Evidence map›Paper›PMID 36498589›Full record

ArticleJournal of clinical medicine2022

Factors Associated with Mortality in Coronavirus-Associated Mucormycosis: Results from Mycotic Infections in COVID-19 (MUNCO) Online Registry.

Shitij Arora, Shivakumar Narayanan, Melissa Fazzari, Kranti Bhavana, Bhartendu Bharti, Shweta Walia, Neetu Kori, Sushila Kataria, Pooja Sharma, Kavya Atluri and 14 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

24 authors at 12 institutions in 3 countries.

Shitij AroraDivision of Hospital Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, NW651, 111 E 210th Street, Bronx, NY 10467, USA.ORCID 0000-0002-8927-6171
Shivakumar NarayananInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0003-3440-0259
Melissa FazzariDivision of Biostatistics, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Kranti BhavanaAll India Institute of Medical Sciences, Patna 801507, Bihar, India.
Bhartendu BhartiAll India Institute of Medical Sciences, Patna 801507, Bihar, India.
Shweta WaliaMaharaja Yeshwantrao Hospital, Indore 452010, Madhya Pradesh, India.
Neetu KoriMaharaja Yeshwantrao Hospital, Indore 452010, Madhya Pradesh, India.
Sushila KatariaMedanta Institute of Education & Research, Gurugram 122018, Haryana, India.
Pooja SharmaMedanta Institute of Education & Research, Gurugram 122018, Haryana, India.
Kavya AtluriDepartment of Bioinformatics, University of California, Los Angeles, CA 90095, USA.
Charuta MandkeDepartment of Ophthalmology, Hinduhridaysamrat Balasaheb Thackarey Medical College and Dr. Rustom Narsi Cooper Municipal General Hospital, Mumbai 400056, Maharashtra, India.
Vinod GiteDepartment of ENT, Hinduhridaysamrat Balasaheb Thackarey Medical College and Dr. Rustom Narsi Cooper Municipal General Hospital, Mumbai 400056, Maharashtra, India.
Neelam RedkarDepartment of Medicine, Hinduhridaysamrat Balasaheb Thackarey Medical College and Dr. Rustom Narsi Cooper Municipal General Hospital, Mumbai 400056, Maharashtra, India.
Mayank ChansoriaDepartment of Emergeny Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur 482003, Madhya Pradesh, India.
Sumit Kumar RawatBundelkhand Medical College Sagar, Sagar 470001, Madhya Pradesh, India.
Rajani S BhatConsultant Pulmonologist, Bangalore 560080, Karnataka, India.
Ameet DravidNoble Hospital, Pune 411013, Maharashtra, India.
Yatin SethiVenkateshwara Hospital, Dwarka, New Delhi 110075, Delhi, India.
Chandan BarnawalAssociate Consultant and Academic Co-Ordinator Nepal MediCiti, Karyabinayak 44600, Nepal.
Nirmal Kanti SarkarSarkari Kormochari Hospital, Dhaka 1212, Bangladesh.
Sunit JariwalaBiodesign and Innovation Program, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10461, USA.
William SouthernDivision of Hospital Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, NW651, 111 E 210th Street, Bronx, NY 10467, USA.
Yoram PuiusDivision of Infectious Diseases, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10461, USA.
MUNCO Registry
Albert Einstein College of Medicine · USCooper Hospital · INAll India Institute of Medical Sciences · INMaharaja Yeshwantrao Hospital · INMedanta The Medicity · INBangalore Diabetes Centre · INNepal Development Research Institute · NPNetaji Subhash Chandra Bose Medical College · INNoble Hospital · INShri Venkateshwara University · INUniversity of California, Los Angeles · USUniversity of Maryland, Baltimore · US

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
NCATS NIH HHS UL1 TR002556
6 · The paper itself

Abstract

backgroundCOVID-19-associated mucormycosis (CAM) is associated with high morbidity and mortality. MUNCO is an international database used to collect clinical data on cases of CAM in real time. Preliminary data from the Mycotic Infections in COVID-19 (MUNCO) online registry yielded 728 cases from May to September 2021 in four South Asian countries and the United States. A majority of the cases (694; 97.6%) consisted of a mucormycosis infection. The dataset allowed for the analysis of the risk factors for adverse outcomes from CAM and this analysis is presented in this paper.

methodsThe submission of cases was aided by a direct solicitation and social media online. The primary endpoints were full recovery or death measured on day 42 of the diagnosis. All patients had histopathologically confirmed CAM. The groups were compared to determine the contribution of each patient characteristic to the outcome. Multivariable logistic regression models were used to model the probability of death after a CAM diagnosis.

resultsThe registry captured 694 cases of CAM. Within this, 341 could be analyzed as the study excluded patients with an unknown CAM recovery status due to either an interruption or a lack of follow up. The 341 viable cases consisted of 258 patients who survived after the completion of treatment and 83 patients who died during the period of observation. In a multivariable logistic regression model, the factors associated with an increased risk of mortality include old age (OR = 1.04, 95% CI 1.02-1.07,

conclusionIn patients with CAM, older age, a history of diabetes and a lower body mass index is associated with increased mortality. Disease limited to the sinuses without a cerebral extension is associated with a lower risk of mortality. Interestingly, the use of zinc and azithromycin were not associated with increased mortality in our study.

Indexed as

coronavirusmucormycosissteroids

Identifiers

PMID36498589
PMCPMC9738048
OpenAlexW4310177729

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.