Evidence map›Paper›PMID 24716641›Full record

Trial reportAmerican journal of respiratory and critical care medicine2014

Risk factors for physical impairment after acute lung injury in a national, multicenter study.

Dale M Needham, Amy W Wozniak, Catherine L Hough, Peter E Morris, Victor D Dinglas, James C Jackson, Pedro A Mendez-Tellez, Carl Shanholtz, E Wesley Ely, Elizabeth Colantuoni and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 3 pooled it
12.5field-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.

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

89 citing papers in PubMed, 3 syntheses or guidelines pooled it, 195 citations in OpenAlex.

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  7. Long-Term Pulmonary Function and Quality of Life in Children After Acute Respiratory Distress Syndrome: A Feasibility Investigation.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
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29 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 2 countries.

Dale M Needham1 Outcomes After Critical Illness and Surgery Group.
Amy W Wozniak
Catherine L Hough
Peter E Morris
Victor D Dinglas
James C Jackson
Pedro A Mendez-Tellez
Carl Shanholtz
E Wesley Ely
Elizabeth Colantuoni
Ramona O Hopkins
National Institutes of Health NHLBI ARDS Network
Johns Hopkins University · USVanderbilt University · USBrigham Young University · USUniversity of Maryland, Baltimore · USUniversity of Washington · USWake Forest University · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Patient Outcomes 6 and 12 Months After ALTA, OMEGA and EDEN ARDS Network TrialsR01HL091760 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HOPKINS, RAMONA O, NEEDHAM, DALE MURRAY · 2008 to 2011
$2.0M
ICU-ACQUIRED NEUROMUSCULAR DYSFUNCTION AND OUTCOMES IN ACUTE LUNG INJURYR01HL096504 · NHLBI · UNIVERSITY OF WASHINGTON · PI HOUGH, CATHERINE LEE, NEEDHAM, DALE MURRAY · 2010 to 2013
$1.5M
NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR 000424-06NCATS NIH HHS UL1 TR001079NHLBI NIH HHS R01 HL091760NHLBI NIH HHS R01HL091760NHLBI NIH HHS R01HL091760-02S1NHLBI NIH HHS R01 HL096504NHLBI NIH HHS R01HL096504PHS HHS HHSN268200536171CPHS HHS HHSN268200536173CPHS HHS HHSN268200536174CPHS HHS HHSN268200536179CPHS HHS HSN268200536170CPHS HHS HSN268200536175C
6 · The paper itself

Abstract

rationaleExisting studies of risk factors for physical impairments in acute lung injury (ALI) survivors were potentially limited by single-center design or relatively small sample size.

objectivesTo evaluate risk factors for three measures of physical impairments commonly experienced by survivors of ALI in the first year after hospitalization.

methodsA prospective, longitudinal study of 6- and 12-month physical outcomes (muscle strength, 6-minute-walk distance, and Short Form [SF]-36 Physical Function score) for 203 survivors of ALI enrolled from 12 hospitals participating in the ARDS Network randomized trials. Multivariable regression analyses evaluated the independent association of critical illness-related variables and intensive care interventions with impairments in each physical outcome measure, after adjusting for patient demographics, comorbidities, and baseline functional status. MEASUREMENTS AND MAIN

resultsAt 6 and 12 months, respectively, mean (± SD) values for strength (presented as proportion of maximum strength score evaluated using manual muscle testing) was 92% (± 8%) and 93% (± 9%), 6-minute-walk distance (as percent-predicted) was 64% (± 22%) and 67% (± 26%), and SF-36 Physical Function score (as percent-predicted) was 61% (± 36%) and 67% (± 37%). After accounting for patient baseline status, there was significant association and statistical interaction of mean daily dose of corticosteroids and intensive care unit length of stay with impairments in physical outcomes.

conclusionsPatients had substantial impairments, from predicted values, for 6-minute-walk distance and SF-36 Physical Function outcome measures. Minimizing corticosteroid dose and implementing existing evidence-based methods to reduce duration of intensive care unit stay and associated patient immobilization may be important interventions for improving ALI survivors' physical outcomes.

Indexed as

Intensive Care UnitsQuality of LifeAcute Lung InjuryAdultDrug Therapy, CombinationExercise TestFemaleFollow-Up StudiesGlucocorticoidsHumansLength of StayLongitudinal StudiesMaleMiddle AgedMuscle StrengthMuscle WeaknessGlucocorticoidsNeuromuscular Blocking Agents

Identifiers

PMID24716641
PMCPMC4061900
OpenAlexW2022018947

What OpenQuestion holds

Textmetadata
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.