Evidence map›Paper›PMID 35683347›Full record

ArticleJournal of clinical medicine2022

Mallampati Score Is an Independent Predictor of Active Oxygen Therapy in Patients with COVID-19.

Maciej Dyrbuś, Aleksandra Oraczewska, Szymon Szmigiel, Szymon Gawęda, Paulina Kluszczyk, Tomasz Cyzowski, Marek Jędrzejek, Paweł Dubik, Michał Kozłowski, Sebastian Kwiatek and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

17 authors at 4 institutions in 1 country.

Maciej DyrbuśPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.
Aleksandra OraczewskaPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.ORCID 0000-0002-9397-6963
Szymon SzmigielStudent Scientific Society, Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.ORCID 0000-0002-8732-9444
Szymon GawędaStudent Scientific Society, Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Paulina KluszczykStudent Scientific Society, Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Tomasz CyzowskiPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.
Marek JędrzejekPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.ORCID 0000-0001-9473-4491
Paweł DubikDepartment of Anesthesiology and Intensive Therapy, Hospital of the Ministry of the Interior and Administration, 40-061 Katowice, Poland.
Michał KozłowskiPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.ORCID 0000-0002-3421-2672
Sebastian KwiatekDivision of Internal Diseases Oncology, Gastroenterology, Angiology, Department of Cardiology Intensive Care, Hospital of the Ministry of the Interior and Administration, 40-061 Katowice, Poland.ORCID 0000-0003-1413-7027
Beata CelińskaConsultant in Infectious Diseases GCM, Upper Silesian Medical Center, 40-635 Katowice, Poland.
Michał WitaFirst Chair and Department of Cardiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Ewa TrejnowskaDepartment of Cardiac Anaesthesia and Intensive Care, Silesian Centre for Heart Diseases in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-752 Katowice, Poland.
Andrzej SwinarewFaculty of Science and Technology, University of Silesia in Katowice, 41-500 Chorzów, Poland.
Tomasz DarochaPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.
Adam BarczykDepartment of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.ORCID 0000-0002-6567-9208
Szymon SkoczyńskiPyrzowice Temporary Hospital, Leszek Giec Upper-Silesian Medical Center, 40-635 Katowice, Poland.ORCID 0000-0003-1796-7659
Medical University of Silesia · PLAkademii Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach · PLMinistry of Interior and Administration · PLSilesian Center for Heart Disease · PL

Funding

Medical University of Silesia PCN-1-208/K/1/O
6 · The paper itself

Abstract

Mallampati score has been identified and accepted worldwide as an independent predictor of difficult intubation and obstructive sleep apnea. We aimed to determine whether Mallampati score assessed on the first patient medical assessment allowed us to stratify the risk of worsening of conditions in patients hospitalized due to COVID-19. A total of 493 consecutive patients admitted between 13 November 2021 and 2 January 2022 to the temporary hospital in Pyrzowice were included in the analysis. The clinical data, chest CT scan, and major, clinically relevant laboratory parameters were assessed by patient-treating physicians, whereas the Mallampati score was assessed on admission by investigators blinded to further treatment. The primary endpoints were necessity of active oxygen therapy (AOT) during hospitalization and 60-day all-cause mortality. Of 493 patients included in the analysis, 69 (14.0%) were in Mallampati I, 57 (11.6%) were in Mallampati II, 78 (15.8%) were in Mallampati III, and 288 (58.9%) were in Mallampati IV. There were no differences in the baseline characteristics between the groups, except the prevalence of chronic kidney disease (p = 0.046). Patients with Mallampati IV were at the highest risk of AOT during the hospitalization (33.0%) and the highest risk of death due to any cause at 60 days (35.0%), which significantly differed from other scores (p = 0.005 and p = 0.03, respectively). Mallampati IV was identified as an independent predictor of need for AOT (OR 3.089, 95% confidence interval 1.65−5.77, p < 0.001) but not of all-cause mortality at 60 days. In conclusion, Mallampati IV was identified as an independent predictor of AOT during hospitalization. Mallampati score can serve as a prehospital tool allowing to identify patients at higher need for AOT.

Indexed as

COVID-19high-flow nasal cannulaMallampati scoremortalitynon-invasive mechanical ventilationrespiratory failure

Identifiers

PMID35683347
PMCPMC9181244
OpenAlexW4281562370

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.