Evidence map›Paper›PMID 19183943›Full record

ArticleIntensive care medicine2009

Modeling the effect of time-dependent exposure on intensive care unit mortality.

Martin Wolkewitz, Jan Beyersmann, Petra Gastmeier, Martin Schumacher

Abstract read
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In one paragraph

Article in Intensive care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Martin WolkewitzInstitute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Stefan-Meier-Strasse 26, 79104 Freiburg, Germany. wolke@fdm.uni-freiburg.de
Jan Beyersmann
Petra Gastmeier
Martin Schumacher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo illustrate modern survival models with focus on the temporal dynamics of intensive care data. A typical situation is given in which time-dependent exposures and competing events are present.

methodsWe briefly review the following established statistical methods: logistic regression, regression models for event-specific hazards and the subdistribution hazard. These approaches are compared by showing advantages as well as disadvantages. All methods are applied to real data from a study of day-by-day ICU surveillance.

resultsStandard logistic regression ignores the time-dependent nature of the data and is only a crude approach. Cumulative hazards and probability plots add important information and provide a deep insight into the temporal dynamics.

conclusionThis paper might help to encourage researchers working in hospital epidemiology to apply adequate statistical models to complex medical questions.

Indexed as

Models, StatisticalHumansIntensive Care UnitsLength of StayMortality

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.