Evidence map›Paper›PMID 25798675›Full record

ArticleBone marrow transplantation2015

Changes in intensive care for allogeneic hematopoietic stem cell transplant recipients.

E Lengliné, S Chevret, A-S Moreau, F Pène, F Blot, J-H Bourhis, A Buzyn, B Schlemmer, G Socié, E Azoulay

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03449953 (Critical Care Outcomes of Patients With Hematologic Malignancy and Hematopoietic Cell Transplantation), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 3% 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.

NCT03449953 active not recruitingnot on this mapstarted 2018, after this paper: background citation

Critical Care Outcomes of Patients With Hematologic Malignancy and Hematopoietic Cell Transplantation

TypeobservationalSponsorMount Sinai Hospital, CanadaRan2018 to 2026Enrolled415ConditionsHematologic Malignancy, Stem Cell Transplant
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
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  5. Review
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  7. Review
  8. Observational
  9. Can We Predict Acute Respiratory Distress Syndrome in Hematopoietic Stem Cell Recipients?American journal of respiratory and critical care medicine · 2024
    Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
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  18. [Bone marrow transplantation patients in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Review
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  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

10 authors at 5 institutions in 1 country.

E Lengliné1] Medical Intensive Care Unit, Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France [2] Hematology, Immunology, Oncology Division (HOR), Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France.
S Chevret1] Biostatistic Unit, Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France [2] ECSTRA team, CRESS (UMR 1153), Inserm, Université Paris Diderot Paris, France.
A-S MoreauMedical Intensive Care Unit, Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France.
F PèneMedical Intensive Care Unit, Hôpital Cochin, AP-HP, Université Paris Descartes, Paris France.
F BlotIntensive Care Unit, Institut Gustave Rousy, Villejuif, France.
J-H BourhisHematology Department, Institut Gustave Roussy, Villejuif, France.
A Buzyn1] Hematology Department, Hôpital Necker, AP-HP, Université Paris Descartes, Paris France [2] Institut National du Cancer, Boulogne Billancourt, France.
B SchlemmerMedical Intensive Care Unit, Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France.
G Socié1] Hematology, Immunology, Oncology Division (HOR), Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France [2] INSERM UMR 1160, Paris France.
E Azoulay1] Medical Intensive Care Unit, Hôpital Saint-Louis, AP-HP, Université Paris Diderot, Paris, France [2] ECSTRA team, CRESS (UMR 1153), Inserm, Université Paris Diderot Paris, France.
Délégation Paris 7 · FRInstitut Gustave Roussy · FRHôpital Cochin · FRHôpital Saint-Louis · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intensive care unit (ICU) admission is associated with high mortality in allogeneic hematopoietic stem cell transplant (HSCT) recipients. Whether mortality has decreased recently is unknown. The 497 adult allogeneic HSCT recipients admitted to three ICUs between 1997 and 2011 were evaluated retrospectively. Two hundred and nine patients admitted between 1997 and 2003 were compared with the 288 patients admitted from 2004 to 2011. Factors associated with 90-day mortality were identified. The recent cohort was characterized by older age, lower conditioning intensity, and greater use of peripheral blood or unrelated-donor graft. In the recent cohort, ICU was used more often for patients in hematological remission (67% vs 44%; P<0.0001) and without GVHD (73% vs 48%; P<0.0001) or invasive fungal infection (85% vs 73%; P=0.0003) despite a stable admission rate (21.7%). These changes were associated with significantly better 90-day survival (49% vs 31%). Independent predictors of hospital mortality were GVHD, mechanical ventilation (MV) and renal replacement therapy (RRT). Among patients who required MV or RRT, survival was 29% and 18%, respectively, but dropped to 18% and 6% in those with GVHD. The use of ICU admission has changed and translated into improved survival, but advanced life support in patients with GVHD usually provides no benefits.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAllograftsCritical CareDisease-Free SurvivalFemaleFollow-Up StudiesHematologic NeoplasmsHumansMaleMiddle AgedPostoperative CareRetrospective StudiesSurvival RateUnrelated Donors

Identifiers

PMID25798675
OpenAlexW2022431340

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.