Evidence map›Paper›PMID 27186054›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2016

Intensive Care in India: The Indian Intensive Care Case Mix and Practice Patterns Study.

Jigeeshu V Divatia, Pravin R Amin, Nagarajan Ramakrishnan, Farhad N Kapadia, Subhash Todi, Samir Sahu, Deepak Govil, Rajesh Chawla, Atul P Kulkarni, Srinivas Samavedam and 13 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing 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.

NCT03631927 completednot on this mapstarted 2018, after this paper: background citation

Indian Intensive Care Case Mix and Practice Patterns Study - II

TypeobservationalSponsorIndian Society of Critical Care MedicineRan2018 to 2019Enrolled5,094ConditionsCritical IllnessArmsObservation
NCT07167173 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Predictive Model for Multidrug Resistance in Patients Admitted to the Emergency Department With Sepsis

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2025 to 2025Enrolled10,000ConditionsSepsis, Septic Shock
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Retrospective evaluation of efficacy of CytoSorbWorld journal of critical care medicine · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Planning for a Dignified Death with a Living Will.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  14. Article
  15. Observational
  16. Article
  17. Salt Based or BaLanced SolUtion-Trends Existing in Indian Intensive Care Units: A Multicenter Prospective Observational Cohort Study (SOLUTE Study).Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  18. The Indian Society of Critical Care Medicine Position Statement on the Management of Sepsis in Resource-limited Settings.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  19. Post-ICU Care: Why, What, When and How? ISCCM Position Statement.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  20. Think Globally, Adapt Locally: The ISCCM Guidelines and Position Statements.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article

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

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

23 authors.

Jigeeshu V DivatiaDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, India.
Pravin R AminDepartment of Medicine and Critical Care, Bombay Hospital Institute of Medical Sciences, Mumbai, India.
Nagarajan RamakrishnanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Farhad N KapadiaDepartment of Medicine and Critical Care, P D Hinduja National Hospital, Mumbai, India.
Subhash TodiDepartment of Critical Care Medicine, AMRI Hospitals Dhakuria, Kolkata, West Bengal, India.
Samir SahuDepartment of Critical Care and Pulmonology, AMRI Hospitals, Bhubaneswar, Odisha, India.
Deepak GovilInstitute of Anesthesia and Critical Care, Medanta The Medicity, Gurgaon, Haryana, India.
Rajesh ChawlaDepartment of Pulmonary and Critical Care Medicine, Indraprastha Apollo Hospitals, New Delhi, India.
Atul P KulkarniDivision of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, India.
Srinivas SamavedamDepartment of Critical Care Medicine, Century Super Speciality Hospital, Banjara Hills, Hyderabad, Telangana, India.
Charu K JaniDepartment of Critical Care Medicine, Saifee Hospital, Mumbai, India.
Narendra RungtaDepartment of Critical Care Medicine, Jeevan Rekha Critical Care and Trauma Hospital, Jaipur, Rajasthan, India.
Devi Prasad SamaddarDepartment of Anaesthesia and Critical Care, Tata Main Hospital, Jamshedpur, Jharkhand, India.
Sujata MehtaDepartment of Medicine and Critical Care, Bombay Hospital Institute of Medical Sciences, Mumbai, India.
Ramesh VenkataramanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Ashit HegdeDepartment of Medicine and Critical Care, P D Hinduja National Hospital, Mumbai, India.
B D BandeDepartment of Critical Care, KEM Hospital, Pune, Maharashtra, India.
Sanjay DhanukaDepartment of Critical Care Medicine, Greater Kailash Hospital, Indore, Madhya Pradesh, India.
Virendra SinghDepartment of Pulmonology, Asthma Bhawan, Jaipur, Rajasthan, India.
Reshma TewariDepartment of Critical Care Medicine, Artemis Health Institute, Gurgaon, Haryana, India.
Kapil ZirpeDepartment of Critical Care Medicine, Ruby Hall Clinic, Pune, Maharashtra, India.
Prachee SatheDepartment of Critical Care Medicine, Ruby Hall Clinic, Pune, Maharashtra, India.
INDICAPS Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo obtain information on organizational aspects, case mix and practices in Indian Intensive Care Units (ICUs). PATIENTS AND

methodsAn observational, 4-day point prevalence study was performed between 2010 and 2011 in 4209 patients from 124 ICUs. ICU and patient characteristics, and interventions were recorded for 24 h of the study day, and outcomes till 30 days after the study day. Data were analyzed for 4038 adult patients from 120 ICUs.

resultsOn the study day, mean age, Acute Physiology and Chronic Health Evaluation (APACHE II) and sequential organ failure assessment (SOFA) scores were 54.1 ± 17.1 years, 17.4 ± 9.2 and 3.8 ± 3.6, respectively. About 46.4% patients had ≥1 organ failure. Nearly, 37% and 22.2% patients received mechanical ventilation (MV) and vasopressors or inotropes, respectively. Nearly, 12.2% patients developed an infection in the ICU. About 28.3% patients had severe sepsis or septic shock (SvSpSS) during their ICU stay. About 60.7% patients without infection received antibiotics. There were 546 deaths and 183 terminal discharges (TDs) from ICU (including left against medical advice or discharged on request), with ICU mortality 729/4038 (18.1%). In 1627 patients admitted within 24 h of the study day, the standardized mortality ratio was 0.67. The APACHE II and SOFA scores, public hospital ICUs, medical ICUs, inadequately equipped ICUs, medical admission, self-paying patient, presence of SvSpSS, acute respiratory failure or cancer, need for a fluid bolus, and MV were independent predictors of mortality.

conclusionsThe high proportion of TDs and the association of public hospitals, self-paying patients, and inadequately equipped hospitals with mortality has important implications for critical care in India.

Indexed as

Adultcase-mixIndiaintensive carepractice

Identifiers

PMID27186054
PMCPMC4859158

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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.