Evidence map›Paper›PMID 34336617›Full record

ArticleAnesthesiology and pain medicine2021

Predicting Risk Score for Mechanical Ventilation in Hospitalized Adult Patients Suffering from COVID-19.

Samira Kafan, Kiana Tadbir Vajargah, Mehrdad Sheikhvatan, Gholamreza Tabrizi, Ahmad Salimzadeh, Mahnaz Montazeri, Fazeleh Majidi, Negin Maghuli, Marzieh Pazoki

Open access · diamondAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Samira KafanDepartment of Pulmonary Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Kiana Tadbir VajargahStudent's Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
Mehrdad SheikhvatanHeidelberg Medical Hospital, Heidelberg, Germany.
Gholamreza TabriziResearch Development Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad SalimzadehRheumatology Research Center, Sina Hospital, Tehran University of Medical Science, Tehran, Iran.
Mahnaz MontazeriDepartment of Infectious Diseases, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Fazeleh MajidiResearch Development Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Negin MaghuliDepartment of Internal Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Marzieh PazokiDepartment of Pulmonary Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Sina Hospital · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has become a pandemic since December 2019, causing millions of deaths worldwide. It has a wide spectrum of severity, ranging from mild infection to severe illness requiring mechanical ventilation. In the middle of a pandemic, when medical resources (including mechanical ventilators) are scarce, there should be a scoring system to provide the clinicians with the information needed for clinical decision-making and resource allocation.

objectivesThis study aimed to develop a scoring system based on the data obtained on admission, to predict the need for mechanical ventilation in COVID-19 patients.

methodsThis study included COVID-19 patients admitted to Sina Hospital, Tehran University of Medical Sciences from February 20 to May 29, 2020. Patients' data on admission were retrospectively recruited from Sina Hospital COVID-19 Registry (SHCo-19R). Multivariable logistic regression and receiver operating characteristic (ROC) curve analysis were performed to identify the predictive factors for mechanical ventilation.

resultsA total of 681 patients were included in the study; 74 patients (10.9%) needed mechanical ventilation during hospitalization, while 607 (89.1%) did not. Multivariate logistic analysis revealed that age (OR,1.049; 95% CI:1.008-1.091), history of diabetes mellitus (OR,3.216; 95% CI:1.134-9.120), respiratory rate (OR,1.051; 95% CI:1.005-1.100), oxygen saturation (OR,0.928; 95% CI:0.872-0.989), CRP (OR,1.013; 95% CI:1.001-1.024) and bicarbonate level (OR,0.886; 95% CI:0.790-0.995) were risk factors for mechanical ventilation during hospitalization.

conclusionsA risk score has been developed based on the available data within the first hours of hospital admission to predict the need for mechanical ventilation. This risk score should be further validated to determine its applicability in other populations.

Indexed as

Coronavirus DiseaseCOVID-19Mechanical VentilationRisk Score

Identifiers

PMID34336617
PMCPMC8314086
OpenAlexW3155183030

What OpenQuestion holds

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LicenceCC BY-NC
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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.