Evidence map›Paper›PMID 39272027›Full record

ArticleBMC infectious diseases2024

Establishment and validation of a clinical risk scoring model to predict fatal risk in SFTS hospitalized patients.

Fang Zhong, Xiaoling Lin, Chengxi Zheng, Shuhan Tang, Yi Yin, Kai Wang, Zhixiang Dai, Zhiliang Hu, Zhihang Peng

Abstract readValidation Study
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

9 authors.

Fang Zhong *School of Public Health, Nanjing Medical University, Nanjing, China.
Xiaoling Lin *Department of Infectious Disease, the Second Hospital of Nanjing, School of Public Health, Nanjing Medical University, Nanjing, China.
Chengxi ZhengSchool of Public Health, Nanjing Medical University, Nanjing, China.
Shuhan TangSchool of Public Health, Nanjing Medical University, Nanjing, China.
Yi YinSchool of Public Health, Nanjing Medical University, Nanjing, China.
Kai WangSchool of Public Health, Nanjing Medical University, Nanjing, China.
Zhixiang DaiSchool of Public Health, Nanjing Medical University, Nanjing, China.
Zhiliang HuDepartment of Infectious Disease, the Second Hospital of Nanjing, School of Public Health, Nanjing Medical University, Nanjing, China. huzhiliang@njucm.edu.cn.
Zhihang PengSchool of Public Health, Nanjing Medical University, Nanjing, China. zhihangpeng@njmu.edu.cn.

Funding

National Key Research and Development Program of China 2023YFC2306004National Key Research and Development Program of China,China 2022YFC2304000National Natural Science Foundation of China 82320108018
6 · The paper itself

Abstract

backgroundSevere fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne infection with a high case fatality rate. Significant gaps remain in studies analyzing the clinical characteristics of fatal cases.

methodsFrom January 2017 to June 2023, 427 SFTS cases were included in this study. A total of 67 variables about their demographic, clinical, and laboratory data were collected. Univariate logistic regression and the least absolute shrinkage and selection operator (LASSO) method was used to screen predictors from the cohort. Multivariate logistic regression was used to identify independent predictors and nomograms were developed. Calibration, decision curves and area under the curve (AUC) were used to assess model performance.

resultsThe multivariate logistic regression analysis screened out the four most significant factors, including age > 70 years (p = 0.001, OR = 2.516, 95% CI 1.452-4.360), elevated serum PT (p < 0.001, OR = 1.383, 95% CI 1.143-1.673), high viral load (p < 0. 001, OR = 1.496, 95% CI 1.290-1.735) and high level of serum urea (> 8.0 μmol/L) (p < 0.001, OR = 4.433, 95% CI 1.888-10.409). The AUC of the nomogram based on these four factors was 0.813 (95% CI, 0.758-0.868). The bootstrap resampling internal validation model performed well, and decision curve analysis indicated a high net benefit.

conclusionsThe nomogram based on age, elevated PT, high serum urea level, and high viral load can be used to help early identification of SFTS patients at risk of fatality.

Indexed as

Severe Fever with Thrombocytopenia SyndromeAdultAgedAged, 80 and overFemaleHospitalizationHumansLogistic ModelsMaleMiddle AgedNomogramsRetrospective StudiesRisk AssessmentRisk FactorsViral LoadLogistic regressionMortalityNomogramPrediction modelSFTS

Identifiers

PMID39272027
PMCPMC11401407

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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.