Evidence map›Paper›PMID 35746672›Full record

ArticleViruses2022

Risk of Death in Comorbidity Subgroups of Hospitalized COVID-19 Patients Inferred by Routine Laboratory Markers of Systemic Inflammation on Admission: A Retrospective Study.

Relu Cocoş, Beatrice Mahler, Adina Turcu-Stiolica, Alexandru Stoichiță, Andreea Ghinet, Elena-Silvia Shelby, Laurențiu Camil Bohîlțea

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Relu CocoşInstitute of Pneumophtisiology "Marius Nasta", 050159 Bucharest, Romania.
Beatrice MahlerInstitute of Pneumophtisiology "Marius Nasta", 050159 Bucharest, Romania.
Adina Turcu-StiolicaDepartment of Pharmacoeconomics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-1374-276X
Alexandru StoichițăInstitute of Pneumophtisiology "Marius Nasta", 050159 Bucharest, Romania.ORCID 0000-0003-1115-2379
Andreea GhinetInstitute of Pneumophtisiology "Marius Nasta", 050159 Bucharest, Romania.
Elena-Silvia ShelbyScientific Research Nucleus, Dr. Nicolae Robanescu National Clinical Centre for Children's Neurorecovery, 041408 Bucharest, Romania.ORCID 0000-0003-4658-2416
Laurențiu Camil BohîlțeaDepartment of Medical Genetics, University of Medicine and Pharmacy "Carol Davila", 020032 Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROInstitutul de Pneumoftiziologie "Marius Nasta" · ROUniversity of Medicine and Pharmacy of Craiova · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study objective was to construct models using 20 routine laboratory parameters on admission to predict disease severity and mortality risk in a group of 254 hospitalized COVID-19 patients. Considering the influence of confounding factors in this single-center study, we also retrospectively assessed the correlations between the risk of death and the routine laboratory parameters within individual comorbidity subgroups. In multivariate regression models and by ROC curve analysis, a model of three routine laboratory parameters (AUC 0.85; 95% CI: 0.79-0.91) and a model of six laboratory factors (AUC 0.86; 95% CI: 0.81-0.91) were able to predict severity and mortality of COVID-19, respectively, compared with any other individual parameter. Hierarchical cluster analysis showed that inflammatory laboratory markers grouped together in three distinct clusters including positive correlations: WBC with NEU, NEU with neutrophil-to-lymphocyte ratio (NLR), NEU with systemic immune-inflammation index (SII), NLR with SII and platelet-to-lymphocyte ratio (PLR) with SII. When analyzing the routine laboratory parameters in the subgroups of comorbidities, the risk of death was associated with a common set of laboratory markers of systemic inflammation. Our results have shown that a panel of several routine laboratory parameters recorded on admission could be helpful for early evaluation of the risk of disease severity and mortality in COVID-19 patients. Inflammatory markers for mortality risk were similar in the subgroups of comorbidities, suggesting the limited effect of confounding factors in predicting COVID-19 mortality at admission.

Indexed as

COVID-19BiomarkersComorbidityHumansInflammationLymphocytesNeutrophilsPrognosisRetrospective StudiesBiomarkerscomorbidityCOVID-19inflammatory markersmodelseverity predictors

Identifiers

PMID35746672
PMCPMC9228480
OpenAlexW4281791381

What OpenQuestion holds

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LicenceCC BY
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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.