Evidence map›Paper›PMID 23538449›Full record

Trial reportCritical care medicine2013

Alcohol screening scores and 90-day outcomes in patients with acute lung injury.

Brendan J Clark, André Williams, Laura M Cecere Feemster, Katharine A Bradley, Madison Macht, Marc Moss, Ellen L Burnham, NHLBI ARDS Network Investigators

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The respiratory tract microbial biogeography in alcohol use disorder.American journal of physiology. Lung cellular and molecular physiology · 2018
    Article
  15. Alcohol abuse is associated with enhanced pulmonary and systemic xanthine oxidoreductase activity.American journal of physiology. Lung cellular and molecular physiology · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Comorbidities, Alcohol Use Disorder, and Age Predict Outcomes after Autologous Hematopoietic Cell Transplantation for Lymphoma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Article
  20. Alcohol and lung injury and immunity.Alcohol (Fayetteville, N.Y.) · 2016
    Review
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

8 authors at 4 institutions in 1 country.

Brendan J ClarkDepartment of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver, Aurora, CO, USA. brendan.clark@ucdenver.edu
André Williams
Laura M Cecere Feemster
Katharine A Bradley
Madison Macht
Marc Moss
Ellen L Burnham
NHLBI ARDS Network Investigators
University of Colorado Denver · USKaiser Permanente Washington Health Research Institute · USUniversity of Colorado Hospital · USUniversity of Washington · US

Funding

Supplement: CoPARC: Colorado Pulmonary Alcohol Research CollaborativeR24AA019661 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI ELLEN L BURNHAM · 2011 to 2026
$8.5M
Patient Oriented Research Program in ALI/ARFK24HL089223 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MOSS, MARC · 2007 to 2016
$1.4M
Tailored Screening, Brief Intervention, and Referral to Treatment for Medical IntK23AA021814 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI CLARK, BRENDAN JAMES · 2014 to 2017
$688k
NHLBI NIH HHS K24 HL089223NHLBI NIH HHS K24-HL-089223NHLBI NIH HHS N01 HR056167NIAAA NIH HHS K23 AA021814NIAAA NIH HHS R24 AA019661NIAAA NIH HHS R24-AA-019661-01A1
6 · The paper itself

Abstract

objectivesThe effects of excess alcohol consumption (alcohol misuse) on outcomes in patients with acute lung injury have been inconsistent, and there are no studies examining this association in the era of low tidal volume ventilation and a fluid conservative strategy. We sought to determine whether validated scores on the Alcohol Use Disorders Identification Test that correspond to past-year abstinence (zone 1), low-risk drinking (zone 2), mild to moderate alcohol misuse (zone 3), and severe alcohol misuse (zone 4) are associated with poor outcomes in patients with acute lung injury.

designSecondary analysis.

settingThe Acute Respiratory Distress Syndrome Network, a consortium of 12 university centers (44 hospitals) dedicated to the conduct of multicenter clinical trials in patients with acute lung injury. SUBJECTS: Patients meeting consensus criteria for acute lung injury enrolled in one of three recent Acute Respiratory Distress Syndrome Network clinical trials.

interventionsNone. MEASUREMENTS AND MAIN

resultsOf 1,133 patients enrolled in one of three Acute Respiratory Distress Syndrome Network studies, 1,037 patients had an Alcohol Use Disorders Identification Test score available for analysis. Alcohol misuse was common with 70 (7%) of patients having Alcohol Use Disorders Identification Test scores in zone 3 and 129 (12%) patients in zone 4. There was a U-shaped association between validated Alcohol Use Disorders Identification Test zones and death or persistent hospitalization at 90 days (34% in zone 1, 26% in zone 2, 27% in zone 3, 36% in zone 4; p < 0.05 for comparison of zone 1 to zone 2 and zone 4 to zone 2). In a multiple logistic regression model, there was a significantly higher odds of death or persistent hospitalization in patients having Alcohol Use Disorders Identification Test zone 4 compared with those in zone 2 (adjusted odds ratio 1.70; 95% confidence interval 1.00, 2.87; p = 0.048).

conclusionsSevere but not mild to moderate alcohol misuse is independently associated with an increased risk of death or persistent hospitalization at 90 days in acute lung injury patients.

Indexed as

Acute Lung InjuryAdultAgedAlcoholismComorbidityDouble-Blind MethodHumansLogistic ModelsMiddle AgedRisk FactorsTidal Volume

Identifiers

PMID23538449
PMCPMC4048714
OpenAlexW2060482710

What OpenQuestion holds

Textmetadata
LicenceTDM
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.