Evidence map›Paper›PMID 36572690›Full record

ArticleScientific reports2022

Development and validation of a predictive scoring system for in-hospital mortality in COVID-19 Egyptian patients: a retrospective study.

Mohamed AbdelSalam Elgohary, Asmaa Ali, Thanaa A El-Masry, Hani Faidah, Farkad Bantun, Ahmad M Elkholy, Jaklin S Fahim, Nabila N Elgamal, Mohamed Emam Mohamed, Mohamed G Seadawy and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 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
–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

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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.

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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

14 authors.

Mohamed AbdelSalam Elgohary *Department of Tropical Medicine, Military Medical Academy, Cairo, Egypt. masg690@gmail.com.
Asmaa Ali *Department of Pulmonary Medicine, Abbassia Chest Hospital, MOH, Cairo, Egypt.ORCID 0000-0002-7421-5085
Thanaa A El-MasryDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Hani FaidahDepartment of Microbiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Farkad BantunDepartment of Microbiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0002-7851-6977
Ahmad M ElkholyDepartment of Tropical Medicine, Almaza Military Fever Hospital, Cairo, Egypt.
Jaklin S FahimDepartment of Microbiology, Almaza Military Fever Hospital, Cairo, Egypt.
Nabila N ElgamalDepartment of Tropical Medicine, Almaza Military Fever Hospital, Cairo, Egypt.
Mohamed Emam MohamedDepartment of Tropical Medicine, Almaza Military Fever Hospital, Cairo, Egypt.
Mohamed G SeadawyBiological Prevention Department, Ministry of Defense, Cairo, Egypt.
Amro M HelalDepartment of Public Health, Almaza Military Fever Hospital, Cairo, Egypt.
Michel De WaardSmartox Biotechnology, 6 rue des Platanes, 38120, Saint-Egrève, France.
Hesham M ShishtawyEgyptian Military Medical Services Administration, Cairo, Egypt.
Maisra M El-BousearyDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Tanta University, Tanta, Egypt. maysra_mohamed@pharm.tanta.edu.eg.ORCID 0000-0001-6503-0719

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 virus has rapidly spread worldwide since December 2019, causing COVID-19 disease. In-hospital mortality is a common indicator for evaluating treatment outcomes. Therefore, the developing and validating a simple score system from observational data could assist in modulating the management procedures. A retrospective cohort study included all data records of patients with positive PCR for SARS-CoV-2. The factors that associated with mortality were analyzed, then allocation of potential predictors of mortality was executed using different logistic regression modeling, subsequently scoring system was developed from the most weighted predictors. The mortality rate of patients with COVID-19 pneumonia was 28.5% and 28.74%, respectively. The most significant factors that affected in-hospital mortality were old age (> 60 years), delay in hospital admission (> 4 days), high neutrophil/lymphocyte ratio "NLR" (> 3); higher computed tomography severity score; and CT-SS (> 20), in addition to using remdesivir and tocilizumab in the treatment protocol (P < 0.001 for all). The validity of the newly performed score was significant; the AUC was 85%, P < 0.001, and its prognostic utility was good; the AUC was 75%, P < 0.001. The prognostic utility of newly developed score system (EGY.Score) was excellent and could be used to adjust the treatment strategy of highly at-risk patients with COVID-19 pneumonia.

Indexed as

COVID-19EgyptHospital MortalityHumansMiddle AgedPrognosisRetrospective StudiesSARS-CoV-2

Identifiers

PMID36572690
PMCPMC9791155

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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.