Evidence map›Paper›PMID 34422694›Full record

ArticleGerms2021

Clinical diagnosis of COVID-19. A multivariate logistic regression analysis of symptoms of COVID-19 at presentation.

Pedro E Fleitas, Jorge A Paz, Mario I Simoy, Carlos Vargas, Rubén O Cimino, Alejandro J Krolewiecki, Juan P Aparicio

Open access · greenAbstract read
In one paragraph

Article in Germs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Omicron in Infants-Respiratory or Digestive Disease?Diagnostics (Basel, Switzerland) · 2023
    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

7 authors at 1 institution in 1 country.

Pedro E FleitasMSc, Instituto de Investigaciones de Enfermedades Tropicales (IIET-CONICET), Universidad Nacional de Salta, Alvarado 751, San Ramon de la Nueva Oran, zip code A4530, Salta, Argentina, Cátedra de Química Biología, Facultad de Ciencias Naturales, Universidad Nacional de Salta, Av. Bolivia 5150, zip code A4400, Salta, Argentina.
Jorge A PazPhD, Instituto de Estudios Laborales y del Desarrollo Económico (IELDE), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Av. Bolivia 5150, zip code A4400, Salta, Argentina.
Mario I SimoyPhD, Instituto de Investigaciones en Energía no Convencional (INENCO), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Av. Bolivia 5150, zip code A4400, Salta, Argentina, Instituto Multidisciplinario sobre Ecosistemas y Desarrollo Sustentable, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, zip code B7000, Tandil, Buenos Aires, Argentina.
Carlos VargasMSc, Instituto de Investigaciones de Enfermedades Tropicales (IIET-CONICET), Universidad Nacional de Salta, Alvarado 751, San Ramon de la Nueva Oran, zip code A4530, Salta, Argentina.
Rubén O CiminoPhD, Instituto de Investigaciones de Enfermedades Tropicales (IIET-CONICET), Universidad Nacional de Salta, Alvarado 751, San Ramon de la Nueva Oran, zip code A4530, Salta, Argentina, Cátedra de Química Biología, Facultad de Ciencias Naturales, Universidad Nacional de Salta, Av. Bolivia 5150, zip code A4400, Salta, Argentina.
Alejandro J KrolewieckiMD, PhD, Instituto de Investigaciones de Enfermedades Tropicales (IIET-CONICET), Universidad Nacional de Salta, Alvarado 751, San Ramon de la Nueva Oran, zip code A4530, Salta, Argentina.
Juan P AparicioPhD, Instituto de Investigaciones en Energía no Convencional (INENCO), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Av. Bolivia 5150, zip code A4400, Salta, Argentina, Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, P.O. Box 873901, Tempe, AZ 85287-3901, USA.
National University of Salta · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this cross-sectional study was to describe the main symptoms associated with COVID-19, and their diagnostic characteristics, to aid in the clinical diagnosis.

methodsAn analysis of all patients diagnosed by RT-PCR for SARS-CoV-2 between April and May 2020 in Argentina was conducted. The data includes clinical and demographic information from all subjects at the time of presentation (n=67318, where 12% were positive for SARS-CoV-2). The study population was divided into four age groups: pediatric (0-17 years), young adults (18-44 years), adults (45-64 years), and elderly (65-103 years). Multivariate logistic regression was used to measure the association of all symptoms and to create a diagnostic model based on symptoms.

resultsSymptoms associated with COVID-19 were anosmia, dysgeusia, headache, low-grade fever, odynophagia, and malaise. However, the presentation of these symptoms was different between the different age groups. In turn, at the time of presentation, the symptoms associated with respiratory problems (chest pain, abdominal pain, and dyspnea) had a negative association with COVID-19 or did not present statistical relevance. On the other hand, the model based on 16 symptoms, age and sex, presented a sensitivity of 80% and a specificity of 46%.

conclusionsThere were significant differences between the different age groups. Additionally, there were interactions between different symptoms that were highly associated with COVID-19. Finally, our findings showed that a regression model based on multiple factors (age, sex, interaction between symptoms) can be used as an accessory diagnostic method or a rapid screening of suspected COVID-19 cases.

Indexed as

clinical diagnosisCOVID-19symptoms

Identifiers

PMID34422694
PMCPMC8373416
OpenAlexW3186494765

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.