Evidence map›Paper›PMID 25068426›Full record

ArticleBone marrow transplantation2014

Outcome of invasive mechanical ventilation after pediatric allogeneic hematopoietic SCT: results from a prospective, multicenter registry.

J P J van Gestel, M B Bierings, S Dauger, J-H Dalle, P Pavlíček, P Sedláček, L M Monteiro, A Lankester, C W Bollen

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Pediatric Hematopoietic Cell Transplant Patients Who Survive Critical Illness Frequently Have Significant but Recoverable Decline in Functional Status.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  14. Recovery of Pulmonary Function after Allogeneic Hematopoietic Cell Transplantation in Children is Associated with Improved Survival.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
  15. Observational
  16. Review
  17. Article
  18. A Critical Care and Transplantation-Based Approach to Acute Respiratory Failure after Hematopoietic Stem Cell Transplantation in Children.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Review
  19. Article
  20. Article
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

9 authors.

J P J van GestelPediatric Intensive Care Unit, University Medical Center Utrecht, The Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M B BieringsDepartment of Pediatric Hematology, Immunology and Bone Marrow Transplantation, University Medical Center Utrecht, The Wilhelmina Children's Hospital, Utrecht, The Netherlands.
S DaugerPediatric Intensive Care Unit, AP-HP, Robert-Debré Hospital and Paris Diderot University, Paris 7, Paris, France.
J-H DalleDepartment of Pediatric Hematology, Immunology and Bone Marrow Transplantation, AP-HP, Robert-Debré Hospital and Paris Diderot University, Paris 7, Paris, France.
P PavlíčekPediatric Intensive Care Unit, Charles University Hospital Motol, Prague, Czech Republic.
P SedláčekDepartment of Pediatric Hematology and Oncology, Charles University Hospital Motol, Prague, Czech Republic.
L M MonteiroPediatric Intensive Care Unit, Leiden University Medical Center, Leiden, The Netherlands.
A LankesterDepartment of Pediatric Hematology, Immunology and Bone Marrow Transplantation, Leiden University Medical Center, Leiden, The Netherlands.
C W BollenPediatric Intensive Care Unit, University Medical Center Utrecht, The Wilhelmina Children's Hospital, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exact data on prognosis of children receiving invasive mechanical ventilation (IMV) after allogeneic hematopoietic SCT (HSCT) is lacking. We therefore started a prospective registry in four European university HSCT centers (Leiden, Paris, Prague and Utrecht) and their pediatric intensive care units (PICUs). The registry started in January 2009. In January 2013, the four centers together had treated a total of 83 admissions with IMV. The case fatality rate in these patients was 52%. Mortality 6 months after PICU discharge was 45%. There were significant differences between centers in the proportion of children who received IMV after HSCT (6-23%, P<0.01), in severity of disease on admission to PICU (predicted mortality 14-37%, P<0.01), in applying noninvasive ventilation before IMV (3-75% of admissions, P<0.01) and in the use of renal replacement therapy (RRT) (8-58% of admissions, P<0.01). Severe impairment in oxygenation, use of RRT and CMV viremia were independent predictors of mortality. Our study shows that mortality in children receiving IMV after HSCT remains high, but has clearly improved compared with older studies. Patient selection and treatment in PICU differed significantly between centers, which underscores the need to standardize and optimize the PICU admission criteria, ventilatory strategies and therapies applied in PICU.

Indexed as

AdolescentChildChild, PreschoolFemaleHematopoietic Stem Cell TransplantationHumansInfantMalePrognosisProspective StudiesRespiration, ArtificialRisk FactorsTransplantation ConditioningTransplantation, HomologousTreatment Outcome

Identifiers

PMID25068426

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.