Evidence map›Paper›PMID 18766087›Full record

ArticleCritical care medicine2008

Intensive care unit hypoglycemia predicts depression during early recovery from acute lung injury.

David W Dowdy, Victoriano Dinglas, Pedro A Mendez-Tellez, O Joseph Bienvenu, Jonathan Sevransky, Cheryl R Dennison, Carl Shanholtz, Dale M Needham

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Critical care medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
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.

NCT00300248 completednot on this map

The Improving Care of Acute Lung Injury Patients (ICAP) Study

TypeobservationalSponsorJohns Hopkins UniversityRan2004 to 2012Enrolled520ConditionsRespiratory Distress Syndrome, Adult
NCT03021902 phase2completednot on this mapstarted 2017, after this paper: background citation

Nutrition and Exercise in Critical Illness (The NEXIS Trial): A Randomized Trial of Combined Cycle Ergometry and Amino Acids in the ICU

TypeinterventionalSponsorClinical Evaluation Research Unit at Kingston General HospitalRan2017 to 2025Enrolled115ConditionsAcute Respiratory FailureArmsIV amino acids, In-bed cycle ergometry exercise
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Unveiling the Hidden Burden: Mapping the Landscape of Post-Intensive Care Syndrome Research. A Bibliometric Study and Visualization Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Observational
  12. Review
  13. Acute respiratory distress syndrome.Nature reviews. Disease primers · 2019
    Review
  14. Post-intensive care unit syndrome in gynecologic oncology patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Symptoms of depression in survivors of severe sepsis: a prospective cohort study of older Americans.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2013
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

David W DowdyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Victoriano Dinglas
Pedro A Mendez-Tellez
O Joseph Bienvenu
Jonathan Sevransky
Cheryl R Dennison
Carl Shanholtz
Dale M Needham
Johns Hopkins University · USBridge University · SSCambridge Reactor Design (United Kingdom) · GB

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
VENTILATOR ASSOCIATED LUNG INJURY: MOLECULAR APPROACHESP50HL073994 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI PRONOVOST, PETER J · 2003 to 2007
$21.3M
Personality, anxiety, and depression in community adultsK23MH064543 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BIENVENU, O. JOSEPH · 2003 to 2007
$839k
Protocol Driven Hemodynamic Support in Septic ShockK23GM071399 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI SEVRANSKY, JONATHAN E · 2005 to 2009
$671k
Improving Care in HF Patients through Decision SupportK23NR009193 · NINR · JOHNS HOPKINS UNIVERSITY · PI DENNISON, CHERYL · 2005 to 2007
$403k
NHLBI NIH HHS P050 HL 73994NHLBI NIH HHS P50 HL073994NIGMS NIH HHS K23 GM071399NIGMS NIH HHS T32 GM007309NIMH NIH HHS K23 MH064543NIMH NIH HHS K23 MH64543NINR NIH HHS K23 NR009193PHS HHS T32 GMO7309
6 · The paper itself

Abstract

objectiveTo evaluate the association between intensive care unit blood glucose levels and depression after acute lung injury.

designProspective cohort study.

settingTwelve intensive care units in four hospitals in Baltimore, MD. PATIENTS: Consecutive acute lung injury survivors (n = 104) monitored during 1717 intensive care unit patient-days and screened for depression at 3 months after acute lung injury.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe prevalence of a positive screening test for depression (Hospital Anxiety and Depression subscale score > or = 8) at follow-up was 28%. After adjustment for confounders, patients with a mean daily minimum intensive care unit glucose level < 100 mg/dL had significant increases in mean depression score (2.1 points, 95% confidence interval 0.6-3.7) and in the likelihood of a positive depression screening test (relative risk 2.6, 95% confidence interval 1.2-4.2). Patients with documented hypoglycemia < 60 mg/dL during their intensive care unit stay also had greater symptoms of depression (2.0 points, 95% confidence interval 0.5-3.5; relative risk 3.6, 95% confidence interval 1.8-5.1). Other factors independently associated with a positive depression screening test included body mass index > 40 kg/m2 (relative risk 3.3, 95% confidence interval 1.2-4.2), baseline depression/anxiety (relative risk 3.9, 95% confidence interval 1.5-6.5), and mean daily intensive care unit benzodiazepine dose > 100 mg of midazolam-equivalent agent (relative risk 2.4, 95% confidence interval 1.1-3.8).

conclusionsHypoglycemia in the intensive care unit is associated with an increased risk of positive screening for depression during early recovery from acute lung injury. Baseline depressive symptoms, morbid obesity, and intensive care unit benzodiazepine dose were also associated with postacute lung injury depressive symptoms. These findings warrant increased glucose monitoring for intensive care unit patients at risk for hypoglycemia and further research on how patient and intensive care unit management factors may contribute to postintensive care unit depression.

Indexed as

AdultAnalysis of VarianceBlood GlucoseCohort StudiesCombined Modality TherapyCritical CareDepressive DisorderFemaleFollow-Up StudiesHumansHypoglycemiaIncidenceIntensive Care UnitsLogistic ModelsMaleMiddle AgedBlood Glucose

Identifiers

PMID18766087
PMCPMC2605796
OpenAlexW2034534135

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.