Evidence map›Paper›PMID 39082033›Full record

ArticleHeliyon2024

Factors affecting mortality in COVID-19-associated pulmonary aspergillosis: An international ID-IRI study.

Meyha Sahin, Mesut Yilmaz, Ali Mert, Ahmet Naci Emecen, Muna A Rahman S Al Maslamani, Samar Mahmoud A Hashim, Ajithkumar Valooparambil Ittaman, Jamal Wadi Al Ramahi, Balint Gergely Szabo, Deborah Konopnicki and 26 more

Abstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

36 authors.

Meyha SahinIstanbul Medipol University, Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.
Mesut YilmazIstanbul Medipol University, Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.
Ali MertIstanbul Medipol University, Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.
Ahmet Naci EmecenDokuz Eylul University, Research and Application Hospital, Izmir, Turkey.
Muna A Rahman S Al MaslamaniCommunicable Disease Center / Infectious Disease - Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Samar Mahmoud A HashimCommunicable Disease Center / Infectious Disease - Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Ajithkumar Valooparambil IttamanCommunicable Disease Center / Infectious Disease - Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Jamal Wadi Al RamahiUniversity of Jordan, School of Medicine, Amman, Jordan.
Balint Gergely SzaboSouth Pest Central Hospital, National Institute of Hematology and Infectious Diseases, Budapest, Hungary.
Deborah KonopnickiUniversité Libre de Bruxelles, Saint-Pierre University Hospital, Infectious Diseases Department, Bruxelles, Belgium.
Dilsah Baskol ElikEge University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey.
Botond LakatosSouth Pest Central Hospital, National Institute of Hematology and Infectious Diseases, Budapest, Hungary.
Oguz Resat SipahiEge University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey.
Reham KhedrNational Cancer Institute - Cairo University / Children's Cancer Hospital Egypt, Department of Pediatric Oncology, Cairo, Egypt.
Sabah JalalSalmaniya Medical Complex, Manama, Bahrain.
Natalia PshenichnayaCentral Research Institute of Epidemiology, Department of Infectious Diseases, Moscow, Russia.
Dumitru Irina MagdalenaOvidius University of Constanța, Clinical Infectious Diseases Hospital, Constanța, Romania.
Amani El-KholyCairo University, Faculty of Medicine, Department of Clinical Pathology, Cairo, Egypt.
Ejaz Ahmed KhanShifa Tameer-e-Millat University and Shifa International Hospital, Infectious Diseases Division, Islamabad, Pakistan.
Sevil AlkanCanakkale Onsekiz Mart University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Canakkale, Turkey.
Atousa HakamifardDepartment of Infectious Diseases, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Gulden SincanAtaturk University, Faculty of Medicine, Department of Haematology, Erzurum, Turkey.
Aliye EsmaogluErciyes University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Kayseri, Turkey.
Mateja Jankovic MakekUniversity of Zagreb School of Medicine, Zagreb, Croatia.
Esra GurbuzUniversity of Health Sciences, Van Training and Research Hospital, Van, Turkey.
Anna LiskovaHospital Nitra, Department of Clinical Microbiology, St. Elizabeth University of Health and Social Sciences Bratislava, Slovakia.
Ayse AlbayrakAtaturk University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Erzurum, Turkey.
Roman StebelUniversity Hospital Brno and Faculty of Medicine, Masaryk University, Department of Infectious Diseases, Brno, Czech Republic.
Tulay Unver UlusoyUniversity of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Rezaul Karim RiponJahangirnagar University, Department of Public Health and Informatics, Savar, Dhaka, Bangladesh.
Ruxandra MorotiCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Cosmin DascaluCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Naveed RashidShifa Tameer-e-Millat University and Shifa International Hospital, Infectious Diseases Division, Islamabad, Pakistan.
Andrea CortegianiDepartment of Surgical Oncological and Oral Science (Di.Chir.On.S.), University of Palermo. Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinico "Paolo Giaccone", Palermo, Italy.
Zeynep BahadirIstanbul Medipol University Medical School, Istanbul, Turkey.
Hakan ErdemUniversity of Health Sciences, Gulhane School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to identify factors that influence the mortality rate of patients with coronavirus disease (COVID-19)-associated pulmonary aspergillosis (CAPA). Methods: In this cross-sectional study, data from 23 centers across 15 countries, spanning the period of March 2020 to December 2021, were retrospectively collected. The study population comprised patients who developed invasive pulmonary aspergillosis while being treated for COVID-19 in the intensive care unit. Cox regression and decision tree analyses were used to identify factors associated with mortality in patients with CAPA. Results: A total of 162 patients (males, 65.4 %; median age: 64 [25th-75th: 54.0-73.8] years) were included in the study, of whom 113 died during the 90-day follow-up period. The median duration from CAPA diagnosis to death was 12 (25th-75th: 7-19) days. In the multivariable Cox regression model, an age of ≥65 years (hazard ratio [HR]: 2.05, 95 % confidence interval [CI]: 1.37-3.07), requiring vasopressor therapy at the time of CAPA diagnosis (HR: 1.80, 95 % CI: 1.17-2.76), and receiving renal replacement therapy at the time of CAPA diagnosis (HR: 2.27, 95 % CI: 1.35-3.82) were identified as predictors of mortality. Decision tree analysis revealed that patients with CAPA aged ≥65 years who received corticosteroid treatment for COVID-19 displayed higher mortality rates (estimated rate: 1.6, observed in 46 % of patients). Conclusion: This study concluded that elderly patients with CAPA who receive corticosteroids are at a significantly higher risk of mortality, particularly if they experience multiorgan failure.

Indexed as

COVID-19COVID-19-associated aspergillosisIntensive care unitMortality

Identifiers

PMID39082033
PMCPMC11284427

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.