Evidence map›Paper›PMID 34575219›Full record

ArticleJournal of clinical medicine2021

Atrial Fibrillation and Clinical Outcomes in a Cohort of Hospitalized Patients with Sars-Cov-2 Infection and Chronic Kidney Disease.

Simonetta Genovesi, Paola Rebora, Giuseppe Occhino, Emanuela Rossi, Alessandro Maloberti, Michele Belli, Paolo Bonfanti, Cristina Giannattasio, Claudio Rossetti, Oscar Massimiliano Epis and 2 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. 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
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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

12 authors.

Simonetta GenovesiSchool of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0002-4699-4149
Paola ReboraBicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0003-0606-5852
Giuseppe OcchinoBicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.
Emanuela RossiBicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0002-3431-7618
Alessandro MalobertiSchool of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.
Michele BelliSchool of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.
Paolo BonfantiSchool of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0001-7289-8823
Cristina GiannattasioCardiology 4, ASST GOM Niguarda Hospital, 20162 Milan, Italy.
Claudio RossettiNuclear Medicine, ASST GOM Niguarda Ca' Granda, 20162 Milan, Italy.
Oscar Massimiliano EpisDivision of Rheumatology, Multispecialist Medical Department, ASTT GOM Niguarda Ca' Granda, 20162 Milan, Italy.
Nicola UghiDivision of Rheumatology, Multispecialist Medical Department, ASTT GOM Niguarda Ca' Granda, 20162 Milan, Italy.
Maria Grazia ValsecchiBicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, Milano-Bicocca University, 20126 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to investigate the role of chronic kidney disease (CKD) on in-hospital mortality and on incident atrial fibrillation (AF) in patients infected with SARS-CoV-2. The incidence of acute kidney injury (AKI) was also investigated. Multivariable regression models were used to assess the association between renal function groups (estimated Glomerular Filtration Rate, eGFR, >60 mL/min, 30-59 mL/min, <30 mL/min) and in-hospital all-cause mortality and incident AF and AKI. A cohort of 2816 patients admitted in one year for COVID-19 disease in two large hospitals was analyzed. The independent predictors of mortality were severe CKD [HR 1.732 (95%CI 1.264-2.373)], older age [HR 1.054 (95%CI 1.044-1.065)], cerebrovascular disease [HR 1.335 (95%CI (1.016-1.754)], lower platelet count [HR 0.997 (95%CI 0.996-0.999)], higher C-reactive protein [HR 1.047 (95%CI 1.035-1.058)], and higher plasma potassium value 1.374 (95%CI 1.139-1.658). When incident AKI was added to the final survival model, it was associated with higher mortality [HR 2.202 (1.728-2.807)]. Incident AF was more frequent in patients with CKD, but in the multivariable model only older age was significantly related with a higher incidence of AF [OR 1.036 (95%CI 1.022-1.050)]. Incident AF was strongly associated with the onset of AKI [HR 2.619 (95%CI 1.711-4.009)]. In this large population of COVID-19 patients, the presence of severe CKD was an independent predictor of in-hospital mortality. In addition, patients who underwent AKI during hospitalization had a doubled risk of death. Incident AF became more frequent as eGFR decreased and it was significantly associated with the onset of AKI.

Indexed as

acute kidney injuryatrial fibrillationchronic kidney diseaseCOVID-19mortality

Identifiers

PMID34575219
PMCPMC8468274

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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.