Evidence map›Paper›PMID 16957904›Full record

ArticleIntensive care medicine2006

Difference in reported pre-morbid health-related quality of life between ARDS survivors and their substitute decision makers.

Damon C Scales, Catherine M Tansey, Andrea Matte, Margaret S Herridge

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Article in Intensive care medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Comparative Impact of Depressive Symptoms and FEVAnnals of the American Thoracic Society · 2022
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  20. Spurious inferences about long-term outcomes: the case of severe sepsis and geriatric conditions.American journal of respiratory and critical care medicine · 2012
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Damon C ScalesDepartment of Critical Care Medicine, Sunnybrook and Women's Health Sciences Centre, 2075 Bayview Avenue, M4N 3M5, Toronto, Canada. damon.scales@utoronto.ca
Catherine M Tansey
Andrea Matte
Margaret S Herridge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextSubstitute decision makers may consider the pre-morbid health status of their critically ill loved one when making treatment decisions on her/his behalf.

objectiveTo compare estimates of pre-morbid health-related quality of life (HRQOL) obtained from survivors of the acute respiratory distress syndrome (ARDS) with those of their substitute decision makers using the Short Form 36 (SF-36).

designProspective cohort study.

settingUniversity-affiliated intensive care unit in Toronto, Canada. PATIENTS: A sample of 46 ARDS survivors and their substitute decision makers drawn from a previously described cohort.

interventionsWe measured agreement and differences between responses on the SF-36 obtained from survivors (at 3 months after ICU discharge) and their substitute decision makers (at study entry). MEASUREMENTS AND

resultsAgreement was poor for all SF-36 components and differences reached significance in three domains. In multivariable analysis considering age; sex; Acute Physiology, Age, and Chronic Health Evaluation II score; and Lung Injury Score, only patient age was associated with the mean difference between estimates for the 'Mental Health' domain. On average, estimates of pre-morbid HRQOL obtained from substitute decision makers were lower than those obtained from survivors.

conclusionAgreement between estimates of pre-morbid HRQOL provided by ARDS survivors and their substitute decision makers was poor. Compared with survivors, proxies tended to provide lower estimates of pre-morbid HRQOL. Substitute decision making for incapacitated patients is an imperfect process during which family members may underestimate their loved ones' own perception of pre-morbid health status. Alternatively, survivors of critical illness may overestimate pre-morbid HRQOL.

Indexed as

Decision MakingHealth StatusProxyQuality of LifeAdultAgedCanadaFamilyFemaleHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisRespiratory Distress SyndromeSurvivors

Identifiers

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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.