Evidence map›Paper›PMID 34373952›Full record

ArticleIntensive care medicine2021

Time course of risk factors associated with mortality of 1260 critically ill patients with COVID-19 admitted to 24 Italian intensive care units.

Alberto Zanella, Gaetano Florio, Massimo Antonelli, Giacomo Bellani, Angela Berselli, Tiziana Bove, Luca Cabrini, Eleonora Carlesso, Gian Paolo Castelli, Maurizio Cecconi and 24 more

Abstract read
In one paragraph

Article in Intensive care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

34 authors.

Alberto Zanella *Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Gaetano Florio *Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Massimo AntonelliDepartment of Anesthesiology, Intensive Care and Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giacomo BellaniDepartment of Anesthesia and Intensive Care Medicine, San Gerardo Hospital ASST Monza, Monza, Italy.
Angela BerselliDepartment of Anesthesiology and Intensive Care, ASST Mantova-Ospedale Carlo Poma, Mantova, Italy.
Tiziana BoveDepartment of Medicine (DAME), University of Udine, Udine, Italy.
Luca CabriniOspedale di Circolo e Fondazione Macchi, Università degli Studi dell'Insubria, Varese, Italy.
Eleonora CarlessoDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Gian Paolo CastelliDepartment of Anesthesiology and Intensive Care, ASST Mantova-Ospedale Carlo Poma, Mantova, Italy.
Maurizio CecconiDepartment of Anaesthesia and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Giuseppe CiterioDepartment of Anesthesia and Intensive Care Medicine, San Gerardo Hospital ASST Monza, Monza, Italy.
Irene ColorettiDepartment of Anesthesia and Intensive Care, University Hospital of Modena, Modena, Italy.
Daniele CortiU.O.C. Anestesia e Rianimazione, Ospedale L. Mandic Merate, ASST Lecco, Merate, LC, Italy.
Francesca Dalla CorteDepartment of Anaesthesia and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Edoardo De RobertisDivision of Anaesthesia, Analgesia, and Intensive Care, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Giuseppe FotiDepartment of Anesthesia and Intensive Care Medicine, San Gerardo Hospital ASST Monza, Monza, Italy.
Roberto FumagalliSchool of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.
Massimo GirardisDepartment of Anesthesia and Intensive Care, University Hospital of Modena, Modena, Italy.
Riccardo GiudiciSchool of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.
Lorenzo GuiottoDepartment of Anesthesia and Intensive Care, A. Manzoni Hospital, ASST Lecco, Lecco, Italy.
Thomas LangerSchool of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.
Lucia MirabellaDepartment of Medical and Surgical Sciences, Intensive Care Unit, University of Foggia, Foggia, Italy.
Daniela PaseroAnesthesia and Intensive Care Unit, AOU Sassari, Sassari, Italy.
Alessandro ProttiDepartment of Anaesthesia and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Marco V RanieriAnesthesia and Intensive Care Medicine, Policlinico di Sant'Orsola, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Roberto RonaDepartment of Anesthesia and Intensive Care Medicine, San Gerardo Hospital ASST Monza, Monza, Italy.
Luigia ScudellerClinical Trials Team, Scientific Direction, IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Paolo SevergniniOspedale di Circolo e Fondazione Macchi, Università degli Studi dell'Insubria, Varese, Italy.
Savino SpadaroDepartment Morphology, Surgery and Experimental Medicine, Section of Intensive Care, University of Ferrara, Ferrara, Italy.
Nino StocchettiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Martina ViganòDepartment of Anesthesia and Intensive Care, A. Manzoni Hospital, ASST Lecco, Lecco, Italy.
Antonio PesentiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Giacomo GrasselliDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. giacomo.grasselli@unimi.it.ORCID 0000-0002-1735-1400
COVID-19 Italian ICU Network

Funding

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico PB-0154 PROGETTO COVID-2020-12371675Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Ricerca Corrente 2020
6 · The paper itself

Abstract

purposeTo evaluate the daily values and trends over time of relevant clinical, ventilatory and laboratory parameters during the intensive care unit (ICU) stay and their association with outcome in critically ill patients with coronavirus disease 19 (COVID-19).

methodsIn this retrospective-prospective multicentric study, we enrolled COVID-19 patients admitted to Italian ICUs from February 22 to May 31, 2020. Clinical data were daily recorded. The time course of 18 clinical parameters was evaluated by a polynomial maximum likelihood multilevel linear regression model, while a full joint modeling was fit to study the association with ICU outcome.

results1260 consecutive critically ill patients with COVID-19 admitted in 24 ICUs were enrolled. 78% were male with a median age of 63 [55-69] years. At ICU admission, the median ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO

conclusionDaily values or trends over time of parameters associated with acute organ dysfunction, acid-base derangement, coagulation impairment, or systemic inflammation were associated with patient survival.

Indexed as

COVID-19Critical IllnessAgedHumansIntensive Care UnitsItalyMaleMiddle AgedProspective StudiesRespiration, ArtificialRetrospective StudiesRisk FactorsSARS-CoV-2COVID-19Intensive care unitLongitudinal modelsMortalityPredictorsTime course

Identifiers

PMID34373952
PMCPMC8351771

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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.