Evidence map›Paper›PMID 34943514›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Prognostic Accuracy of the qSOFA Score for In-Hospital Mortality in Elderly Patients with Obstructive Acute Pyelonephritis: A Multi-Institutional Study.

Yudai Ishikawa, Hiroshi Fukushima, Hajime Tanaka, Soichiro Yoshida, Minato Yokoyama, Yoh Matsuoka, Yasuyuki Sakai, Yukihiro Otsuka, Ryoji Takazawa, Masataka Yano and 6 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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

16 authors at 9 institutions in 1 country.

Yudai IshikawaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.ORCID 0000-0001-7118-5522
Hiroshi FukushimaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.ORCID 0000-0001-7548-1580
Hajime TanakaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.ORCID 0000-0003-3632-2901
Soichiro YoshidaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Minato YokoyamaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Yoh MatsuokaDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.ORCID 0000-0002-2440-5104
Yasuyuki SakaiDepartment of Urology, Tsuchiura Kyodo General Hospital, Tsuchiura 300-0028, Ibaraki, Japan.
Yukihiro OtsukaDepartment of Urology, Omori Red Cross Hospital, Tokyo 143-8527, Japan.
Ryoji TakazawaDepartment of Urology, Tokyo Metropolitan Ohtsuka Hospital, Tokyo 170-8476, Japan.ORCID 0000-0003-1949-1754
Masataka YanoDepartment of Urology, Tama-Nambu Chiiki Hospital, Tokyo 206-0036, Japan.
Tetsuro TsukamotoDepartment of Urology, Showa General Hospital, Tokyo 187-8510, Japan.
Tetsuo OkunoDepartment of Urology, JA Toride Medical Center, Toride 302-0022, Ibaraki, Japan.
Akira NoroDepartment of Urology, Saitama Red Cross Hospital, Saitama 330-8553, Saitama, Japan.
Katsushi NagahamaDepartment of Urology, Kohnodai Hospital, National Center for Global Health and Medicine, Ichikawa 272-8516, Chiba, Japan.
Shigeyoshi KamataDepartment of Urology, Soka Municipal Hospital, Soka 340-8560, Saitama, Japan.
Yasuhisa FujiiDepartment of Urology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Tokyo Medical and Dental University · JPJA Toride Medical Center · JPNational Center for Global Health and Medicine · JPSaitama Red Cross Hospital · JPShowa General Hospital · JPSoka Municipal Hospital · JPTama Art University · JPTokyo Metropolitan Ohtsuka Hospital · JPTsuchiura Kyodo General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prognostic accuracy of the quick sequential organ failure assessment (qSOFA) score for mortality may be limited in elderly patients. Using our multi-institutional database, we classified obstructive acute pyelonephritis (OAPN) patients into young and elderly groups, and evaluated predictive performance of the qSOFA score for in-hospital mortality. qSOFA score ≥ 2 was an independent predictor for in-hospital mortality, as was higher age, and Charlson comorbidity index (CCI) ≥ 2. In young patients, the area under the curve (AUC) of the qSOFA score for in-hospital mortality was 0.85, whereas it was 0.61 in elderly patients. The sensitivity and specificity of qSOFA score ≥ 2 for in-hospital mortality was 80% and 80% in young patients, and 50% and 68% in elderly patients, respectively. For elderly patients, we developed the CCI-incorporated qSOFA score, which showed higher prognostic accuracy compared with the qSOFA score (AUC, 0.66 vs. 0.61,

Indexed as

diagnosishospital mortalitypyelonephritissepsisurinary calculiurinary tract infections

Identifiers

PMID34943514
PMCPMC8700712
OpenAlexW4200157195

What OpenQuestion holds

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LicenceCC BY
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.