Evidence map›Paper›PMID 23587132›Full record

ArticleCritical care (London, England)2013

Mortality and quality of life in the five years after severe sepsis.

Brian H Cuthbertson, Andrew Elders, Sally Hall, Jane Taylor, Graeme MacLennan, Fiona Mackirdy, Simon J Mackenzie, Scottish Critical Care Trials Group, Scottish Intensive Care Society Audit Group

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

Article in Critical care (London, England), 2013. 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 122 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 10 pooled it
10.8field-weighted citation impact, top 1% 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.

NCT02533011 completednot on this mapstarted 2015, after this paper: background citation

Heparin Binding Protein (HBP) in Sepsis for the Prediction of Disease Progression

TypeobservationalSponsorChristiana Care Health ServicesRan2015 to 2017Enrolled1,055ConditionsSepsis, Infection, Septic ShockArmsHBP lab test
NCT03413189 unknown statusnot on this mapstarted 2018, after this paper: background citation

PREDICTABLE: The Effect of Exercise Dosage on Physical Function, Cognition and Disability Following Critical Illness

TypeobservationalSponsorAustralian and New Zealand Intensive Care Research CentreRan2018 to 2023Enrolled40ConditionsCritical IllnessArmsReview of medical records, Assessment of physical and cognitive function, Interview of patients, carers and/or family members
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 10 syntheses or guidelines pooled it, 209 citations in OpenAlex.

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  16. Trajectories of sepsis survivors in Australia: A scoping review.Journal of the Intensive Care Society · 2026
    Article
  17. Measuring health-related quality of life in sepsis survivors and caregivers: a mapping review and a preliminary conceptual framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
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62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Brian H Cuthbertson
Andrew Elders
Sally Hall
Jane Taylor
Graeme MacLennan
Fiona Mackirdy
Simon J Mackenzie
Scottish Critical Care Trials Group
Scottish Intensive Care Society Audit Group
Aberdeen Royal Infirmary · GBIntensive Care Society · GBHealth Sciences Centre · CAUniversity of Aberdeen · GB

Funding

Chief Scientist Office HSRU1
6 · The paper itself

Abstract

introductionSevere sepsis is associated with high levels of morbidity and mortality, placing a high burden on healthcare resources. We aimed to study outcomes in the five years after severe sepsis.

methodsThis was a cohort study using data from a prospective audit in 26 adult ICUs in Scotland. Mortality was measured using clinical databases and quality of life using Short Form 36 (SF-36) at 3.5 and 5 years after severe sepsis.

resultsA total of 439 patients were recruited with a 58% mortality at 3.5 years and 61% mortality at 5 years. A total of 85 and 67 patients responded at 3.5 and 5 years follow-up, respectively. SF-36 physical component score (PCS) was low compared to population controls at 3.5 years (mean 41.8 (SD 11.8)) and at 5 years (mean 44.8 (SD 12.7)). SF-36 mental component score (MCS) was slightly lower than population controls at 3.5 years (mean 47.7 (SD 14.6)) and at 5 years after severe sepsis (mean 48.8 (SD 12.6)). The majority of patients were satisfied with their current quality of life (QOL) (80%) and all patients would be willing to be treated in an ICU again if they become critically ill despite many having unpleasant memories (19%) and recall (29%) of ICU events.

conclusionsPatients with severe sepsis have a high ongoing mortality after severe sepsis. They also have a significantly lower physical QOL compared to population norms but mental QOL scores were only slightly below population norms up to five years after severe sepsis. All survivors would be willing to be treated in an ICU again if critically ill. Mortality and QOL outcomes were broadly similar to other critically ill cohorts throughout the five years of follow-up.

Indexed as

Quality of LifeAgedCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMortalityProspective StudiesSepsisTime Factors

Identifiers

PMID23587132
PMCPMC4057306
OpenAlexW2149133507

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.