Evidence map›Paper›PMID 20221748›Full record

ArticleIntensive care medicine2010

Ward mortality after ICU discharge: a multicenter validation of the Sabadell score.

Rafael Fernandez, Jose Manuel Serrano, Isabel Umaran, Ricard Abizanda, Andres Carrillo, Maria Jesus Lopez-Pueyo, Pedro Rascado, Begoña Balerdi, Borja Suberviola, Gonzalo Hernandez and 1 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05778682 (Decannulation of Tracheostomy Cannula Based on Suctioning Frequency and High-flow Oxygen Protocol in the Intensive Care Unit), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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.

NCT05778682 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Decannulation of Tracheostomy Cannula Based on Suctioning Frequency and High-flow Oxygen Protocol in the Intensive Care Unit

TypeinterventionalSponsorUniversité de SherbrookeRan2023 to 2025Enrolled50ConditionsTracheostomy WeaningArmsSuctioning based protocol, Usual Care
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017
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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

11 authors.

Rafael FernandezCIBER Enfermedades Respiratorias, ICU, Hospital Sant Joan de Deu, Fundació Althaia, Manresa, Spain. rfernandezf@althaia.cat
Jose Manuel Serrano
Isabel Umaran
Ricard Abizanda
Andres Carrillo
Maria Jesus Lopez-Pueyo
Pedro Rascado
Begoña Balerdi
Borja Suberviola
Gonzalo Hernandez
Sabadell Score Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTools for predicting post-ICU patients' outcomes are scarce. A single-center study showed that the Sabadell score classified patients into four groups with clear-cut differences in ward mortality. OBJECTIVE AND

designTo validate the Sabadell score using a prospective multicenter approach.

settingThirty-one ICUs in Spain. PATIENTS AND

methodsAll patients admitted in the 3-month study period. We recorded variables at ICU admission (age, sex, severity of illness, and do-not-resuscitate orders), during the ICU stay (ICU-specific treatments, ICU-acquired infection, and acute renal failure), and at ICU discharge (Sabadell score). Statistical analyses included one-way ANOVA and multiple regression analysis with ward mortality as the dependent variable.

resultsWe admitted 4,132 patients (mean age 61.5 +/- 16.7 years) with mean predicted mortality of 23.8 +/- 22.7%; 545 patients (13%) died in the ICU and 3,587 (87%) were discharged to the ward. Overall ward mortality was 6.7%; ward mortality was 1.5% (36/2,422) in patients with score 0 (good prognosis), 9% (64/725) in patients with score 1 (long-term poor prognosis), 23% (79/341) in patients with score 2 (short-term poor prognosis), and 64% (63/99) in patients with score 3 (expected hospital death). Variables associated with ward mortality in the multivariate analysis were predicted risk of death (OR 1.016), ICU readmission (OR 5.9), Sabadell score 1 (OR 4.7), Sabadell score 2 (OR 15.7), and Sabadell score 3 (OR 107.2).

conclusionWe confirm the ability of the Sabadell score at ICU discharge to define four groups of patients with very different likelihoods of hospital survival.

Indexed as

APACHEHospital MortalityIntensive Care UnitsPatient DischargeAgedAnalysis of VarianceCritical IllnessFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsProspective StudiesReproducibility of ResultsSpain

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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.