Evidence map›Paper›PMID 34493750›Full record

Observational studyScientific reports2021

Uric acid as a prognostic factor and critical marker of COVID-19.

Gang Li, Xia Wu, Chen-Liang Zhou, Ye-Ming Wang, Bin Song, Xiao-Bin Cheng, Qiu-Fen Dong, Liu-Lin Wang, Sha-Sha You, Yuan-Ming Ba

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  16. U-shaped association between abnormal serum uric acid levels and COVID-19 severity: reports from the Japan COVID-19 Task Force.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
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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 3 institutions in 1 country.

Gang Li *Department of Emergency and Critical Care Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China. marty007@163.com.ORCID 0000-0002-3382-5258
Xia Wu *Department of Respiration, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China.
Chen-Liang Zhou *Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, China.
Ye-Ming Wang *Department of Critical Care Medicine, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
Bin Song *Department of Critical Care Medicine, Jin Yin-Tan Hospital, Wuhan, China.
Xiao-Bin ChengDepartment of Emergency and Critical Care Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Qiu-Fen DongDepartment of Emergency and Critical Care Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Liu-Lin WangDepartment of Emergency and Critical Care Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Sha-Sha YouDepartment of Critical Care Medicine, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
Yuan-Ming BaDepartment of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China. 1723426138@qq.com.
Hubei Provincial Hospital of Traditional Chinese Medicine · CNIntegrated Chinese Medicine (China) · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to explore whether uric acid (UA) can independently act as a prognostic factor and critical marker of the 2019 novel corona virus disease (COVID-19). A multicenter, retrospective, and observational study including 540 patients with confirmed COVID-19 was carried out at four designated hospitals in Wuhan. Demographic, clinical, laboratory data were collected and analyzed. The primary end point was in-hospital death of patients with COVID-19. The concentration of admission UA (adUA) and the lowest concentration of uric acid during hospitalization (lowUA) in the dead patients were significantly lower than those in the survivors. Multivariate logistic regression analysis showed the concentration of lowUA (OR 0.986, 95% CI 0.980-0.992, p < 0.001) was able to independently predict the risk of in-hospital death. The mean survival time in the low-level group of lowUA was significantly lower than other groups. When lowUA was ≤ 166 µmol/L, the sensitivity and specificity in predicting hospital short-term mortality were 76.9%, (95% CI 68.5-85.1%) and 74.9% (95% CI 70.3-78.9%). This retrospective study determined that the lowest concentration of UA during hospitalization can be used as a prognostic indicator and a marker of disease severity in severe patients with COVID-19.

Indexed as

AdultAgedBiomarkersChinaCOVID-19Feasibility StudiesFemaleHospital MortalityHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentRisk FactorsBiomarkersUric Acid

Identifiers

PMID34493750
PMCPMC8423827
OpenAlexW3198469086

What OpenQuestion holds

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LicenceCC BY
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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.