Evidence map›Paper›PMID 35746755›Full record

ArticleViruses2022

Biomarkers Predictive for In-Hospital Mortality in Patients with Diabetes Mellitus and Prediabetes Hospitalized for COVID-19 in Austria: An Analysis of COVID-19 in Diabetes Registry.

Faisal Aziz, Hannah Stöcher, Alexander Bräuer, Christian Ciardi, Martin Clodi, Peter Fasching, Mario Karolyi, Alexandra Kautzky-Willer, Carmen Klammer, Oliver Malle and 17 more

Open access · goldAbstract readMulticenter Study
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 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 28% 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, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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

27 authors at 9 institutions in 2 countries.

Faisal AzizInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-0109-2969
Hannah StöcherInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.
Alexander BräuerMedical Division for Endocrinology, Rheumatology and Acute Geriatrics, Wilhelminen Hospital Vienna, 1160 Vienna, Austria.
Christian CiardiClinical Division for Internal Medicine, Endocrinology, Diabetology and Metabolic Diseases, St. Vinzenz Hospital Zams, 6511 Zams, Austria.
Martin ClodiClinical Division for Internal Medicine, Konventhospital Barmherzige Brüder Linz, 4020 Linz, Austria.
Peter FaschingMedical Division for Endocrinology, Rheumatology and Acute Geriatrics, Wilhelminen Hospital Vienna, 1160 Vienna, Austria.
Mario Karolyi4th Medical Division with Infectiology, SMZ Süd-KFJ-Hospital Vienna, 1100 Vienna, Austria.
Alexandra Kautzky-WillerClinical Division for Endocrinology and Diabetology and Metabolic Diseases, AKH Vienna, 1090 Vienna, Austria.ORCID 0000-0002-3520-4105
Carmen KlammerClinical Division for Internal Medicine, Konventhospital Barmherzige Brüder Linz, 4020 Linz, Austria.
Oliver MalleInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.
Felix AbererInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-9947-1413
Erich Pawelka4th Medical Division with Infectiology, SMZ Süd-KFJ-Hospital Vienna, 1100 Vienna, Austria.
Slobodan Peric3rd Department and Karl Landsteiner, Institute for Metabolic Diseases and Nephrology, Clinic Hietzing, Vienna Health Care Group, 1130 Vienna, Austria.
Claudia RessDepartment for Internal Medicine I, Medical University Innsbruck, 6020 Innsbruck, Austria.
Caren SourijClinical Division for Cardiology, Medical University Graz, 8036 Graz, Austria.
Lars StechemesserDepartment for Internal Medicine I, Paracelsus Medical University, 5020 Salzburg, Austria.
Harald StinglDivision for Internal Medicine, Hospital Melk, 3390 Melk, Austria.
Thomas Stulnig3rd Department and Karl Landsteiner, Institute for Metabolic Diseases and Nephrology, Clinic Hietzing, Vienna Health Care Group, 1130 Vienna, Austria.
Norbert TripoltInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.
Michael WagnerDivision for Internal Medicine, Hospital Melk, 3390 Melk, Austria.
Peter WolfClinical Division for Endocrinology and Diabetology and Metabolic Diseases, AKH Vienna, 1090 Vienna, Austria.
Andreas Zitterl3rd Department and Karl Landsteiner, Institute for Metabolic Diseases and Nephrology, Clinic Hietzing, Vienna Health Care Group, 1130 Vienna, Austria.
Othmar MoserDepartment for Exercise Physiology & Metabolism, University of Bayreuth, 95445 Bayreuth, Germany.
Christian SchelkshornDivision for Internal Medicine, Hospital Stockerau, 2000 Stockerau, Austria.
Susanne KaserDepartment for Internal Medicine I, Medical University Innsbruck, 6020 Innsbruck, Austria.
Harald SourijInterdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-3510-9594
For The Covid-In Diabetes In Austria
Medical University of Graz · ATKlinik Hietzing · ATArbeitsgemeinschaft für Klinische Ernährung · ATConvent Hospital of the Brothers of Saint John of God · ATInnsbruck Medical University · ATVienna General Hospital · ATWilhelminen Hospital · ATParacelsus Medical University · ATUniversity of Bayreuth · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study assessed the predictive performance of inflammatory, hepatic, coagulation, and cardiac biomarkers in patients with prediabetes and diabetes mellitus hospitalized for COVID-19 in Austria.

methodsThis was an analysis of a multicenter cohort study of 747 patients with diabetes mellitus or prediabetes hospitalized for COVID-19 in 11 hospitals in Austria. The primary outcome of this study was in-hospital mortality. The predictor variables included demographic characteristics, clinical parameters, comorbidities, use of medication, disease severity, and laboratory measurements of biomarkers. The association between biomarkers and in-hospital mortality was assessed using simple and multiple logistic regression analyses. The predictive performance of biomarkers was assessed using discrimination and calibration.

resultsIn our analysis, 70.8% had type 2 diabetes mellitus, 5.8% had type 1 diabetes mellitus, 14.9% had prediabetes, and 8.6% had other types of diabetes mellitus. The mean age was 70.3 ± 13.3 years, and 69.3% of patients were men. A total of 19.0% of patients died in the hospital. In multiple logistic regression analysis, LDH, CRP, IL-6, PCT, AST-ALT ratio, NT-proBNP, and Troponin T were significantly associated with in-hospital mortality. The discrimination of NT-proBNP was 74%, and that of Troponin T was 81%. The calibration of NT-proBNP was adequate (

conclusionTroponin T showed excellent predictive performance, while NT-proBNP showed good predictive performance for assessing in-hospital mortality in patients with diabetes mellitus hospitalized with COVID-19. Therefore, these cardiac biomarkers may be used for prognostication of COVID-19 patients.

Indexed as

COVID-19Diabetes Mellitus, Type 2Prediabetic StateAgedAged, 80 and overAustriaBiomarkersCohort StudiesFemaleHospital MortalityHumansMaleMiddle AgedRegistriesRisk FactorsTroponin TBiomarkersTroponin TbiomarkerCOVID-19diabetes mellitusSARS-CoV-2

Identifiers

PMID35746755
PMCPMC9229324
OpenAlexW4282837158

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Registered trials

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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.