Evidence map›Paper›PMID 34086193›Full record

ArticleEuropean geriatric medicine2021

Clinical frailty score as an independent predictor of outcome in COVID-19 hospitalised patients.

Gouri Koduri, Sriya Gokaraju, Maria Darda, Vinod Warrier, Irina Duta, Fiona Hayes, Iman El Sayed, Yasser Noeman-Ahmed

Open access · bronzeAbstract read
In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Long COVID and hypertension-related disorders: a report from the Japanese Society of Hypertension Project Team on COVID-19.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  5. Observational
  6. Article
  7. Article
  8. Article
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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

8 authors at 2 institutions in 2 countries.

Gouri KoduriRheumatology Department, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Sriya GokarajuRespiratory Department, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Maria DardaRespiratory Department, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Vinod WarrierDepartment of Medicine, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Irina DutaDepartment of Medicine, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Fiona HayesRheumatology Department, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK.
Iman El SayedDepartment of Biomedical Informatics and Medical Statistics, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Yasser Noeman-AhmedRespiratory Department, Mid and South Essex NHS Foundation Trust, Southend University Hospital, Westcliff-on-Sea, Essex, UK. Yasser.ahmed1@nhs.net.ORCID http://orcid.org/0000-0001-5105-4576
Southend University Hospital NHS Foundation Trust · GBAlexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of the studyWe explored potential predictive variables associated with outcomes using baseline clinical parameters of 500 hospitalised patients with COVID -19 in a single centre, UK.

methodsRetrospective study collecting demographic and clinical characteristics of patients admitted at Southend University Hospital from 20th February to 7th May 2020.

resultsThe mean age of the cohort admitted to hospital with Covid-19 was 69.4 and 58% were over 70. Comorbidities were more frequently observed in non-survivors, whose mean Clinical Frailty Scale was significantly higher (5 vs 3) than survivors, p < 0.001. In addition, mean C-reactive protein was significantly higher.

conclusionOlder and frailer patients with high inflammatory markers were at risk of poor outcomes. Integrated frailty and age-based risk stratification is essential, in addition to monitoring saturation /FiO2 ratio (SFR) and inflammatory markers throughout the disease course to allow for early intervention to improve patient outcomes. A frailty-based risk-stratification approach, rather than age may prove more valuable when considering interventions in patients with multiple comorbidities.

Indexed as

COVID-19FrailtyComorbidityHumansRetrospective StudiesSARS-CoV-2COVID-19Epidemiological characteristicsPrognostic factorsSars-Cov-2

Identifiers

PMID34086193
PMCPMC8175234
OpenAlexW3165313439

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.