Evidence map›Paper›PMID 35294441›Full record

Trial reportPloS one2022

Assessment of a cellular host response test to risk-stratify suspected COVID-19 patients in the Emergency Department setting.

Hollis R O'Neal, Roya Sheybani, Terrell S Caffery, Diana Hamer, L Mark Laperouse, Mandi W Musso, Catherine S O'Neal, Henry T K Tse, Ajay M Shah, Christopher B Thomas

Abstract readClinical TrialObservational Study
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Hollis R O'NealLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.
Roya SheybaniCytovale, Inc., San Francisco, California, United States of America.ORCID 0000-0002-9576-4243
Terrell S CafferyLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.
Diana HamerLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.
L Mark LaperouseOur Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, United States of America.
Mandi W MussoLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.
Catherine S O'NealLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.
Henry T K TseCytovale, Inc., San Francisco, California, United States of America.
Ajay M ShahCytovale, Inc., San Francisco, California, United States of America.
Christopher B ThomasLouisiana State University Health Sciences Center, Baton Rouge, Louisiana, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAssess the IntelliSep Index (ISI) for risk stratification of patients presenting to the Emergency Department (ED) with respiratory symptoms suspected of COVID-19 during the pandemic.

methodsAn observational single-center study of prospective cohort of patients presenting to the ED during the early COVID-19 pandemic with respiratory symptoms and a CBC drawn within 4.5 hours of initial vital signs. A sample of this blood was aliquoted for performance of the ISI, and patients were followed for clinical outcomes. The study required no patient-centered activity beyond standard of care and treating clinicians were unaware of study enrollment and ISI test results. MAIN

findings282 patients were included. The ISI ranges 0.1 to 10.0, with three interpretation bands indicating risk of adverse outcome: low (green), 0.1-4.9; intermediate (yellow), 5.0-6.2; and high (red), 6.3-10.0. Of 193 (68.4%) tested for SARS-CoV-2, 96 (49.7%) were positive. The ISI resulted in 182 (64.5%) green, 54 (18.1%) yellow, and 46 (15.6%) red band patients. Green band patients had a 1.1% (n = 2) 3-day mortality, while yellow and red band had 3.7% (n = 2, p > .05) and 10.9% (n = 5, p < .05) 3-day mortalities, respectively. Fewer green band patients required admission (96 [52.7%]) vs yellow (44 [81.5%]) and red (43 [93.5%]). Green band patients had more hospital free days (median 23 (Q1-Q3 20-25) than yellow (median 22 [Q1-Q3 0-23], p < 0.05) and red (median 21 [Q1-Q3 0-24], p < 0.01). SOFA increased with interpretation band: green (2, [Q1-Q3 0-4]) vs yellow (4, [Q1-Q3 2-5], p < 0.001) and red (5, [Q1-Q3 3-6]) p < 0.001).

conclusionsThe ISI rapidly risk-stratifies patients presenting to the ED during the early COVID-19 pandemic with signs or suspicion of respiratory infection.

Indexed as

AgedCOVID-19Emergency Service, HospitalFemaleHumansImmunity, CellularMaleMiddle AgedMortalityProspective StudiesRespiratory Tract Infections

Identifiers

PMID35294441
PMCPMC8926179

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.