Evidence map›Paper›PMID 25493656›Full record

Trial reportAnnals of the American Thoracic Society2015

The influence of hospitalization or intensive care unit admission on declines in health-related quality of life.

Laura C Feemster, Colin R Cooke, Gordon D Rubenfeld, Catherine L Hough, William J Ehlenbach, David H Au, Vincent S Fan

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the American Thoracic Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Hemoadsorption Using CytoSorbJournal of cardiovascular development and disease · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Health-related quality of life in trauma patients at 12 months after injury: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Article
  13. Review
  14. Outpatient treatment with the wearable cardioverter defibrillator: clinical experience in two Dutch centres.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017
    Article
  15. Review
  16. Article
  17. Article
  18. Observational
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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

7 authors.

Laura C Feemster1 Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
Colin R Cooke
Gordon D Rubenfeld
Catherine L Hough
William J Ehlenbach
David H Au
Vincent S Fan

Funding

Understanding Variation in the Use of Critical Care ServicesK08HS020672 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COOKE, COLIN · 2012 to 2016
$768k
Cognitive outcomes and neuropathology in older adults following critical illnessK23AG038352 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI EHLENBACH, WILLIAM JOSEPH · 2011 to 2015
$759k
Facilitating adoption of COPD evidence-based care in outpatient settings (FACES)K23HL111116 · NHLBI · UNIVERSITY OF WASHINGTON · PI FEEMSTER, LAURA CECERE · 2013 to 2017
$481k
AHRQ HHS K08 HS020672NHLBI NIH HHS K23 HL111116NHLBI NIH HHS K23HL111116NIA NIH HHS K23 AG038352
6 · The paper itself

Abstract

rationaleSurvivors of critical illness report impaired health-related quality of life (HRQoL) after hospital discharge, but the degree to which these impairments are attributable to critical illness is unknown.

objectivesWe sought to examine changes in HRQoL associated with an intensive care unit (ICU) stay and the differential association of type of hospitalization (critical illness versus noncritical illness) on changes in HRQoL.

methodsWe identified 11,243 participants in the Ambulatory Care Quality Improvement Project (a multicenter randomized trial of Veterans conducted March 1997 to August 2000) completing at least two Medical Outcomes Study Short-Form 36 questionnaires over 2 years, and categorized patients by hospitalization status during the interval between measures. We used multiple linear regression with generalized estimating equations for analysis. MEASUREMENTS AND MAIN

resultsOur primary outcome was change in the Physical Component Summary score. Participants requiring hospitalization or ICU admission had significantly worse baseline HRQoL than those not hospitalized (P < 0.001). Compared with patients who were not hospitalized, follow-up Physical Component Summary scores were lower among non-ICU hospitalized patients and ICU patients (adjusted β-coefficient = -1.40 [95% confidence interval, -1.81, -0.99] and adjusted β-coefficient = -1.53 [95% confidence interval, -2.11, -0.95], respectively), with no difference between the two groups (P value = 0.80). Similar results were seen for the Mental Component Summary score and each of the Medical Outcomes Study Short-Form 36 subdomains.

conclusionsPrehospital HRQoL is a significant determinant of HRQoL after hospitalization or ICU admission. Hospitalization is associated with increased risk of impairment in HRQoL after discharge, yet the overall magnitude of this reduction is small and similar between non-ICU hospitalized and critically ill patients.

Indexed as

Health StatusQuality of LifeAgedCritical IllnessFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedPatient AdmissionProspective StudiesSurveys and QuestionnairesSurvivorscohort studiescritical illnessintensive care unitsoutcome assessment (health care)quality of life

Identifiers

PMID25493656
PMCPMC4342801

What OpenQuestion holds

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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.