Evidence map›Paper›PMID 34491575›Full record

Observational studyJournal of medical virology2022

Comparison of demographic and clinical characteristics of hospitalized COVID-19 patients with severe/critical illness in the first wave versus the second wave.

Elif Sargin Altunok, Celal Satici, Veysel Dinc, Sadettin Kamat, Mustafa Alkan, Mustafa Asim Demirkol, Ilkim Deniz Toprak, Muhammed Emin Kostek, Semih Yazla, Sinem Nihal Esatoglu

Open access · bronzeAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
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

14 citing papers in PubMed, 24 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

10 authors at 2 institutions in 2 countries.

Elif Sargin AltunokDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-3244-3768
Celal SaticiDepartment of Chest Diseases, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-5457-9551
Veysel DincDepartment of Anesthesia and Reanimation, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-2718-5212
Sadettin KamatDepartment of Chest Diseases, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-6449-0892
Mustafa AlkanDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-5003-7416
Mustafa Asim DemirkolDepartment of Chest Diseases, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-6490-447X
Ilkim Deniz ToprakDepartment of Internal Medicine, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-9320-1252
Muhammed Emin KostekDepartment of Internal Medicine, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-2438-7249
Semih YazlaDepartment of Otolaryngology, Head and Neck Surgery, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-2186-2035
Sinem Nihal EsatogluDepartment of Rheumatology, Istanbul Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0001-5414-7305
Sağlık Bilimleri Üniversitesi · TRYedikule Teaching Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to current advances and growing experience in the management of coronavirus Disease 2019 (COVID-19), the outcome of COVID-19 patients with severe/critical illness would be expected to be better in the second wave compared with the first wave. As our hospitalization criteria changed in the second wave, we aimed to investigate whether a favorable outcome occurred in hospitalized COVID-19 patients with only severe/critical illness. Among 642 laboratory-confirmed hospitalized COVID-19 patients in the first wave and 1121 in the second wave, those who met World Health Organization (WHO) definitions for severe or critical illness on admission or during follow-up were surveyed. Data on demographics, comorbidities, C-reactive protein (CRP) levels on admission, and outcomes were obtained from an electronic hospital database. Univariate analysis was performed to compare the characteristics of patients in the first and second waves. There were 228 (35.5%) patients with severe/critical illness in the first wave and 681 (60.7%) in the second wave. Both groups were similar in terms of age, gender, and comorbidities, other than chronic kidney disease. Median serum CRP levels were significantly higher in patients in the second wave compared with those in the first wave [109 mg/L (interquartile range [IQR]: 65-157) vs. 87 mg/L (IQR: 39-140); p < 0.001]. However, intensive care unit admission and mortality rates were similar among the waves. Even though a lower mortality rate in the second wave has been reported in previous studies, including all hospitalized COVID-19 patients, we found similar demographics and outcomes among hospitalized COVID-19 patients with severe/critical illness in the first and second wave.

Indexed as

COVID-19 Drug TreatmentSeverity of Illness IndexAgedAmidesAntibodies, Monoclonal, HumanizedAzithromycinComorbidityCOVID-19C-Reactive ProteinCritical CareDrug CombinationsEnoxaparinFemaleHospitalizationHospital MortalityHumansAmidesAntibodies, Monoclonal, HumanizedAzithromycinC-Reactive ProteinDrug CombinationsEnoxaparinfavipiravirHydroxychloroquineInterleukin 1 Receptor Antagonist ProteinLopinavirlopinavir-ritonavir drug combinationMethylprednisolonePyrazinesRitonavirtocilizumabCOVID-19demographic characteristicsmortalitythe first versus second waveTurkey

Identifiers

PMID34491575
PMCPMC8661950
OpenAlexW3196759804

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.