Evidence map›Paper›PMID 22827955›Full record

Observational studyCritical care (London, England)2012

Ventilatory support in critically ill hematology patients with respiratory failure.

Rosario Molina, Teresa Bernal, Marcio Borges, Rafael Zaragoza, Juan Bonastre, Rosa María Granada, Juan Carlos Rodriguez-Borregán, Karla Núñez, Iratxe Seijas, Ignacio Ayestaran and 2 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Critical care (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 3% 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.

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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
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  11. Review
  12. Failure of Noninvasive Ventilation in Acute Respiratory Failure is Associated with Higher Mortality in Patients with Solid Tumors: A Retrospective Cohort Study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  13. Review
  14. Epidemiology, Clinical Characteristics, and Prognostic Factors in Critically Ill Patients with Hematolymphoid Malignancy.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
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  16. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 1 country.

Rosario Molina
Teresa Bernal
Marcio Borges
Rafael Zaragoza
Juan Bonastre
Rosa María Granada
Juan Carlos Rodriguez-Borregán
Karla Núñez
Iratxe Seijas
Ignacio Ayestaran
Guillermo M Albaiceta
EMEHU study investigators
Hospital Universitario Central de Asturias · ESBellvitge University Hospital · ESHospital de Cruces · ESHospital de Sant Pau · ESHospital Son Llatzer · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Doctor Peset · ESHospital Universitario Son Espases · ESMarqués de Valdecilla University Hospital · ESUniversidad de Oviedo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHematology patients admitted to the ICU frequently experience respiratory failure and require mechanical ventilation. Noninvasive mechanical ventilation (NIMV) may decrease the risk of intubation, but NIMV failure poses its own risks.

methodsTo establish the impact of ventilatory management and NIMV failure on outcome, data from a prospective, multicenter, observational study were analyzed. All hematology patients admitted to one of the 34 participating ICUs in a 17-month period were followed up. Data on demographics, diagnosis, severity, organ failure, and supportive therapies were recorded. A logistic regression analysis was done to evaluate the risk factors associated with death and NIVM failure.

resultsOf 450 patients, 300 required ventilatory support. A diagnosis of congestive heart failure and the initial use of NIMV significantly improved survival, whereas APACHE II score, allogeneic transplantation, and NIMV failure increased the risk of death. The risk factors associated with NIMV success were age, congestive heart failure, and bacteremia. Patients with NIMV failure experienced a more severe respiratory impairment than did those electively intubated.

conclusionsNIMV improves the outcome of hematology patients with respiratory insufficiency, but NIMV failure may have the opposite effect. A careful selection of patients with rapidly reversible causes of respiratory failure may increase NIMV success.

Indexed as

Critical IllnessRespiration, ArtificialAPACHEFemaleHematologic NeoplasmsHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedMultiple Organ FailureProspective StudiesRespiratory InsufficiencyRisk FactorsSpainTreatment Outcome

Identifiers

PMID22827955
PMCPMC3580718
OpenAlexW2149797442

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.