Evidence map›Paper›PMID 35869686›Full record

ArticleACR open rheumatology2022

Development of a Prediction Model for COVID-19 Acute Respiratory Distress Syndrome in Patients With Rheumatic Diseases: Results From the Global Rheumatology Alliance Registry.

Zara Izadi, Milena A Gianfrancesco, Alfredo Aguirre, Anja Strangfeld, Elsa F Mateus, Kimme L Hyrich, Laure Gossec, Loreto Carmona, Saskia Lawson-Tovey, Lianne Kearsley-Fleet and 47 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  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

57 authors at 20 institutions in 16 countries.

Zara IzadiUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-1867-0905
Milena A GianfrancescoUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-8351-4626
Alfredo AguirreUniversity of California, San Francisco.ORCID https://orcid.org/0000-0001-6999-6297
Anja StrangfeldDeutsches Rheuma-Forschungszentrum Berlin, Berlin, Germany.
Elsa F MateusPortuguese League Against Rheumatic Diseases, Lisbon, Portugal.
Kimme L HyrichThe University of Manchester and National Institute for Health Research Manchester Biomedical Research Centre, Manchester University and NHS Foundation Trust, Manchester, UK.
Laure GossecINSERM, Sorbonne Universite and Hopital Universitaire Pitie Salpetriere, AP-HP, Paris, France.
Loreto CarmonaInstituto de Salud Musculoesquelética, Madrid, Spain.
Saskia Lawson-ToveyThe University of Manchester and National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust and Manchester Academic Health Science Centre, Manchester, UK.ORCID https://orcid.org/0000-0002-8611-162X
Lianne Kearsley-FleetThe University of Manchester and Manchester Academic Health Science Centre, Manchester, UK.ORCID https://orcid.org/0000-0003-0377-1575
Martin SchaeferGerman Rheumatism Research Center, Berlin, Germany.ORCID https://orcid.org/0000-0001-6487-3634
Andrea M SeetUniversity of California, San Francisco.
Gabriela SchmajukUniversity of California, San Francisco and San Francisco Department of Veterans Affairs Medical Center.ORCID https://orcid.org/0000-0003-2687-5043
Lindsay JacobsohnUniversity of California, San Francisco.
Patricia KatzUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-8146-2519
Stephanie RushUniversity of California, San Francisco.
Samar Al-EmadiHamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0001-7942-4831
Jeffrey A SparksBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-5556-4618
Tiffany Y-T HsuBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Naomi J PatelMassachusetts General Hospital and Harvard Medical School, Boston.
Leanna WiseUniversity of Southern California, Los Angeles.ORCID https://orcid.org/0000-0002-6172-9474
Emily GilbertMayo Clinic, Jacksonville, Florida.
Alí Duarte-GarcíaMayo Clinic, Rochester, Minnesota.ORCID https://orcid.org/0000-0003-1749-5719
Maria O Valenzuela-AlmadaMayo Clinic, Rochester, Minnesota.
Manuel F Ugarte-GilUniversidad Científica del Sur and Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru.
Sandra Lúcia Euzébio RibeiroUniversidade Federal do Amazonas, Manaus, Brazil.ORCID https://orcid.org/0000-0002-4777-8659
Adriana de Oliveira MarinhoFundação Hospitalar do Acre, Rio Branco, Brazil.
Lilian David de Azevedo ValadaresUniversidade Federal de Pernambuco, Recife, Brazil.
Daniela Di GiuseppeKarolinska Institutet, Stockholm, Sweden.
Rebecca HasseliJustus-Liebig University Giessen, Campus Kerckhoff, Giessen, Germany.
Jutta G RichterHeinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Alexander PfeilJena University Hospital and Friedrich Schiller University Jena, Jena, Germany.ORCID https://orcid.org/0000-0002-2709-6685
Tim SchmeiserRheumatology im Veedel (Private Practice), Cologne, Germany.
Carolina A IsnardiArgentine Society of Rheumatology, Buenos Aires, Argentina.
Alvaro A Reyes TorresHospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Gelsomina AlleHospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Verónica SauritHospital Privado Universitario de Córdoba, Córdoba, Argentina.
Anna ZanettiItalian Society for Rheumatology and University of Milano-Bicocca, Milan, Italy.
Greta CarraraItalian Society for Rheumatology and University of Milano-Bicocca, Milan, Italy.
Julien LabreucheCentre Hospitalier Universitaire de Lille, Lille, France.
Thomas BarnetcheFHU ACRONIM, Centre for Autoimmune Systemic Rare Diseases, Bordeaux University Hospital, Bordeaux, France.
Muriel HerasseFilière des Maladies Autoimmunes et Autoinflammatoires Rares, Hôpital Huriez, Centre Hospitalier Universitaire de Lille, Lille, France.
Samira PlassartFilière des Maladies Autoimmunes et Autoinflammatoires Rares, Hôpital Huriez, Centre Hospitalier Universitaire de Lille, Lille, France.
Maria José SantosHospital Garcia de Orta, Almada, Portugal, and Instituto de Medicina Molecular Faculdade Medicina and Rheumatic Diseases Portuguese Register, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-7946-1365
Ana Maria RodriguesRheumatic Diseases Portuguese Register, Sociedade Portuguesa de Reumatologia, Nova Medical School, and Hospital dos Lusiadas, Lisbon, Portugal.
Philip C RobinsonThe University of Queensland, Brisbane, Queensland, Australia, and Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Herston, Queensland, Australia.ORCID https://orcid.org/0000-0002-3156-3418
Pedro M MachadoUniversity College London, University College London Hospitals NHS Foundation Trust and Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-8411-7972
Emily SirotichMcMaster University, Hamilton, Ontario, Canada, and Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.
Jean W LiewBoston University School of Medicine, Boston, Massachusetts.
Jonathan S HausmannBeth Israel Deaconess Medical Center, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts.ORCID https://orcid.org/0000-0003-0786-8788
Paul SufkaHealthPartners, St. Paul, Minnesota.
Rebecca GraingerUniversity of Otago, Wellington, Wellington, New Zealand.ORCID https://orcid.org/0000-0001-9201-8678
Suleman BhanaPfizer Inc., New York, New York.
Wendy CostelloIrish Children's Arthritis Network, Tipperary, Ireland.
Zachary S WallaceMassachusetts General Hospital and Harvard Medical School, Boston.
Jinoos YazdanyUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-3508-4094
Global Rheumatology Alliance Registry
University of California, San Francisco · USCentre Hospitalier Universitaire de Lille · FRBrigham and Women's Hospital · USGerman Rheumatism Research Centre · DEHarvard University · USHospital Italiano de Buenos Aires · ARManchester Academic Health Science Centre · GBMayo Clinic · USSocietà Italiana di Reumatologia · ITBoston Children's Hospital · USBoston University · USCanadian Arthritis Patient Alliance · CAFundação de Tecnologia do Estado do Acre · BRHamad Medical Corporation · QAHealthPartners · USHeinrich Heine University Düsseldorf · DEHospital Garcia de Orta · PTHospital Privado · ARInserm · FRInstituto de Salud Musculoesquelética · ES

