Evidence map›Paper›PMID 37965516›Full record

Observational studyFrontiers in public health2023

Clinical outcome prediction of acute neurological patients admitted to the emergency department: Sequential Organ Failure Assessment score and modified SOFA score.

María I Donoso-Calero, Ancor Sanz-García, Begoña Polonio-López, Clara Maestre Miquel, Carlos Durantez Fernández, Laura Mordillo-Mateos, Alicia Mohedano-Moriano, Rosa Conty-Serrano, Martin Otero-Agra, Cristina Jorge-Soto and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2023. 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
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Development and Validation of a Neurological Outcome Prediction Score for Children Requiring Mechanical Ventilation: The NOPS-VC Score.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    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 at 4 institutions in 1 country.

María I Donoso-CaleroFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Ancor Sanz-GarcíaFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Begoña Polonio-LópezFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Clara Maestre MiquelFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Carlos Durantez FernándezFaculty of Nursing, Universidad de Valladolid, Valladolid, Spain.
Laura Mordillo-MateosFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Alicia Mohedano-MorianoFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Rosa Conty-SerranoFaculty of Nursing, University of Castilla-La Mancha, Toledo, Spain.
Martin Otero-AgraSchool of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain.
Cristina Jorge-SotoFaculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.
José L Martín-ContyFaculty of Health Sciences, Universidad de Castilla-la Mancha, Talavera de la Reina, Spain.
Francisco Martín-RodríguezPrehospital Early Warning Scoring-System Investigation Group, Valladolid, Spain.
University of Castilla-La Mancha · ESUniversidad de Valladolid · ESUniversidade de Santiago de Compostela · ESUniversidade de Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aim of this study was to determine the ability of the Sequential Organ Failure Assessment score (SOFA) and modified SOFA score (mSOFA) as predictive tools for 2-day and 28-day mortality and ICU admission in patients with acute neurological pathology treated in hospital emergency departments (EDs). Methods: An observational, prospective cohort study in adults with acute neurological disease transferred by ambulance to an ED was conducted from 1 January 2019 to 31 August 2022 in five hospitals in Castilla-León (Spain). Score discrimination was assessed by the area under the curve (AUC) of the receiver operating characteristic (ROC) curve of the score. Results: A total of 640 adult patients with neurological disease were included. For the prediction of 2-day mortality (all-cause), mSOFA presented a higher AUC than SOFA (mSOFA = 0.925 vs. SOFA = 0.902). This was not the case for 28-day mortality, for which SOFA was higher than mSOFA (mSOFA = 0.852 vs. SOFA = 0.875). Finally, ICU admission showed that SOFA was higher than mSOFA (mSOFA = 0.834 vs. SOFA = 0.845). Conclusion: Both mSOFA and SOFA presented similar predictive ability, with mSOFA being the best predictor for short-term mortality and SOFA being the best predictor for medium-term mortality, as well as for ICU admission. These results in a cohort of patients with acute neurological pathology pave the way for the use of both predictive tools in the ED. The inclusion of these tools could improve the clinical assessment and further treatment of neurological patients, who commonly present the worst outcomes.

Indexed as

Emergency Service, HospitalOrgan Dysfunction ScoresAdultHumansPrognosisProspective StudiesRetrospective Studiesacute neurological diseaseemergency departmentmortalitymSOFASOFA

Identifiers

PMID37965516
PMCPMC10642972
OpenAlexW4388098846

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.