Evidence map›Paper›PMID 25554550›Full record

Trial reportAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2015

Body temperature and mortality in patients with acute respiratory distress syndrome.

Hildy M Schell-Chaple, Kathleen A Puntillo, Michael A Matthay, Kathleen D Liu, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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  15. Non-Cardiogenic Pulmonary Oedema Following the use of Gadolinium-Based Contrast Medium: A Case Report.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2020
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  17. COVID-19: A review of therapeutics under investigation.Journal of the American College of Emergency Physicians open · 2020
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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

5 authors at 1 institution in 1 country.

Hildy M Schell-ChapleHildy M. Schell-Chaple is a clinical nurse specialist and PhD candidate at the University of California, San Francisco (UCSF) School of Nursing. Kathleen A. Puntillo is a professor emerita at the UCSF School of Nursing. Michael A. Matthay is a professor of medicine and anesthesia and Kathleen D. Liu is an associate professor at the UCSF School of Medicine. hildy.schell@ucsfmedctr.org.
Kathleen A PuntilloHildy M. Schell-Chaple is a clinical nurse specialist and PhD candidate at the University of California, San Francisco (UCSF) School of Nursing. Kathleen A. Puntillo is a professor emerita at the UCSF School of Nursing. Michael A. Matthay is a professor of medicine and anesthesia and Kathleen D. Liu is an associate professor at the UCSF School of Medicine.
Michael A MatthayHildy M. Schell-Chaple is a clinical nurse specialist and PhD candidate at the University of California, San Francisco (UCSF) School of Nursing. Kathleen A. Puntillo is a professor emerita at the UCSF School of Nursing. Michael A. Matthay is a professor of medicine and anesthesia and Kathleen D. Liu is an associate professor at the UCSF School of Medicine.
Kathleen D LiuHildy M. Schell-Chaple is a clinical nurse specialist and PhD candidate at the University of California, San Francisco (UCSF) School of Nursing. Kathleen A. Puntillo is a professor emerita at the UCSF School of Nursing. Michael A. Matthay is a professor of medicine and anesthesia and Kathleen D. Liu is an associate professor at the UCSF School of Medicine.
National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network
Chien Hsin University of Science and Technology · TW

Funding

CCTG NETWORK FOR ARDS TREATMENTN01HR016146 · HR · BAYLOR COLLEGE OF MEDICINE · PI GUNTUPALLI, KALPALATHA K · 2001 to 2001
$297k
NHLBI NIH HHS N01 HR016146NHLBI NIH HHS N01-HR-16146-54NHLBI NIH HHS N01-HR 46046-64
6 · The paper itself

Abstract

backgroundLittle is known about the relationship between body temperature and outcomes in patients with acute respiratory distress syndrome (ARDS). A better understanding of this relationship may provide evidence for fever suppression or warming interventions, which are commonly applied in practice.

objectiveTo examine the relationship between body temperature and mortality in patients with ARDS.

methodsSecondary analysis of body temperature and mortality using data from the ARDS Network Fluid and Catheter Treatment Trial (n = 969). Body temperature at baseline and on study day 2, primary cause of ARDS, severity of illness, and 90-day mortality were analyzed by using multiple logistic regression.

resultsMean baseline temperature was 37.5°C (SD, 1.1°C; range, 27.2°C-40.7°C). At baseline, fever (≥ 38.3°C) was present in 23% and hypothermia (< 36°C) in 5% of the patients. Body temperature was a significant predictor of 90-day mortality after primary cause of ARDS and score on the Acute Physiology and Chronic Health Evaluation III were adjusted for. Higher temperature was associated with decreased mortality: for every 1°C increase in baseline temperature, the odds of death decreased by 15% (odds ratio, 0.85; 95% CI, 0.73-0.98, P = .03). When patients were divided into 5 temperature groups, mortality was lower with higher temperature (P for trend = .02).

conclusionsEarly in ARDS, fever is associated with improved survival rates. Fever in the acute phase response to lung injury and its relationship to recovery may be an important factor in determining patients' outcome and warrants further study.

Indexed as

Body TemperatureFemaleHospital MortalityHumansMaleMiddle AgedRespiratory Distress SyndromeSurvival Rate

Identifiers

PMID25554550
PMCPMC4464553
OpenAlexW2039384309

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.