Funding

Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Rheumatoid Arthritis-Related Autoantibodies, Articular Inflammation, and RA-Associated Interstitial Lung DiseaseR01AR077607 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SPARKS, JEFFREY ANDREW · 2021 to 2025
$3.7M
Immunologic and Clinical Sequelae after COVID-19 in Patients with Systemic Autoimmune Rheumatic DiseasesR01AR080659 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Jeffrey Andrew Sparks · 2023 to 2026
$2.9M
Academic Rheumatology and Clinical ImmunologyT32AR079068 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany, JULIE ZIKHERMAN · 2021 to 2026
$2.5M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155NIAMS NIH HHS P30 AR070253NIAMS NIH HHS R01 AR077607NIAMS NIH HHS T32 AR079068
6 · The paper itself

Abstract

objectiveSome patients with rheumatic diseases might be at higher risk for coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS). We aimed to develop a prediction model for COVID-19 ARDS in this population and to create a simple risk score calculator for use in clinical settings.

methodsData were derived from the COVID-19 Global Rheumatology Alliance Registry from March 24, 2020, to May 12, 2021. Seven machine learning classifiers were trained on ARDS outcomes using 83 variables obtained at COVID-19 diagnosis. Predictive performance was assessed in a US test set and was validated in patients from four countries with independent registries using area under the curve (AUC), accuracy, sensitivity, and specificity. A simple risk score calculator was developed using a regression model incorporating the most influential predictors from the best performing classifier.

resultsThe study included 8633 patients from 74 countries, of whom 523 (6%) had ARDS. Gradient boosting had the highest mean AUC (0.78; 95% confidence interval [CI]: 0.67-0.88) and was considered the top performing classifier. Ten predictors were identified as key risk factors and were included in a regression model. The regression model that predicted ARDS with 71% (95% CI: 61%-83%) sensitivity in the test set, and with sensitivities ranging from 61% to 80% in countries with independent registries, was used to develop the risk score calculator.

conclusionWe were able to predict ARDS with good sensitivity using information readily available at COVID-19 diagnosis. The proposed risk score calculator has the potential to guide risk stratification for treatments, such as monoclonal antibodies, that have potential to reduce COVID-19 disease progression.

Identifiers

PMID35869686
PMCPMC9350083
OpenAlexW4286790137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.