Evidence map›Paper›PMID 34768653›Full record

ArticleJournal of clinical medicine2021

Severe Hypoalbuminemia at Admission Is Strongly Associated with Worse Prognosis in Older Adults with SARS-CoV-2 Infection.

Isabel Arnau-Barrés, Ana Pascual-Dapena, Inmaculada López-Montesinos, Silvia Gómez-Zorrilla, Luisa Sorlí, Marta Herrero, Xavier Nogués, Claudia Navarro-Valls, Beatriz Ibarra, Lizzeth Canchucaja and 7 more

Open access · goldAbstract 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 20 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

17 authors at 2 institutions in 1 country.

Isabel Arnau-BarrésDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Ana Pascual-DapenaDepartament de Medicina, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.
Inmaculada López-MontesinosDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.
Silvia Gómez-ZorrillaDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.ORCID 0000-0002-5987-068X
Luisa SorlíDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.
Marta HerreroDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Xavier NoguésDepartment of Internal Medicine, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.ORCID 0000-0002-5537-1859
Claudia Navarro-VallsDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.
Beatriz IbarraDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Lizzeth CanchucajaDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Elizabeth da Costa VenancioDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Fabiola Blasco-HernandoDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.
Juany CruzDepartment of Infectious Diseases, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.
Olga VázquezDepartment of Geriatrics, Hospital del Mar, 08003 Barcelona, Spain.
Ramón MirallesDepartament de Medicina, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.
Natalia García-GiraltDepartment of Internal Medicine, Institute Hospital del Mar of Medical Research (IMIM), Hospital del Mar, 08003 Barcelona, Spain.ORCID 0000-0001-6507-0147
Robert Güerri-FernándezDepartament de Medicina, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.
Hospital Del Mar · ESUniversitat Autònoma de Barcelona · ES

Funding

Instituto de Salud Carlos III PI19/00019
6 · The paper itself

Abstract

Serum albumin levels have been associated with prognosis in several conditions among older adults. The aim of this study is to assess the prognostic value in mortality of serum albumin in older adults with SARS-CoV-2 infection.

methodsCohort observational study with consecutive older-adults (≥65 years old), with confirmed SARS-CoV-2 infection admitted to a university hospital between March-May 2020. A logistic regression model was fitted to assess the impact of albumin levels on in-hospital mortality adjusted by potential confounders.

resultsAmong a total of 840 patients admitted to the hospital, 405 (48%) were older adults with a total of 92 deaths (23%) among them. Those who died were older, had more comorbidities, higher inflammation status and lower levels of serum albumin at admission [3.10 g/dL (0.51) vs. 3.45 g/dL (0.45);

conclusionSevere hypoalbuminemia with ≤3 g/dL is an independent risk factor for mortality among older adults with SARS-CoV-2 infection. There is a consistent correlation between albumin levels and inflammatory biomarkers. Further studies are needed to determine whether the supplementation of albumin as coadjuvant treatment will have a positive impact on the prognosis of this infection.

Indexed as

albuminaolder adultsoutcomesSARS-CoV-2

Identifiers

PMID34768653
PMCPMC8584930
OpenAlexW3208739450

What OpenQuestion holds

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Registered trials

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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.