Evidence map›Paper›PMID 26992066›Full record

Trial reportCritical care medicine2016

Long-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials.

Sachin Yende, Shamly Austin, Andrew Rhodes, Simon Finfer, Steven Opal, Taylor Thompson, Fernando A Bozza, Steven P LaRosa, V Marco Ranieri, Derek C Angus

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 7 pooled it
21.2field-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

146 citing papers in PubMed, 7 syntheses or guidelines pooled it, 273 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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  5. Understanding and Enhancing Sepsis Survivorship. Priorities for Research and Practice.American journal of respiratory and critical care medicine · 2019
    Pooled it
  6. Pooled it
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  8. Trial
  9. Trial
  10. Trial
  11. Trial
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  13. Review
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  15. Article
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  17. Measuring health-related quality of life in sepsis survivors and caregivers: a mapping review and a preliminary conceptual framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
  18. Article
  19. Article
  20. Article

86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Sachin Yende1The Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA. 2Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA. 3Research and Development, Quality Improvement Department, Gateway Health, Pittsburgh, PA. 4Adult Critical Care, St. George's University Hospitals, NHS Foundation Trust, London, United Kingdom. 5The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia. 6Infectious Disease Division, Alpert Medical School of Brown University, Pawtucket, RI. 7Pulmonary and Critical Care Division, Massachusetts General Hospital, Boston, MA. 8Evandro Chagas National Institute of Infectious Diseases, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil. 9Beverly Hospital, Lahey Health System, Beverly, MA. 10Department of Anesthesia and Intensive Care Medicine, University Sapienza of Rome, Policlino Umberto I Hospital, Rome, Italy.
Shamly Austin
Andrew Rhodes
Simon Finfer
Steven Opal
Taylor Thompson
Fernando A Bozza
Steven P LaRosa
V Marco Ranieri
Derek C Angus
University of Pittsburgh · USFundação Oswaldo Cruz · BRMassachusetts General Hospital · USThe George Institute for Global Health · AU

Funding

Late cardiovascular consequences of septic shockR01GM097471 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YENDE, SACHIN · 2012 to 2016
$2.8M
NIGMS NIH HHS R01 GM097471Wellcome Trust
6 · The paper itself

Abstract

objectivesTo describe the quality of life among sepsis survivors.

designSecondary analyses of two international, randomized clinical trials (A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis [derivation cohort] and PROWESS-SHOCK [validation cohort]).

settingICUs in North and South America, Europe, Africa, Asia, and Australia. PATIENTS: Adults with severe sepsis. We analyzed only patients who were functional and living at home without help before sepsis hospitalization (n = 1,143 and 987 from A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis and PROWESS-SHOCK, respectively).

interventionsNone. MEASUREMENTS AND MAIN

resultsIn A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis and PROWESS-SHOCK, the average age of patients living at home independently was 63 and 61 years; 400 (34.9%) and 298 (30.2%) died by 6 months. In A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis, 580 patients had a quality of life measured using EQ-5D at 6 months. Of these, 41.6% could not live independently (22.7% were home but required help, 5.1% were in nursing home or rehabilitation facilities, and 5.3% were in acute care hospitals). Poor quality of life at 6 months, as evidenced by problems in mobility, usual activities, and self-care domains were reported in 37.4%, 43.7%, and 20.5%, respectively, and the high incidence of poor quality of life was also seen in patients in PROWESS-SHOCK. Over 45% of patients with mobility and self-care problems at 6 months in A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis died or reported persistent problems at 1 year.

conclusionsAmong individuals enrolled in a clinical trial who lived independently prior to severe sepsis, one third had died and of those who survived, a further one third had not returned to independent living by 6 months. Both mortality and quality of life should be considered when designing new interventions and considering endpoints for sepsis trials.

Indexed as

Quality of LifeActivities of Daily LivingAdultAgedComorbidityDisaccharidesFemaleHumansLength of StayLogistic ModelsMaleMiddle AgedMobility LimitationSepsisSeverity of Illness IndexSugar PhosphatesDisaccharideseritoranSugar Phosphates

Identifiers

PMID26992066
PMCPMC4949079
OpenAlexW2328000515

What OpenQuestion holds

Textmetadata
LicenceTDM
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.