Evidence map›Paper›PMID 34043668›Full record

Trial reportPloS one2021

The systemic inflammatory response and clinicopathological characteristics in patients admitted to hospital with COVID-19 infection: Comparison of 2 consecutive cohorts.

Donogh Maguire, Conor Richards, Marylynne Woods, Ross Dolan, Jesse Wilson Veitch, Wei M J Sim, Olivia E H Kemmett, David C Milton, Sophie L W Randall, Ly D Bui and 11 more

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04484545 (Prognostic Factors in Patients Admitted to an Urban Teaching Hospital With COVID-19 Infection), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT04484545 unknown statusnot on this map

Prognostic Factors in Patients Admitted to an Urban Teaching Hospital With COVID-19 Infection

TypeobservationalSponsorGlasgow Royal InfirmaryRan2020 to 2021Enrolled250ConditionsCOVID-19ArmsPrognostic score
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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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

21 authors at 4 institutions in 1 country.

Donogh MaguireEmergency Medicine Department, Glasgow Royal Infirmary, Glasgow, United Kingdom.ORCID 0000-0002-0317-4079
Conor RichardsSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Marylynne WoodsSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Ross DolanAcademic Unit of Surgery, School of Medicine, University of Glasgow, New Lister Building, Royal Infirmary, Glasgow, United Kingdom.
Jesse Wilson VeitchSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Wei M J SimSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Olivia E H KemmettSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
David C MiltonSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Sophie L W RandallSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Ly D BuiSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Nicola GoldmannSchool of Medicine Veterinary and Life Sciences, Wolfson Medical School Building, University of Glasgow, Glasgow, United Kingdom.
Amy BrownEmergency Medicine Department, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Eilidh GillenEmergency Medicine Department, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Allan CameronDepartment of Acute Medicine, Glasgow Royal infirmary, Glasgow, United Kingdom.
Barry LairdInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Dinesh TalwarThe Scottish Trace Element and Micronutrient Reference Laboratory, Department of Biochemistry, Royal Infirmary, Glasgow, United Kingdom.
Ian M GodberDepartment of Clinical Biochemistry, Queen Elizabeth University Hospital, Govan, United Kingdom.
John WadsworthThe Scottish Trace Element and Micronutrient Reference Laboratory, Department of Biochemistry, Royal Infirmary, Glasgow, United Kingdom.
Anthony CatchpoleThe Scottish Trace Element and Micronutrient Reference Laboratory, Department of Biochemistry, Royal Infirmary, Glasgow, United Kingdom.
Alan DavidsonEmergency Medicine Department, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Donald C McMillanAcademic Unit of Surgery, School of Medicine, University of Glasgow, New Lister Building, Royal Infirmary, Glasgow, United Kingdom.
Glasgow Royal Infirmary · GBUniversity of Glasgow · GBNorthern Ireland Hospice · GBQueen Elizabeth University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to manage the COVID-19 systemic inflammatory response, it is important to identify clinicopathological characteristics across multiple cohorts.

methodsThe aim of the present study was to compare the 4C mortality score, other measures of the systemic inflammatory response and clinicopathological characteristics in two consecutive cohorts of patients on admission with COVID-19. Electronic patient records for 2 consecutive cohorts of patients admitted to two urban teaching hospitals with COVID-19 during two 7-week periods of the COVID-19 pandemic in Glasgow, U.K. (cohort 1: 17/3/2020-1/5/2020) and (cohort 2: 18/5/2020-6/7/2020) were examined for routine clinical, laboratory and clinical outcome data.

resultsCompared with cohort 1, cohort 2 were older (p<0.001), more likely to be female (p<0.05) and have less independent living circumstances (p<0.001). More patients in cohort 2 were PCR positive, CXR negative (both p<0.001) and had low serum albumin concentrations (p<0.001). 30-day mortality was similar between both cohorts (23% and 22%). In cohort 2, age >70 (p<0.05), male gender (p<0.05), COPD (p<0.05), cognitive impairment (p<0.05), frailty (p<0.001), delirium (p = 0.001), CRP>150mg/L (p<0.05), albumin <30 g/L (p<0.01), elevated perioperative Glasgow Prognostic Score (p<0.05), elevated neutrophil-lymphocyte ratio (p<0.001), low haematocrit (p<0.01), elevated PT (p<0.05), sodium <133 mmol/L (p<0.01) elevated urea (p<0.001), creatinine (p<0.001), glucose (p<0.05) and lactate (p<0.001) and the 4C score (p<0.001) were associated with 30-day mortality. In multivariate analysis, greater frailty (CFS>3) (OR 11.3, 95% C.I. 2.3-96.7, p<0.05), low albumin (<30g/L) (OR 2.5, 95% C.I. 1.0-6.2, p<0.05), high NLR (≥3) (OR 2.2, 95% C.I. 1.5-4.5, p<0.05) and the 4C score (OR 2.4, 95% C.I. 1.0-5.6, p<0.05) remained independently associated with 30-day mortality.

conclusionIn addition to the 4C mortality score, frailty score and a low albumin were strongly independently associated with 30-day mortality in two consecutive cohorts of patients admitted to hospital with COVID-19.

trial registrationclinicaltrials.gov: NCT04484545.

Indexed as

COVID-19HospitalizationHospital MortalitySystemic Inflammatory Response SyndromeAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedSARS-CoV-2Sex Factors

Identifiers

PMID34043668
PMCPMC8159002
OpenAlexW3126617840

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.