Evidence map›Paper›PMID 36579517›Full record

ArticleJournal of personalized medicine2022

Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department.

Daun Jeong, Gun Tak Lee, Jong Eun Park, Tae Gun Shin, Kyunga Kim, Doeun Jang, Won Young Kim, You Hwan Jo, Sung Phil Chung, Jin Ho Beom and 9 more

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Daun JeongDepartment of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.ORCID 0000-0002-7059-1008
Gun Tak LeeDepartment of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.ORCID 0000-0003-1714-1400
Jong Eun ParkDepartment of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.ORCID 0000-0002-1058-990X
Tae Gun ShinDepartment of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.ORCID 0000-0001-9657-1040
Kyunga KimDepartment of Digital Health, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul 06355, Korea.
Doeun JangBiomedical Statistics Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul 06351, Korea.
Won Young KimDepartment of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.ORCID 0000-0002-6904-5966
You Hwan JoDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea.
Sung Phil ChungDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul 03722, Korea.ORCID 0000-0002-3074-011X
Jin Ho BeomDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul 03722, Korea.ORCID 0000-0002-2805-257X
Sung-Hyuk ChoiDepartment of Emergency Medicine, Guro Hospital, Korea University Medical Center, Seoul 08308, Korea.ORCID 0000-0002-6686-6937
Woon Yong KwonDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.
Gil Joon SuhDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.ORCID 0000-0001-5163-2217
Byuk Sung KoDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul 04763, Korea.
Kap Su HanDepartment of Emergency Medicine, Korea University Anam Hospital, Seoul 02841, Korea.ORCID 0000-0003-0205-1269
Jong Hwan ShinDepartment of Emergency Medicine, Seoul National University Boramae Medical Center, Seoul 07061, Korea.ORCID 0000-0002-7121-2137
Hanjin ChoDepartment of Emergency Medicine, Korea University College of Medicine, Korea University Ansan Hospital, Ansan 15355, Korea.ORCID 0000-0003-1303-304X
Korean Shock Society KoSS Investigators
Sung Yeon HwangDepartment of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.

Funding

Ministry of Education NoneNational Research Foundation of Korea None
6 · The paper itself

Abstract

This study aimed to determine the impact of modifications in emergency department (ED) practices caused by the coronavirus disease 2019 (COVID-19) pandemic on the clinical outcomes and management of patients with septic shock. We performed a retrospective study. Patients with septic shock who presented to the ED between 1 January 2018 and 19 January 2020 were allocated to the pre-COVID-19 group, whereas those who presented between 20 January 2020 and 31 December 2020 were assigned to the post-COVID-19 group. We used propensity score matching to compare the sepsis-related interventions and clinical outcomes. The primary outcome measure was in-hospital mortality. Of the 3697 patients included, 2254 were classified as pre-COVID-19 and 1143 as post-COVID-19. A total of 1140 propensity score-matched pairings were created. Overall, the in-hospital mortality rate was 25.5%, with no statistical difference between the pre- and post-COVID-19 groups (p = 0.92). In a matched cohort, the post-COVID-19 group had delayed lactate measurement, blood culture test, and infection source control (all p < 0.05). There was no significant difference in time to antibiotics (p = 0.19) or vasopressor administration (p = 0.09) between the groups. Although sepsis-related interventions were delayed during the COVID-19 pandemic, there was no significant difference in the in-hospital mortality between the pre- and post-COVID-19 groups.

Indexed as

COVID-19mortalityresuscitationsepsis bundleseptic shock

Identifiers

PMID36579517
PMCPMC9695029

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.