Evidence map›Paper›PMID 34904189›Full record

ArticleJournal of epidemiology and global health2022

Combined Blood Indexes of Systemic Inflammation as a Mirror to Admission to Intensive Care Unit in COVID-19 Patients: A Multicentric Study.

Dina Ali Hamad, Mai Mostafa Aly, Marwa Ahmed Abdelhameid, Shimaa Abdalla Ahmed, Asmaa Salah Shaltout, Alaa Eldin Abdel-Moniem, Ahmed Mohamed Reda Ragheb, Mohammed Nahed Attia, Taghreed Sayed Meshref

Abstract readMulticenter Study
In one paragraph

Article in Journal of epidemiology and global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  20. Platelets as central hubs of inflammation.Frontiers in immunology · 2025
    Review
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

9 authors.

Dina Ali HamadCritical Care Unit, Department of Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt. dinaalihamad@aun.edu.eg.ORCID 0000-0001-7601-8512
Mai Mostafa AlyClinical Hematology Unit, Department of Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.
Marwa Ahmed AbdelhameidDepartment of Internal Medicine, Faculty of Medicine, Aswan University, Aswan, Egypt.
Shimaa Abdalla AhmedDepartment of Internal Medicine, Faculty of Medicine, Qena University, Qena, Egypt.
Asmaa Salah ShaltoutDepartment of Medical Microbiology & Immunology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Alaa Eldin Abdel-MoniemCritical Care Unit, Department of Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.
Ahmed Mohamed Reda RaghebDepartment of Anesthesiology, Faculty of Medicine, Aswan University, Aswan, Egypt.
Mohammed Nahed AttiaDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Assiut University, Assiut, Egypt.
Taghreed Sayed MeshrefCritical Care Unit, Department of Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Coronavirus 2019 is a pandemic that has spread worldwide, threatening human health. The main cause of death in patients with COVID-19 is a systemic pro-inflammatory mechanism that quickly progresses to acute respiratory distress syndrome. Hematological ratios as affordable indicators of inflammatory response were studied in COVID-19 patients. The study aimed to study the importance of the blood cell indexes of the systemic inflammatory response, as the Aggregate Index of Systemic Inflammation (AISI), neutrophils lymphocyte to platelet ratio (NLPR), systemic immune-inflammation index (SII) and, systemic inflammation response index (SIRI) in predicting intensive care unit (ICU) admission of COVID-19 patients.

methods495 COVID-19 patients managed in four tertiary centers; divided into non-ICU and ICU groups.

resultsTotal leucocyte count (TLC), AISI, NLPR, SII, and SIRI were more elevated in the ICU group (P < 0.001 for all except AMC P = 0.006), while this group had less absolute lymphocyte count (ALC) (P = 0.047). We estimated the optimal cut-off values of the hematological ratio; AISI (729), NLPR (0.0195), SII (1346), and SIRI (2.5). SII had the highest specificity (95.6%), while NLPR had the highest sensitivity (61.3%). Age, AISI, CRP, D-dimer, and oxygen aid were the independent predictors for ICU admission in COVID-19 in multivariate logistic regression.

conclusionAISI is a predictor for severity and ICU admission in COVID-19 patients, SII is a predictor of survival, while NLPR and SIRI have an additive role that needs further evaluation.

Indexed as

COVID-19HumansInflammationIntensive Care UnitsPrognosisRetrospective StudiesSARS-CoV-2AISICOVID-19EgyptIntensive care unitSII

Identifiers

PMID34904189
PMCPMC8668150

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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.