Evidence map›Paper›PMID 34270114›Full record

SynthesisNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2021

Clinical significance of prognostic nutrition index in hospitalized patients with COVID-19: Results from single-center experience with systematic review and meta-analysis.

Sina Rashedi, Mohammad Keykhaei, Marzieh Pazoki, Haleh Ashraf, Atabak Najafi, Samira Kafan, Niloufar Peirovi, Farhad Najmeddin, Seyed Aboozar Jazayeri, Mehdi Kashani and 2 more

Erratum issuedOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Clinical significance of prognostic nutrition index in hospitalized patients with COVID-19: Results from single-center experience with systematic review and meta-analysis.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2021
    Pooled it
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  11. Nutrition risk assessed by Nutritional Risk Screening 2002 is associated with in-hospital mortality in older patients with COVID-19.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Sina RashediSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad KeykhaeiNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Marzieh PazokiDepartment of Pulmonary Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Haleh AshrafResearch Development Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Atabak NajafiDepartment of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran.
Samira KafanDepartment of Pulmonary Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Niloufar PeiroviSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Farhad NajmeddinDepartment of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Aboozar JazayeriDepartment of Medical Laboratory, Tehran University of Medical Sciences, Tehran, Iran.
Mehdi KashaniResearch Development Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Reza Shariat MoharariSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mahnaz MontazeriDepartment of Infectious Diseases, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-5914-4741
Sina Hospital · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to ascertain risk indicators of in-hospital mortality and severity as well as to provide a comprehensive systematic review and meta-analysis to investigate the prognostic significance of the prognostic nutrition index (PNI) as a predictor of adverse outcomes in hospitalized coronavirus disease 2019 (COVID-19) patients.

methodsIn this cross-sectional study, we studied patients with COVID-19 who were referred to our hospital from February 16 to November 1, 2020. Patients with either a real-time reverse-transcriptase polymerase chain reaction test that was positive for COVID-19 or high clinical suspicion based on the World Health Organization (WHO) interim guidance were enrolled. A parallel systematic review/meta-analysis (in PubMed, Embase, and Web of Science) was performed.

resultsA total of 504 hospitalized COVID-19 patients were included in this study, among which 101 (20.04%) patients died during hospitalization, and 372 (73.81%) patients were categorized as severe cases. At a multivariable level, lower PNI, higher lactate dehydrogenase (LDH), and higher D-dimer levels were independent risk indicators of in-hospital mortality. Additionally, patients with a history of diabetes, lower PNI, and higher LDH levels had a higher tendency to develop severe disease. The meta-analysis indicated the PNI as an independent predictor of in-hospital mortality (odds ratio [OR] = 0.80; P < .001) and disease severity (OR = 0.78; P = .009).

conclusionOur results emphasized the predictive value of the PNI in the prognosis of patients with COVID-19, necessitating the implementation of a risk stratification index based on PNI values in hospitalized patients with COVID-19.

Indexed as

COVID-19Nutrition AssessmentCross-Sectional StudiesHumansPrognosisSARS-CoV-2COVID-19inflammationmeta-analysismortalitypatient outcomesrisk indicators

Identifiers

PMID34270114
PMCPMC8441695
OpenAlexW3178342614

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.