Evidence map›Paper›PMID 36012968›Full record

ArticleJournal of clinical medicine2022

Application of Machine Learning in Hospitalized Patients with Severe COVID-19 Treated with Tocilizumab.

Antonio Ramón, Marta Zaragozá, Ana María Torres, Joaquín Cascón, Pilar Blasco, Javier Milara, Jorge Mateo

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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, 7 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.

Antonio RamónDepartment of Pharmacy, General University Hospital, 46014 Valencia, Spain.ORCID 0000-0002-4273-1990
Marta ZaragozáDepartment of Pharmacy, General University Hospital, 46014 Valencia, Spain.
Ana María TorresInstitute of Technology, University of Castilla-La Mancha, 16002 Cuenca, Spain.
Joaquín CascónInstitute of Technology, University of Castilla-La Mancha, 16002 Cuenca, Spain.
Pilar BlascoDepartment of Pharmacy, General University Hospital, 46014 Valencia, Spain.
Javier MilaraDepartment of Pharmacy, General University Hospital, 46014 Valencia, Spain.
Jorge MateoInstitute of Technology, University of Castilla-La Mancha, 16002 Cuenca, Spain.
Hospital General Universitario De Valencia · ESUniversity of Castilla-La Mancha · ESUniversitat de València · ES

Funding

Centro de Investigación Biomédica en Red de Enfermedades Respiratorias CB06/06/0027Instituto de Salud Carlos III PI20/01363
6 · The paper itself

Abstract

Among the IL-6 inhibitors, tocilizumab is the most widely used therapeutic option in patients with SARS-CoV-2-associated severe respiratory failure (SRF). The aim of our study was to provide evidence on predictors of poor outcome in patients with COVID-19 treated with tocilizumab, using machine learning (ML) techniques. We conducted a retrospective study, analyzing the clinical, laboratory and sociodemographic data of patients admitted for severe COVID-19 with SRF, treated with tocilizumab. The extreme gradient boost (XGB) method had the highest balanced accuracy (93.16%). The factors associated with a worse outcome of tocilizumab use in terms of mortality were: baseline situation at the start of tocilizumab treatment requiring invasive mechanical ventilation (IMV), elevated ferritin, lactate dehydrogenase (LDH) and glutamate-pyruvate transaminase (GPT), lymphopenia, and low PaFi [ratio between arterial oxygen pressure and inspired oxygen fraction (PaO

Indexed as

COVID-19cytokine release syndromemachine learningSARS-CoV-2tocilizumab

Identifiers

PMID36012968
PMCPMC9410189
OpenAlexW4291885859

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.