Evidence map›Paper›PMID 34161387›Full record

Observational studyPloS one2021

COVID-19 pneumonia in Galicia (Spain): Impact of prognostic factors and therapies on mortality and need for mechanical ventilation.

Luis Pérez-de-Llano, Eva María Romay-Lema, Adolfo Baloira-Villar, Christian Anchorena, María Luisa Torres-Durán, Adrián Sousa, Dolores Corbacho-Abelaira, José Paz-Ferrin, Carmen Diego-Roza, Laura Vilariño-Maneiro and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Luis Pérez-de-LlanoPneumology Service, Lucus Augusti University Hospital, EOXI Lugo, Monforte, Cervo, Lugo, Spain.
Eva María Romay-LemaInfectious Diseases Unit, Lucus Augusti University Hospital, EOXI Lugo, Monforte, Cervo, Lugo, Spain.
Adolfo Baloira-VillarPneumology Service, Complexo Hospitalario Universitario, Pontevedra, Spain.
Christian AnchorenaPneumology Service, Complexo Hospitalario Universitario, Pontevedra, Spain.
María Luisa Torres-DuránPneumology Service, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.
Adrián SousaInternal Medicine Service, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.
Dolores Corbacho-AbelairaPneumology Service, Hospital POVISA, Vigo, Spain.
José Paz-FerrinInternal Medicine Service, Hospital POVISA, Vigo, Spain.
Carmen Diego-RozaPneumology Service, Hospital Arquitecto Marcide, Ferrol, Spain.
Laura Vilariño-ManeiroInternal Medicine Service, Hospital Arquitecto Marcide, Ferrol, Spain.
Pedro J MarcosPneumology Service, Complexo Universitario de A Coruña, A Coruña, Spain.ORCID 0000-0001-9600-3537
Carmen Montero-MartínezPneumology Service, Complexo Universitario de A Coruña, A Coruña, Spain.
Fernando de la Iglesia-MartínezInternal Medicine Service, Complexo Universitario de A Coruña, A Coruña, Spain.
Vanessa Riveiro-BlancoPneumology Service, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.
Nuria Rodríguez-NúñezPneumology Service, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.
José Abal-ArcaPneumology Service, Complexo Hospitalario Universitario de Ourense, Ourense, Spain.
María Bustillo-CasadoInfectious Diseases Unit, Complexo Hospitalario Universitario de Ourense, Ourense, Spain.
Rafael GolpePneumology Service, Lucus Augusti University Hospital, EOXI Lugo, Monforte, Cervo, Lugo, Spain.ORCID 0000-0002-3759-5322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study was aimed to identify risk factors associated with unfavorable outcomes (composite outcome variable: mortality and need for mechanical ventilation) in patients hospitalized in Galicia with COVID-19 pneumonia.

methodsRetrospective, multicenter, observational study carried out in the 8 Galician tertiary hospitals. All Patients admitted with confirmed COVID-19 pneumonia from 1st of March to April 24th, 2020 were included. A multivariable logistic regression analysis was performed in order to identify the relationship between risk factors, therapeutic interventions and the composite outcome variable.

resultsA total of 1292 patients (56.1% male) were included. Two hundred and twenty-five (17.4%) died and 327 (25.3%) reached the main outcome variable. Age [odds ratio (OR) = 1.03 (95% confidence interval (CI): 1.01-1.04)], CRP quartiles 3 and 4 [OR = 2.24 (95% CI: 1.39-3.63)] and [OR = 3.04 (95% CI: 1.88-4.92)], respectively, Charlson index [OR = 1.16 (95%CI: 1.06-1.26)], SaO2 upon admission [OR = 0.93 (95% CI: 0.91-0.95)], hydroxychloroquine prescription [OR = 0.22 (95%CI: 0.12-0.37)], systemic corticosteroids prescription [OR = 1.99 (95%CI: 1.45-2.75)], and tocilizumab prescription [OR = 3.39 (95%CI: 2.15-5.36)], significantly impacted the outcome. Sensitivity analysis using different alternative logistic regression models identified consistently the ratio admissions/hospital beds as a predictor of the outcome [OR = 1.06 (95% CI: 1.02-1.11)].

conclusionThese findings may help to identify patients at hospital admission with a higher risk of death and may urge healthcare authorities to implement policies aimed at reducing deaths by increasing the availability of hospital beds.

Indexed as

Adrenal Cortex HormonesAgedAged, 80 and overAntiviral AgentsComorbidityCOVID-19FemaleHospitalsHumansHydroxychloroquineMaleMiddle AgedRespiration, ArtificialRetrospective StudiesRisk FactorsSpainAdrenal Cortex HormonesAntiviral AgentsHydroxychloroquine

Identifiers

PMID34161387
PMCPMC8221482

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.