Evidence map›Paper›PMID 34015023›Full record

ArticlePloS one2021

Establishment and validation of a predictive model for mortality within 30 days in patients with sepsis-induced blood pressure drop: A retrospective analysis.

Bin Wang, Jianping Chen

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

2 authors.

Bin WangAffiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Jinhua, Zhejiang Province, China.ORCID 0000-0002-4709-0600
Jianping ChenAffiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Jinhua, Zhejiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish and validate an individualized nomogram to predict the probability of death within 30 days in patients with sepsis-induced blood pressure drop would help clinical physicians to pay attention to those with higher risk of death after admission to wards.

methodsA total of 1023 patients who were admitted to the Dongyang People's Hospital, China, enrolled in this study. They were divided into model group (717 patients) and validation group (306 patients). The study included 13 variables. The independent risk factors leading to death within 30 days were screened by univariate analyses and multivariate logistic regression analyses and used for Nomogram. The discrimination and correction of the prediction model were assessed by the area under the Receiver Operating Characteristic (ROC) curve and the calibration chart. The clinical effectiveness of the prediction model was assessed by the Decision Curve Analysis (DCA).

resultsSeven variables were independent risk factors, included peritonitis, respiratory failure, cardiac insufficiency, consciousness disturbance, tumor history, albumin level, and creatinine level at the time of admission. The area under the ROC curve of the model group and validation group was 0.834 and 0.836. The P value of the two sets of calibration charts was 0.702 and 0.866. The DCA curves of the model group and validation group were above the two extreme (insignificant) curves.

conclusionsThe model described in this study could effectively predict the death of patients with sepsis-induced blood pressure drop.

Indexed as

AgedAged, 80 and overBlood PressureChinaFemaleHeart FailureHumansHypotensionLogistic ModelsMaleMiddle AgedNomogramsPrognosisRisk FactorsSepsis

Identifiers

PMID34015023
PMCPMC8136670

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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.