Evidence map›Paper›PMID 35463024›Full record

ArticleFrontiers in medicine2022

Development and Validation of a Two-Step Predictive Risk Stratification Model for Coronavirus Disease 2019 In-hospital Mortality: A Multicenter Retrospective Cohort Study.

Yang Li, Yanlei Kong, Mark H Ebell, Leonardo Martinez, Xinyan Cai, Robert P Lennon, Derjung M Tarn, Arch G Mainous, Aleksandra E Zgierska, Bruce Barrett and 9 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

19 authors at 10 institutions in 2 countries.

Yang LiCenter for Applied Statistics and School of Statistics, Renmin University of China, Beijing, China.
Yanlei KongCenter for Applied Statistics and School of Statistics, Renmin University of China, Beijing, China.
Mark H EbellDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States.
Leonardo MartinezDepartment of Epidemiology, School of Public Health, Boston University, Boston, MA, United States.
Xinyan CaiDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States.
Robert P LennonDepartment of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, United States.
Derjung M TarnDepartment of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.
Arch G MainousDepartment of Health Services Research, Management and Policy, University of Florida, Gainesville, FL, United States.
Aleksandra E ZgierskaDepartments of Family and Community Medicine, Public Health Sciences, and Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Hershey, PA, United States.
Bruce BarrettDepartment of Family Medicine and Community Health, University of Wisconsin, Madison, WI, United States.
Wen-Jan TuanDepartment of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, United States.
Kevin MaloyDepartment of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, United States.
Munish GoyalDepartment of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, United States.
Alex H KristDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States.
Tamas S GalDepartment of Biostatistics, Virginia Commonwealth University, Richmond, VA, United States.
Meng-Hsuan SungDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States.
Changwei LiDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United States.
Yier JinDepartment of Electrical and Computer Engineering, University of Florida, Gainesville, FL, United States.
Ye ShenDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States.
University of Georgia · USPenn State Milton S. Hershey Medical Center · USMedStar Washington Hospital Center · USRenmin University of China · CNUniversity of Florida · USVirginia Commonwealth University · USBoston University · USTulane University · USUniversity of California, Los Angeles · USUniversity of Wisconsin–Madison · US

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

Objectives: An accurate prognostic score to predict mortality for adults with COVID-19 infection is needed to understand who would benefit most from hospitalizations and more intensive support and care. We aimed to develop and validate a two-step score system for patient triage, and to identify patients at a relatively low level of mortality risk using easy-to-collect individual information. Design: Multicenter retrospective observational cohort study. Setting: Four health centers from Virginia Commonwealth University, Georgetown University, the University of Florida, and the University of California, Los Angeles. Patients: Coronavirus Disease 2019-confirmed and hospitalized adult patients. Measurements and Main Results: We included 1,673 participants from Virginia Commonwealth University (VCU) as the derivation cohort. Risk factors for in-hospital death were identified using a multivariable logistic model with variable selection procedures after repeated missing data imputation. A two-step risk score was developed to identify patients at lower, moderate, and higher mortality risk. The first step selected increasing age, more than one pre-existing comorbidities, heart rate >100 beats/min, respiratory rate ≥30 breaths/min, and SpO Conclusions: The two-step scoring system used widely available, point-of-care data for triage of COVID-19 patients and is a potentially time- and cost-saving tool in practice.

Indexed as

COVID-19multicenter cohort studyprognostic scoretime-and cost-saving tooltwo-step

Identifiers

PMID35463024
PMCPMC9021426
OpenAlexW4225665989

What OpenQuestion holds

Textmetadata
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.