Evidence map›Paper›PMID 37308272›Full record

Observational studyBMJ open2023

Analysing COVID-19 treatment outcomes in dedicated wards at a large university hospital in northern Poland: a result-based observational study.

Damian Krystian Palus, Martyna Ewa Gołębiewska, Olga Piątek, Krzysztof Grudziński, Alan Majeranowski, Radosław Owczuk, Krzysztof Kuziemski, Tomasz Stefaniak

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. 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

8 authors.

Damian Krystian PalusFaculty of Medicine, Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Martyna Ewa GołębiewskaFaculty of Medicine, Department of Psychiatry, Medical University of Gdansk, Gdansk, Poland margol@gumed.edu.pl.ORCID 0000-0003-3820-487X
Olga PiątekFaculty of Medicine, Department of Pulmonology and Allergology, Medical University of Gdansk, Gdansk, Poland.
Krzysztof GrudzińskiIndependent researcher, Gdansk, Poland.
Alan MajeranowskiDepartment of Hematology and Transplantology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.
Radosław OwczukDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.
Krzysztof KuziemskiFaculty of Medicine, Department of Pulmonology and Allergology, Medical University of Gdansk, Gdansk, Poland.
Tomasz StefaniakDepartment of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPresenting outcomes of patients hospitalised for COVID-19 should be put in context and comparison with other facilities. However, varied methodology applied in published studies can impede or even hinder a reliable comparison. The aim of this study is to share our experience in pandemic management and highlight previously under-reported factors affecting mortality. We present outcomes of COVID-19 treatment in our facility that will allow for an intercentre comparison. We use simple statistical parameters-case fatality ratio (CFR) and length of stay (LOS).

settingLarge clinical hospital in northern Poland serving over 120 000 patients annually.

participantsData were collected from patients hospitalised in COVID-19 general and intensive care unit (ICU) isolation wards from November 2020 to June 2021. The sample consisted of 640 patients-250 (39.1 %) were women and 390 (60.9 %) were men, with a median age of 69 (IQR 59-78) years.

resultsValues of LOS and CFR were calculated and analysed. Overall CFR for the analysed period was 24.8%, varying from 15.9 % during second quarter 2021 to 34.1% during fourth quarter 2020. The CFR was 23.2% in the general ward and 70.7% in the ICU. All ICU patients required intubation and mechanical ventilation, and 44 (75.9 %) of them developed acute respiratory distress syndrome. The average LOS was 12.6 (±7.5) days.

conclusionsWe highlighted the importance of some of the under-reported factors affecting CFR, LOS and thus, mortality. For further multicentre analysis, we recommend broad analysis of factors affecting mortality in COVID-19 using simple and transparent statistical and clinical parameters.

Indexed as

COVID-19COVID-19 Drug TreatmentAgedFemaleHospitals, UniversityHumansMaleMiddle AgedPolandTreatment OutcomeCOVID-19EPIDEMIOLOGYINTENSIVE & CRITICAL CAREPUBLIC HEALTH

Identifiers

PMID37308272
PMCPMC10276962

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.