Evidence map›Paper›PMID 33969222›Full record

ArticleMedicina clinica (English ed.)2021

Hypoalbuminemia on admission in COVID-19 infection: An early predictor of mortality and adverse events. A retrospective observational study.

María C Viana-Llamas, Ramón Arroyo-Espliguero, J Alberto Silva-Obregón, Giovanna Uribe-Heredia, Iván Núñez-Gil, Belén García-Magallón, Claudio G Torán-Martínez, Alicia Castillo-Sandoval, Eva Díaz-Caraballo, Itsaso Rodríguez-Guinea and 1 more

Open access · greenAbstract read
In one paragraph

Article in Medicina clinica (English ed.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Albumin Kinetics in Sepsis and COVID-19.Critical care explorations · 2022
    Article
  6. Review
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

11 authors at 2 institutions in 1 country.

María C Viana-LlamasDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Ramón Arroyo-EspligueroDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
J Alberto Silva-ObregónDepartment of Intensive Medicine, Hospital Universitario de Guadalajara, Spain.
Giovanna Uribe-HerediaDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Iván Núñez-GilDepartment of Cardiology, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Belén García-MagallónDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Claudio G Torán-MartínezDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Alicia Castillo-SandovalDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Eva Díaz-CaraballoDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Itsaso Rodríguez-GuineaDepartment of Cardiology, Hospital Universitario de Guadalajara, Spain.
Jesús Domínguez-LópezDepartment of Laboratory Medicine, Hospital Universitario de Guadalajara, Spain.
Hospital Universitario de Guadalajara · ESInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHypoalbuminemia is a negative acute phase reactant which has been associated with inflammatory response and poor outcome in infectious diseases. The aim of this study was to analyze the value of hypoalbuminemia on admission as a predictor of mortality and adverse events in COVID-19 patients.

methodsWe analyzed retrospective data from a cohort of 609 consecutive patients, with confirmed diagnosis of COVID-19, discharged from hospital (deceased or alive). Demographic characteristics, previous comorbidities, symptoms and laboratory findings on admission were collected. Comorbidities were assessed by Charlson-Age Comorbidity Index.

resultsHypoalbuminemia on admission (<34 g/L) was more frequent in nonsurvivors than survivors (65.6% vs. 38%,

conclusionsHypoalbuminemia was an early predictor of in-hospital mortality in COVID-19, regardless of age, comorbidity and inflammatory markers. It also had significant association with severe adverse events, independently of Charlson-Age Comorbidity Index. Our results suggest that serum albumin determination on admission may help to identify patients with SARS-CoV-2 infection at high risk of developing potential life-threatening conditions and death.

Indexed as

COVID-19HypoalbuminemiaPredictors of adverse eventsPredictors of mortalitySARS-CoV-2

Identifiers

PMID33969222
PMCPMC8088081
OpenAlexW3127616370

What OpenQuestion holds

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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.