Evidence map›Paper›PMID 36076568›Full record

ArticleBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2022

Early reduction of estimated Glomerular Filtration Rate (eGFR) predicts poor outcome in acutely ill hospitalized COVID-19 patients firstly admitted to medical regular wards (eGFR-COV19 study).

Francesco Cei, Ludia Chiarugi, Simona Brancati, Maria Silvia Montini, Silvia Dolenti, Daniele Di Stefano, Salvatore Beatrice, Irene Sellerio, Valentina Messiniti, Marco Maria Gucci and 10 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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  10. The relation between proteinuria and the severity of COVID-19.Clinical and experimental nephrology · 2024
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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

20 authors at 4 institutions in 1 country.

Francesco CeiDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy. Electronic address: francesco.cei@uslcentro.toscana.it.
Ludia ChiarugiDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Simona BrancatiDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Maria Silvia MontiniDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Silvia DolentiDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Daniele Di StefanoDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Salvatore BeatriceDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Irene SellerioDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Valentina MessinitiDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Marco Maria GucciDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Giulia VanniniDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Rinaldo LavecchiaDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Elisa CioniDivision of Internal Medicine II, San Giuseppe Hospital, Empoli 50053, Italy.
Chiara MattalianoDivision of Internal Medicine II, San Giuseppe Hospital, Empoli 50053, Italy.
Giulia PelagalliDivision of Internal Medicine II, San Giuseppe Hospital, Empoli 50053, Italy.
Grazia PanigadaDivision of Internal Medicine, SS. Cosma e Damiano Hospital, Pescia 51017, Italy.
Emanuele MurgoDivision of Internal Medicine, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG, 71013, Italy.
Gianluigi MazzoccoliDivision of Internal Medicine, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG, 71013, Italy. Electronic address: g.mazzoccoli@operapadrepio.it.
Giancarlo LandiniDivision of Internal Medicine, Santa Maria Nuova Hospital, Firenze 50100, Italy.
Roberto TarquiniDivision of Internal Medicine I, San Giuseppe Hospital, Empoli 50053, Italy.
Ospedale San Giuseppe · ITCasa Sollievo della Sofferenza · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSanta Maria Nuova Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnalysis of autopsy tissues obtained from patients who died from COVID-19 showed kidney tropism for SARS-COV-2, with COVID-19-related renal dysfunction representing an overlooked problem even in patients lacking previous history of chronic kidney disease. This study aimed to corroborate in a substantial sample of consecutive acutely ill COVID-19 hospitalized patients the efficacy of estimated GFR (eGFR), assessed at hospital admission, to identify acute renal function derangement and the predictive role of its association with in-hospital death and need for mechanical ventilation and admission to intensive care unit (ICU).

methodsWe retrospectively analyzed charts of 764 patients firstly admitted to regular medical wards (Division of Internal Medicine) for symptomatic COVID-19 between March 6th and May 30th, 2020 and between October 1st, 2020 and March 15th, 2021. eGFR values were calculated with the 2021 CKD-EPI formula and assessed at hospital admission and discharge. Baseline creatinine and GFR values were assessed by chart review of patients' medical records from hospital admittance data in the previous year. The primary outcome was in-hospital mortality, while ARDS development and need for non-invasive ventilation (NIV) and invasive mechanical ventilation (IMV) were the secondary outcomes.

resultsSARS-COV-2 infection was diagnosed in 764 patients admitted with COVID-19 symptoms. A total of 682 patients (age range 23-100 years) were considered for statistical analysis, 310 needed mechanical ventilation and 137 died. An eGFR value <60 mL/min/1.73 m

conclusionseGFR calculated at hospital admission correlated well with COVID-19-related kidney injury and eGFR values < 60 mL/min/1,73 m

Indexed as

Acute Kidney InjuryCOVID-19Respiratory Distress SyndromeAdultAgedAged, 80 and overGlomerular Filtration RateHospital MortalityHospitalsHumansMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Young AdultAcute kidney injuryCOVID-19Glomerular filtration ratePrognosisSARS-COV-2

Identifiers

PMID36076568
PMCPMC9300590
OpenAlexW4286512141

What OpenQuestion holds

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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.