Evidence map›Paper›PMID 34045530›Full record

ArticleScientific reports2021

Urine biomarkers for the prediction of mortality in COVID-19 hospitalized patients.

Daniel Morell-Garcia, David Ramos-Chavarino, Josep M Bauça, Paula Argente Del Castillo, Maria Antonieta Ballesteros-Vizoso, Luis García de Guadiana-Romualdo, Cristina Gómez-Cobo, J Albert Pou, Rocío Amezaga-Menéndez, Alberto Alonso-Fernández and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed, 31 citations in OpenAlex.

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  7. A metabolic readout of the urine metabolome of COVID-19 patients.Metabolomics : Official journal of the Metabolomic Society · 2023
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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

12 authors at 3 institutions in 1 country.

Daniel Morell-GarciaLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain. dr.morell.uab@gmail.com.
David Ramos-ChavarinoLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Josep M BauçaLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Paula Argente Del CastilloLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Maria Antonieta Ballesteros-VizosoLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Luis García de Guadiana-RomualdoLaboratory Medicine Department, Hospital Universitario Santa Lucía, Cartagena, Spain.
Cristina Gómez-CoboLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
J Albert PouInstitut d'Investigació Sanitària de Les Illes Balears (IdISBa), Palma de Mallorca, Spain.
Rocío Amezaga-MenéndezInstitut d'Investigació Sanitària de Les Illes Balears (IdISBa), Palma de Mallorca, Spain.
Alberto Alonso-FernándezInstitut d'Investigació Sanitària de Les Illes Balears (IdISBa), Palma de Mallorca, Spain.
Isabel LlompartLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Ana García-RajaLaboratory Medicine Department, Hospital Universitari Son Espases, Ctra. Valldemossa 79, mòdul 0-J., 07120, Palma de Mallorca, Spain.
Hospital Universitario Son Espases · ESHealth Research Institute of the Balearic Islands · ESSanta Lucía University General Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk factors associated with severity and mortality attributable to COVID-19 have been reported in different cohorts, highlighting the occurrence of acute kidney injury (AKI) in 25% of them. Among other, SARS-CoV-2 targets renal tubular cells and can cause acute renal damage. The aim of the present study was to evaluate the usefulness of urinary parameters in predicting intensive care unit (ICU) admission, mortality and development of AKI in hospitalized patients with COVID-19. Retrospective observational study, in a tertiary care hospital, between March 1st and April 19th, 2020. We recruited adult patients admitted consecutively and positive for SARS-CoV-2. Urinary and serum biomarkers were correlated with clinical outcomes (AKI, ICU admission, hospital discharge and in-hospital mortality) and evaluated using a logistic regression model and ROC curves. A total of 199 COVID-19 hospitalized patients were included. In AKI, the logistic regression model with a highest area under the curve (AUC) was reached by the combination of urine blood and previous chronic kidney disease, with an AUC of 0.676 (95%CI 0.512-0.840; p = 0.023); urine specific weight, sodium and albumin in serum, with an AUC of 0.837 (95% CI 0.766-0.909; p < 0.001) for ICU admission; and age, urine blood and lactate dehydrogenase levels in serum, with an AUC of 0.923 (95%CI 0.866-0.979; p < 0.001) for mortality prediction. For hospitalized patients with COVID-19, renal involvement and early alterations of urinary and serum parameters are useful as prognostic factors of AKI, the need for ICU admission and death.

Indexed as

Acute Kidney InjuryAdultAgedArea Under CurveBiomarkersCOVID-19Critical CareFemaleHospitalizationHumansLogistic ModelsMaleMiddle AgedObservational Studies as TopicPrognosisRetrospective StudiesBiomarkers

Identifiers

PMID34045530
PMCPMC8159957
OpenAlexW3164380936

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.