Evidence map›Paper›PMID 36473331›Full record

Observational studyRespiratory medicine and research2023

One-year mortality in COVID-19 is associated with patients' comorbidities rather than pneumonia severity.

Luca Novelli, Federico Raimondi, Greta Carioli, Alessandra Carobbio, Simone Pappacena, Roberta Biza, Roberta Trapasso, Marisa Anelli, Mariangela Amoroso, Chiara Allegri and 19 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Respiratory medicine and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. 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

29 authors at 4 institutions in 1 country.

Luca NovelliPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Federico RaimondiPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy. Electronic address: fraimondi@asst-pg23.it.
Greta CarioliFondazione per la Ricerca Ospedale Maggiore di Bergamo (FROM), Bergamo, Italy.
Alessandra CarobbioFondazione per la Ricerca Ospedale Maggiore di Bergamo (FROM), Bergamo, Italy.
Simone PappacenaPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Roberta BizaPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Roberta TrapassoPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Marisa AnelliPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Mariangela AmorosoPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Chiara AllegriPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Luca MalandrinoPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
Gianluca ImeriPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Caterina ContiPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Marta BerettaPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Mauro GoriCardiology Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Emilia D'EliaCardiology Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Michele SenniCardiology Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Ferdinando Luca LoriniDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Department of Intensive Critical Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Marco RizziInfectious Diseases Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Roberto CosentiniEmergency Department, ASST Papa Giovanni XXIII, Bergamo, Italy.
Alessandro RambaldiDepartment of Health Sciences, University of Milan, Milan, Italy; Hematology Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Arianna MasciulliFondazione per la Ricerca Ospedale Maggiore di Bergamo (FROM), Bergamo, Italy.
Antonello GavazziFondazione per la Ricerca Ospedale Maggiore di Bergamo (FROM), Bergamo, Italy.
Paolo SolidoroUnit of Pneumology, Department of Cardiovascular and Thoracic Surgery, Molinette Hospital, Città della Salute e della Scienza, University of Turin, Italy.
Sandro SironiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Department of Diagnostic Radiology, ASST Papa Giovanni XXIII, Bergamo, Italy.
Stefano FagiuoliDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Gastroenterlogy 1, Hepatology and Transplantation Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Tiziano BarbuiFondazione per la Ricerca Ospedale Maggiore di Bergamo (FROM), Bergamo, Italy.
Fabiano Di MarcoPulmonary Medicine Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Health Sciences, University of Milan, Milan, Italy.
HPG23 Covid19 Study Group
Ospedale Papa Giovanni XXIII · ITUniversity of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITFondazione Ricerca Molinette · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with pneumonia or acute respiratory distress syndrome who survived hospitalization, one-year mortality can affect up to one third of discharged patients. Therefore, significant long-term mortality after COVID-19 respiratory failure could be expected. The primary outcome of the present study was one-year all-cause mortality in hospitalized COVID-19 patients.

methodsObservational study of COVID-19 patients hospitalized at Papa Giovanni XXIII Hospital (Bergamo, Italy), during the first pandemic wave.

resultsA total of 1326 COVID-19 patients were hospitalized. Overall one-year mortality was 33.6% (N 446/1326), with the majority of deaths occurring during hospitalization (N=412, 92.4%). Thirty-four patients amongst the 914 discharged (3.7%) subsequentely died within one year. A third of these patients died for advanced cancer, while death without a cause other than COVID-19 was uncommon (8.8% of the overall post-discharge mortality). In-hospital late mortality (i.e. after 28 days of admission) interested a population with a lower age, and fewer comorbidities, more frequentely admitted in ICU. Independent predictors of post-discharge mortality were age over 65 years (HR 3.19; 95% CI 1.28-7.96, p-value=0.013), presence of chronic obstructive pulmonary disease (COPD) (HR 2.52; 95% CI 1.09-5.83, p-value=0.031) or proxy of cardiovascular disease (HR 4.93; 95% CI 1.45-16.75, p-value=0.010), and presence of active cancer (HR 3.64; 95% CI 1.50-8.84, p-value=0.004), but not pneumonia severity.

conclusionsOne-year post-discharge mortality depends on underlying patients' comorbidities rather than COVID-19 pneumonia severity per se. Awareness among physicians of predictors of post-discharge mortality might be helpful in structuring a follow-up program for discharged patients.

Indexed as

COVID-19PneumoniaAftercareAgedHumansPatient DischargeSARS-CoV-2ComorbiditiesCOVID-19MortalityPneumoniaRespiratory failure

Identifiers

PMID36473331
PMCPMC9691276
OpenAlexW4310060211

What OpenQuestion holds

Textmetadata
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.