Evidence map›Paper›PMID 34170611›Full record

ArticleInternational journal of clinical practice2021

Indicators and prediction models for the severity of Covid-19.

Jiana Huang, Jiebing Gao, Wenliang Zhu, Ruiling Feng, Qianru Liu, Xiumin Chen, Jingmin Huang, Zhe Yang, Xiufang Lin, Zuoquan Zhang and 1 more

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  12. Indicators and prediction models for the severity of Covid-19.International journal of clinical practice · 2021
    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

11 authors at 3 institutions in 1 country.

Jiana HuangThe Six Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jiebing GaoThe Cardiovascular Center, Department of Cardiology and Radiology, Interventional Medical Center, Guangdong Provincial Key Laboratory of Biomedical Imaging, Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Wenliang ZhuDepartment of Physiology, The School of Medicine of Jinan University, Guangzhou, China.
Ruiling FengDepartment of Oncology, The First Affiliated Hospital of Shantou University, Shantou, China.
Qianru LiuDepartment of Physiology, The School of Medicine of Jinan University, Guangzhou, China.
Xiumin ChenDepartment of Physiology, The School of Medicine of Jinan University, Guangzhou, China.
Jingmin HuangDepartment of Physiology, The School of Medicine of Jinan University, Guangzhou, China.
Zhe YangThe Cardiovascular Center, Department of Cardiology and Radiology, Interventional Medical Center, Guangdong Provincial Key Laboratory of Biomedical Imaging, Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Xiufang LinThe Cardiovascular Center, Department of Cardiology and Radiology, Interventional Medical Center, Guangdong Provincial Key Laboratory of Biomedical Imaging, Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Zuoquan ZhangThe Cardiovascular Center, Department of Cardiology and Radiology, Interventional Medical Center, Guangdong Provincial Key Laboratory of Biomedical Imaging, Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Yubi LinThe Cardiovascular Center, Department of Cardiology and Radiology, Interventional Medical Center, Guangdong Provincial Key Laboratory of Biomedical Imaging, Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.ORCID https://orcid.org/0000-0002-7625-3579
Sun Yat-sen University · CNJinan University · CNShantou University · CN

Funding

Medical Science and Technology Research Project of Guangdong Province A2018043Science and Technology Project of Zhuhai 20191210E030072
6 · The paper itself

Abstract

objectivesCoronavirus disease 2019 (Covid-19) is outbreaking globally. We aimed to analyse the clinical characteristics, cardiac injury, electrocardiogram and computed tomography (CT) features of patients confirmed Covid-19 and explored the prediction models for the severity of Covid-19.

methodsA retrospective and single-centre study enrolled 98 laboratory-confirmed Covid-19 patients. Clinical data, electrocardiogram and CT features were collected and analysed using Statistical Package for the Social Sciences software.

resultsThere were 46 males and 52 females, with a median age of 44 years, categorised into three groups, including mild, moderate and severe/critical Covid-19. The rate of abnormal electrocardiograms in severe/critical group (79%) was significantly higher than that in the mild group (17%) (P = .027), which (r = 0.392, P = .005) positively related to the severity of Covid-19 (OR: 5.71, 95% CI: 0.45-3.04, P = .008). Age older than 60 years old, comorbidities, whether had symptoms on admission, fatigue, CT features, laboratory test results such as platelet count, lymphocyte cell count, eosinophil cell count, CD3+ cell count, CD4+ cell count, CD8+ cell count, the ratio of albumin/globulin decreased and D-dimer, C-reactive protein (CRP), B-type natriuretic peptide (BNP), cardiac troponin I (cTnI) elevated were the risk factors for the increased severity of Covid-19. The logistic model, adjusted by age, lobular involvement score and lymphocyte cell count, could be applied for assessing the severity of Covid-19 (AUC, 0.903; Sensitivity, 90.9%; Specificity, 78.1%).

conclusionsAge >60 years old, chronic comorbidities, lymphocytopoenia and lobular involvement score were associated with the Covid-19 severity. The inflammation induced by Covid-19 caused myocardial injury with elevated BNP and cTnI level and abnormal electrocardiograms.

Indexed as

COVID-19AdultChinaFemaleHumansLeukocyte CountLymphocyte CountMaleMiddle AgedRetrospective StudiesSARS-CoV-2Severity of Illness Index

Identifiers

PMID34170611
PMCPMC8420422
OpenAlexW3176619620

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.