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Record W4412052709 · doi:10.1101/2025.07.03.25330855

Cardiac Troponin T Elevation Predicts Mortality in Hospitalized COVID-19 Patients

2025· preprint· en· W4412052709 on OpenAlexaff
Katelyn A. Bruno, R. Scott Wright, Joshua Culberson, Mikolaj A. Wieczorek, David O. Hodge, Patrick W. Johnson, Emily R. Whelan, Jose Malavet, Kathryn F. Larson, Jonathon W. Senefeld, Chad C. Wiggins, Stephen A. Klassen, J.F. Ricci, Taimur Sher, Rickey E. Carter, Michael J. Joyner, DeLisa Fairweather, Allan S. Jaffe

Bibliographic record

VenuemedRxiv · 2025
Typepreprint
Languageen
FieldMedicine
TopicAcute Myocardial Infarction Research
Canadian institutionsBrock University
FundersBiomedical Advanced Research and Development AuthorityU.S. Department of Health and Human Services
KeywordsCoronavirus disease 2019 (COVID-19)Internal medicineCardiologyMedicineElevation (ballistics)TroponinSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakTroponin TTroponin IVirologyMyocardial infarctionDiseaseOutbreakMathematics

Abstract

fetched live from OpenAlex

Abstract Objective To evaluate if cardiac troponin values predict poor outcomes in COVID-19 patients across the range of patients of different sex and age. Methods We examined high-sensitivity cardiac troponin T (hs-cTnT) levels in 1,050 severely ill hospitalized COVID-19 patients who had hs-cTnT data available and participated in the Expanded Access Program for convalescent plasma study during the first wave (April-August 2020) of the COVID-19 pandemic. Results We observed a continuous relationship between hs-cTnT levels and mortality in hospitalized males and females with COVID-19. This finding was present regardless of sex or age. Conclusion These data indicate the prognostic ability of hs-cTnT to predict mortality in hospitalized COVID-19 patients across all relevant patient groups. Clinical Trials registration number NCT04338360 Clinical Perspective This study evaluated the prognostic value of elevated hs-cTnT in patients hospitalized with COVID-19 who received convalescent plasma. There was a continuous relationship between elevated hs-cTnT values and mortality in both males and females hospitalized for COVID-19. The magnitude of the prognostic value of elevated hs-cTnT varied by sex and age, suggesting that these covariates are important to consider in this population.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.007

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.043
GPT teacher head0.369
Teacher spread0.327 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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