgan dysfunction, malignancy, sepsis and interstitial lung diseases were found to be independent risk factors for mortality. Among the biomarkers, procalcitonin levels on the 3rd-5th days of admission showed the strongest associations with mortality (OR: 6.18; 1.6-23.93). This study demonstrated that the mortality rate in hospitalized patients in the early phase of the COVID-19 pandemic was a serious threat and that those patients with male sex, severe pneumonia, multiorgan dysfunction, malignancy, sepsis and interstitial lung diseases were at increased risk of mortality; therefore, such patients should be closely monitored.

Indexed as

PandemicsPopulation SurveillanceAgedCOVID-19FemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival RateTurkeyCOVID-19 deathsIn-hospital mortalityRisk factors

Identifiers

PMID33957434
PMCPMC8079263
OpenAlexW3158478383

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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.