Evidence map›Paper›PMID 34476401›Full record

ArticleCritical care explorations2021

Risk Factors for Critical Coronavirus Disease 2019 and Mortality in Hospitalized Young Adults: An Analysis of the Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study (VIRUS) Coronavirus Disease 2019 Registry.

Sandeep Tripathi, Imran A Sayed, Heda Dapul, Jeremy S McGarvey, Jennifer A Bandy, Karen Boman, Vishakha K Kumar, Vikas Bansal, Lynn Retford, Sreekanth Cheruku and 10 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 8 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

20 authors at 8 institutions in 1 country.

Sandeep TripathiDepartment of Pediatrics, OSF Saint Francis Medical Centre/University of Illinois College of Medicine, Peoria, IL.
Imran A SayedUniversity of Colorado Anschutz Medical Campus, Department of Pediatrics, Children's Hospital Colorado, Aurora, CO.
Heda DapulDepartment of Pediatrics, Hassenfeld Children's Hospital at NYU Langone/NYU Grossman School of Medicine, New York, NY.
Jeremy S McGarveyHealthcare Analytics, OSF HealthCare, Peoria, IL.
Jennifer A BandyClinical Research, OSF HealthCare Saint Francis Medical Center, Peoria, IL.
Karen BomanSociety of Critical Care Medicine, Mount Prospect, IL.
Vishakha K KumarSociety of Critical Care Medicine, Mount Prospect, IL.
Vikas BansalMayo Clinic, Rochester, MN.
Lynn RetfordMayo Clinic, Rochester, MN.
Sreekanth CherukuClements University Hospital at UT Southwestern Medical Center, Dallas, TX.
Margit KaufmanEnglewood Health, Englewood, NJ.
Smith F HeavnerPrisma Health, Greenville, SC.
Valerie C DaneshBaylor Scott & White Health, Dallas, TX.
Catherine A St HillAllina Health, Minneapolis, MN.
Ashish K KhannaWake Forest University School of Medicine, Winston-Salem, NC.
Utpal BhalalaThe Children's Hospital of San Antonio, San Antonio and Baylor College of Medicine, Houston, TX.
Rahul KashyapMayo Clinic, Rochester, MN.
Ognjen GajicMayo Clinic, Rochester, MN.
Allan J WalkeyThe Pulmonary Center, Department of Medicine, Boston University School of Medicine, Boston, MA.
Katja M GistUniversity of Colorado Anschutz Medical Campus, Department of Pediatrics, Children's Hospital Colorado, Aurora, CO.
Mayo Clinic in Arizona · USSociety of Critical Care Medicine · USAllina Health · USBaylor Scott & White Health · USBoston University · USEnglewood Hospital and Medical Center · USOutcomes Research Consortium · USPrisma Health · US

Funding

Boston Biomedical Innovation CenterU54HL119145 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLAN, DAVID E., LOSCALZO, JOSEPH · 2013 to 2021
$18.8M
SHIPSS: Stress Hydrocortisone In Pediatric Septic ShockR01HD096901 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI AGUS, MICHAEL SD, WYPIJ, DAVID · 2019 to 2024
$8.9M
Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
Efficacy of self-management of sedative therapy by ventilated ICU patientsR01HL130881 · NHLBI · MAYO CLINIC ROCHESTER · PI CHLAN, LINDA L, TRACY, MARY FRANCES · 2016 to 2021
$3.2M
Targeting cardiovascular events to improve patient outcomes after sepsisR01HL139751 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2018 to 2021
$2.8M
Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical IllnessR18HS026609 · AHRQ · MAYO CLINIC ROCHESTER · PI PICKERING, BRIAN W · 2018 to 2021
$2.4M
Evaluating Routine Opioid Use during Acute Respiratory FailureR01HL151607 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIU, VINCENT, WALKEY, ALLAN J. · 2020 to 2023
$2.3M
Automated detection and prediction of atrial fibrillation during sepsisR01HL136660 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2017 to 2020
$2.2M
Advanced Risk Adjusters and Predictive Formulas for ICD-10 Based Risk AdjustmentR01HS026485 · AHRQ · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI ELLIS, RANDALL P. · 2018 to 2020
$1.2M
AHRQ HHS R01 HS026485AHRQ HHS R18 HS026609NCATS NIH HHS KL2 TR001421NHLBI NIH HHS R01 HL130881NHLBI NIH HHS R01 HL136660NHLBI NIH HHS R01 HL139751NHLBI NIH HHS R01 HL151607NHLBI NIH HHS U54 HL119145NICHD NIH HHS R01 HD096901
6 · The paper itself

Abstract

importanceEven with its proclivity for older age, coronavirus disease 2019 has been shown to affect all age groups. However, there remains a lack of research focused primarily on the young adult population.

objectivesTo describe the epidemiology and outcomes of coronavirus disease 2019 and identify the risk factors associated with critical illness and mortality in hospitalized young adults. DESIGN SETTINGS AND

participantsA retrospective cohort study of the Society of Critical Care Medicine's Viral Infection and Respiratory Illness Universal Study registry. Patients 18-40 years old, hospitalized from coronavirus disease 2019 from March 2020 to April 2021, were included in the analysis. MAIN OUTCOMES AND MEASURES: Critical illness was defined as a composite of mortality and 21 predefined interventions and complications. Multivariable logistic regression was used to assess associations with critical illness and mortality.

resultsData from 4,005 patients (152 centers, 19 countries, 18.6% non-U.S. patients) were analyzed. The median age was 32 years (interquartile range, 27-37 yr); 51% were female, 29.4% Hispanic, and 42.9% had obesity. Most patients (63.2%) had comorbidities, the most common being hypertension (14.5%) and diabetes (13.7%). Hospital and ICU mortality were 3.2% (129/4,005) and 8.3% (109/1,313), respectively. Critical illness occurred in 25% (

conclusionsAmong hospitalized young adults, obese males with comorbidities are at higher risk of developing critical illness or dying from coronavirus disease 2019.

Indexed as

coronavirus disease 2019intensive caremortality riskoutcomesyoung adults

Identifiers

PMID34476401
PMCPMC8382320
OpenAlexW3195475526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.