Evidence map›Paper›PMID 35887864›Full record

ArticleJournal of clinical medicine2022

When Outcomes Diverge: Age and Cardiovascular Risk as Determinants of Mortality and ICU Admission in COVID-19.

Marco Ranucci, Gianfranco Parati, Umberto Di Dedda, Maurizio Bussotti, Eustachio Agricola, Lorenzo Menicanti, Sara Bombace, Fabiana De Martino, Stefano Giovinazzo, Antonella Zambon and 2 more

Abstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

12 authors.

Marco RanucciDepartment of Cardiovascular Anesthesia and ICU, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.ORCID 0000-0002-4915-3572
Gianfranco ParatiDepartment of Cardiovascular Neural and Metabolic Sciences, Department of Medicine and Surgery, IRCCS Istituto Auxologico Italiano, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0001-9402-7439
Umberto Di DeddaDepartment of Cardiovascular Anesthesia and ICU, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.
Maurizio BussottiDepartment of Cardiac Rehabilitation, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy.
Eustachio AgricolaCardiovascular Imaging Unit, Cardio-Thoracic-Vascular Department, Vita-Salute University, IRCCS San Raffaele Hospital, 20132 Milan, Italy.
Lorenzo MenicantiScientific Directorate, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.ORCID 0000-0001-8530-6284
Sara BombaceDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy.ORCID 0000-0002-7716-9635
Fabiana De MartinoHeart Failure Unit, Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico, 20138 Milan, Italy.
Stefano GiovinazzoCardiovascular Disease Unit, Cardiac, Thoracic and Vascular Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.ORCID 0000-0001-8744-6133
Antonella ZambonBiostatistics Unit, IRCCS Istituto Auxologico Italiano, 20126 Milan, Italy.ORCID 0000-0001-6443-3858
Roberto MenèDepartment of Cardiology, IRCCS Istituto Auxologico Italiano, Università di Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0003-1671-1977
Maria Teresa La RovereDepartment of Cardiac Rehabilitation, IRCCS Istituti Clinici Scientifici Maugeri, 28843 Montescano, Italy.ORCID 0000-0002-1884-5058

Funding

Italian Ministry of Health RCR 2020-23670065 and RCR 2021-23671212
6 · The paper itself

Abstract

backgroundHospital mortality and admission to the Intensive Care Unit (ICU) are markers of disease severity in COVID-19 patients. Cardiovascular co-morbidities are one of the main determinants of negative outcomes. In this study we investigated the impact of cardiovascular co-morbidities on mortality and admission to the ICU in first-wave COVID-19 patients.

methodsA multicenter, retrospective, cohort study. A total of 1077 patients were analyzed for mortality and ICU admission. Cardiovascular risk factors were explored as determinants of the outcomes after correction for other confounders.

resultsIn the multivariable model, after correction for age, only a history of heart failure remained independently associated (

conclusionsOnce adjusted for the main determinant of mortality (age) heart failure only remained independently associated with mortality. Admission to the ICU was less likely for elderly patients. This may reflect the catastrophic impact of the first wave of COVID-19 pandemic in terms of ICU bed availability in Lombardy, leading to a selection process for ICU admission.

Indexed as

cardiovascular risk factorsCOVID-19heart failure

Identifiers

PMID35887864
PMCPMC9316345

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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.