Evidence map›Paper›PMID 36683905›Full record

ArticleHippokratia

The MaD-CLINYC score: An easy tool for the prediction of the outcome of hospitalized COVID-19 patients.

M V Koutroulos, S A Bakola, S Kalpakidis, D Avramidou, S Panagaris, E Melissopoulou, H Souleiman, A Partsalidis, E Metaxa, I Feresiadis and 2 more

Open access · greenAbstract read
In one paragraph

Article in Hippokratia. 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
0.1field-weighted citation impact, top 54% 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, 2 citations in OpenAlex.

  1. Prediction models for COVID-19 disease outcomes.Emerging microbes & infections · 2024
    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

12 authors.

M V KoutroulosDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
S A BakolaDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
S KalpakidisDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
D AvramidouDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
S PanagarisDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
E MelissopoulouDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
H SouleimanDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
A PartsalidisDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
E MetaxaDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
I FeresiadisDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
E KampakiDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.
V PapadopoulosDepartment of Internal Medicine, Xanthi General Hospital, Xanthi, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost outcome-predictive models for COVID-19 patients use hospital admission data, offering a spontaneous mortality risk estimation. We aimed to elaborate on a tool that could be applied repeatedly, thus being more suitable for these patients' rapidly changing clinical course.

methodsIn this prospective study, we evaluated 560 samples derived from 156 patients hospitalized for COVID-19 in a single center. Age >61 years, male sex, comorbidities >2, need for intensive care unit admission, lactate dehydrogenase (LDH) >408 U/L, Neutrophil/Lymphocyte Ratio (NLR) >17, C-reactive protein (CRP) >10 mg/dl, and D-dimers >3,200 ng/ml were incorporated in an eight-scale score (MaD-CLINYC) after optimal scaling, ridge regression, and bootstrapping, which was documented to correlate with outcome independently of one or more samples analyzed, day from admission at sampling, and need for delivery. Validation process was performed over 574 samples derived from three centers.

resultsThe developing and the validation cohort Area under Curve (AUC) was 0.90 (95 % Confidence Interval: 0.82-0.98) and 0.91 (0.88-0.94), respectively (p =0.822). A MaD-CLINYC score ≥4 had 75 % sensitivity and 81 % specificity to predict fatal outcome.

conclusionsMaD-CLINYC score is a powerful, feasible, easy-to-use, dynamic tool to assess the risk of the outcome, thus assisting clinicians in close monitoring and timely decisions in COVID-19 hospitalized patients. HIPPOKRATIA 2021, 25 (3):119-125.

Indexed as

Coronavirus disease 2019COVID-19C-reactive proteinCRPD-dimersintensive care unitlactate dehydrogenaseLDHmortalityNeutrophil/Lymphocyte RatioNLR

Identifiers

PMID36683905
PMCPMC9851139
OpenAlexW4317780617

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.