Evidence map›Paper›PMID 24435201›Full record

ArticleIntensive care medicine2014

One-year mortality and predictors of death among hospital survivors of acute respiratory distress syndrome.

Chen Yu Wang, Carolyn S Calfee, Devon W Paul, David R Janz, Addison K May, Hanjing Zhuo, Gordon R Bernard, Michael A Matthay, Lorraine B Ware, Kirsten Neudoerffer Kangelaris

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05075161 (Pirfenidone to Prevent Fibrosis in ARDS. A Randomized Controlled Trial - PIONEER), which is not on this map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
14.2field-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.

NCT05075161 phase3recruitingnot on this mapstarted 2022, after this paper: background citation

Pirfenidone to Prevent Fibrosis in ARDS. A Randomized Controlled Trial - PIONEER

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2022 to 2026Enrolled130ConditionsAcute Respiratory Distress Syndrome (ARDS)ArmsPirfenidone, Placebo
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Immunonutrition for acute respiratory distress syndrome (ARDS) in adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Prone position for acute respiratory failure in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Chen Yu WangDepartment of Internal Medicine, Taichung Veteran General Hospital, Taichung, Taiwan.
Carolyn S Calfee
Devon W Paul
David R Janz
Addison K May
Hanjing Zhuo
Gordon R Bernard
Michael A Matthay
Lorraine B Ware
Kirsten Neudoerffer Kangelaris
Vanderbilt University · USUniversity of California, San Francisco · USTaichung Veterans General Hospital · TW

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Clinical and Translational Training Program in Pulmonary MedicineT32HL087738 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lorraine B Ware · 2007 to 2026
$7.0M
Biomarker Profiles in the Diagnosis/Prognosis of ARDSU01HL081332 · NHLBI · VANDERBILT UNIVERSITY · PI WARE, LORRAINE B · 2005 to 2008
$6.0M
Resolution of Clinical Lung InjuryR37HL051856 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 2006 to 2015
$3.9M
Cigarette Smoke Exposure and Acute Lung Injury After Severe Blunt TraumaR01HL110969 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2012 to 2016
$1.9M
RESOLUTION OF CLINICAL LUNG INJURYR01HL051856 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 1996 to 2005
$1.7M
Midcareer Investigator Award in Patient-Oriented Research in Acute Lung InjuryK24HL103836 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARE, LORRAINE B · 2010 to 2020
$1.6M
Chemokine-related acute lung injury pathogenesis in African-American patientsK23HL116800 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANGELARIS, KIRSTEN NEUDOERFFER · 2013 to 2017
$876k
Impact of Cigarette Smoke Exposure on Acute Lung InjuryK23HL090833 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2008 to 2012
$761k
NCATS NIH HHS KL2 TR000143NCATS NIH HHS UCSF-CTSI KL2 TR000143NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NHLBI NIH HHS HL103836NHLBI NIH HHS HL110969NHLBI NIH HHS K23 HL090833NHLBI NIH HHS K23 HL116800NHLBI NIH HHS K24 HL103836NHLBI NIH HHS R01 HL051856NHLBI NIH HHS R01 HL110969NHLBI NIH HHS R37 HL051856NHLBI NIH HHS T32 HL087738NHLBI NIH HHS U01 HL081332PHS HHS MCRR/NIH UL1 RR024975-01PHS HHS NHLBI 1K23HL116800-01PHS HHS NHLBI HL081332PHS HHS NHLBI HL090833PHS HHS NHLBI HL51856
6 · The paper itself

Abstract

purposeAdvances in supportive care and ventilator management for acute respiratory distress syndrome (ARDS) have resulted in declines in short-term mortality, but risks of death after survival to hospital discharge have not been well described. Our objective was to quantify the difference between short-term and long-term mortality in ARDS and to identify risk factors for death and causes of death at 1 year among hospital survivors.

methodsThis multi-intensive care unit, prospective cohort included patients with ARDS enrolled between January 2006 and February 2010. We determined the clinical characteristics associated with in-hospital and 1-year mortality among hospital survivors and utilized death certificate data to identify causes of death.

resultsOf 646 patients hospitalized with ARDS, mortality at 1 year was substantially higher (41 %, 95% CI 37-45%) than in-hospital mortality (24%, 95% CI 21-27%), P < 0.0001. Among 493 patients who survived to hospital discharge, the 110 (22%) who died in the subsequent year were older (P < 0.001) and more likely to have been discharged to a nursing home, other hospital, or hospice compared to patients alive at 1 year (P < 0.001). Important predictors of death among hospital survivors were comorbidities present at the time of ARDS, and not living at home prior to admission. ARDS-related measures of severity of illness did not emerge as independent predictors of mortality in hospital survivors.

conclusionsDespite improvements in short-term ARDS outcomes, 1-year mortality is high, mostly because of the large burden of comorbidities, which are prevalent in patients with ARDS.

Indexed as

Cause of DeathHospital MortalityAdultAgedComorbidityCreatineFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedOutcome Assessment, Health CarePatient DischargeProspective StudiesRespiratory Distress SyndromeCreatine

Identifiers

PMID24435201
PMCPMC3943651
OpenAlexW2136447930

What OpenQuestion holds

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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.