Evidence map›Paper›PMID 38541668›Full record

ArticleLife (Basel, Switzerland)2024

Assessing the Association between Biomarkers and COVID-19 Mortality Using the Joint Modelling Approach.

Matteo Di Maso, Serena Delbue, Maurizio Sampietro, Monica Ferraroni, Annalisa Modenese, Maria Dolci, Federico Ambrogi, Pasquale Ferrante

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. 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. Review
  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.

Matteo Di MasoDepartment of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology "G.A. Maccacaro", Università degli Studi di Milano, 20133 Milan, Italy.ORCID 0000-0002-6481-990X
Serena DelbueDepartment of Biochemical, Surgical & Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0002-3199-9369
Maurizio SampietroIstituto Clinico Città Studi, 20131 Milan, Italy.
Monica FerraroniDepartment of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology "G.A. Maccacaro", Università degli Studi di Milano, 20133 Milan, Italy.ORCID 0000-0002-4542-4996
Annalisa ModeneseIstituto Clinico Città Studi, 20131 Milan, Italy.
Maria DolciDepartment of Biochemical, Surgical & Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0002-1868-1444
Federico AmbrogiDepartment of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology "G.A. Maccacaro", Università degli Studi di Milano, 20133 Milan, Italy.ORCID 0000-0001-9358-011X
Pasquale FerranteDepartment of Biochemical, Surgical & Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.

Funding

Grant PSR 2020 from University of Milan NAGrant Seal of Excellence (SOE) 2019 from University of Milan NAItalian Ministry of Education, Universities and Research project PRIN 2017 20178S4EK9004Italian Ministry of Education, Universities and Research project PRIN 2017 KM79NN
6 · The paper itself

Abstract

We evaluated the association between biomarkers and COVID-19 mortality. Baseline characteristics of 403 COVID-19 patients included sex and age; biomarkers, measured throughout the follow-up, included lymphocytes, neutrophils, ferritin, C-reactive protein, glucose, and LDH. Hazard ratios (HRs) and corresponding 95% credible intervals (CIs) were estimated through joint models (JMs) using a Bayesian approach. We fitted univariable (a single biomarker) and multivariable (all biomarkers) JMs. In univariable analyses, all biomarkers were significantly associated with COVID-19 mortality. In multivariable analysis, HRs were 1.78 (95% CI: 1.13-2.87) with a doubling of neutrophils levels, 1.49 (95% CI: 1.19-1.95) with a doubling of C-reactive protein levels, 2.66 (95% CI: 1.45-4.95) for an increase of 100 mg/dL of glucose, and 1.31 (95% CI: 1.12-1.55) for an increase of 100 U/L of LDH. No evidence of association was observed for lymphocytes and ferritin in multivariable analysis. Men had a higher COVID-19 mortality risk than women (HR = 1.75; 95% CI: 1.07-2.80) and age showed the strongest effect with a rapid increase from 60 years. These findings using JM confirm the usefulness of biomarkers in assessing COVID-19 severity and mortality. Monitoring trend patterns of such biomarkers can provide additional help in tailoring the appropriate care pathway.

Indexed as

biomarkersCOVID-19 mortalityjoint modelling approachsurvival analysistime-varying covariates

Identifiers

PMID38541668
PMCPMC10971445

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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.