Evidence map›Paper›PMID 27440140›Full record

Trial reportThorax2017

Predictors of 6-month health utility outcomes in survivors of acute respiratory distress syndrome.

Samuel M Brown, Emily Wilson, Angela P Presson, Chong Zhang, Victor D Dinglas, Tom Greene, Ramona O Hopkins, Dale M Needham, with the National Institutes of Health NHLBI ARDS Network

4 registry-linked trialsOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
17.6field-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.

NCT00434993 phase2 / phase3terminatednot on this map

Prospective, Randomized, Multicenter Trial of Aerosolized Albuterol Versus Placebo in Acute Lung Injury

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2007 to 2008Enrolled282ConditionsRespiratory Distress Syndrome, AdultArmsAlbuterol Sulfate, Mini-Bronchoalveolar Lavage (BAL), Placebo
NCT00609180 phase3terminatednot on this map

Prospective, Randomized, Multi-Center Trial of Initial Trophic Enteral Feeding Followed by Advancement to Full-Calorie Enteral Feeding vs. Early Advancement to Full-Calorie Enteral Feeding in Patients With Acute Lung Injury (ALI) or Acute Respiratory Distress Syndrome (ARDS) and Prospective, Randomized, Blinded, Placebo-Controlled, Multi-Center Trial of Omega-3 Fatty Acid, Gamma-Linolenic Acid, and Anti-Oxidant Supplementation in the Management of Acute Lung Injury (ALI) or Acute Respiratory Distress Syndrome (ARDS)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2007 to 2009Enrolled272ConditionsRespiratory Distress Syndrome, AdultArmsMinimal (Trophic) Feeding, Full Feeding, Omega-3 Fatty Acids and Antioxidant Supplements, Placebo
NCT00719446 completednot on this map

Patient Outcomes 6 and 12 Months After ALTA, OMEGA, EDEN and SAILS ARDS Network Trials

TypeobservationalSponsorJohns Hopkins UniversityRan2007 to 2014Enrolled922ConditionsRespiratory Distress Syndrome, Adult
NCT00883948 phase3completednot on this map

Prospective, Randomized, Multi-Center Trial of Initial Trophic Enteral Feeding Followed by Advancement to Full-Calorie Enteral Feeding vs. Early Advancement to Full-Calorie Enteral Feeding in Patients With Acute Lung Injury (ALI) or Acute Respiratory Distress Syndrome (ARDS)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2007 to 2011Enrolled1,000ConditionsRespiratory Distress Syndrome, AdultArmsMinimal (Trophic) Feeding, Full Feeding
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Quality of life of COVID-19 critically ill survivors after ICU discharge: 90 days follow-up.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. ARDS in Obese Patients: Specificities and Management.Critical care (London, England) · 2019
    Review
  16. Long-term quality of life after sepsis and predictors of quality of life in survivors with sepsis.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2018
    Article
  17. Article
  18. Effects of cigarette smoke on pulmonary endothelial cells.American journal of physiology. Lung cellular and molecular physiology · 2018
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Samuel M BrownCenter for Humanizing Critical Care, Intermountain Healthcare, Murray, Utah, USA.
Emily WilsonCenter for Humanizing Critical Care, Intermountain Healthcare, Murray, Utah, USA.
Angela P PressonDivision of Epidemiology, Study Design and Biostatistics Center, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Chong ZhangDivision of Epidemiology, Study Design and Biostatistics Center, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Victor D DinglasOutcomes After Critical Illness and Surgery Group, Johns Hopkins University, Baltimore, Maryland, USA.
Tom GreeneDivision of Epidemiology, Study Design and Biostatistics Center, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Ramona O HopkinsCenter for Humanizing Critical Care, Intermountain Healthcare, Murray, Utah, USA.
Dale M NeedhamOutcomes After Critical Illness and Surgery Group, Johns Hopkins University, Baltimore, Maryland, USA.
with the National Institutes of Health NHLBI ARDS Network
University of Utah · USBrigham Young University · USIntermountain Healthcare · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

Patient Outcomes 6 and 12 Months After ALTA, OMEGA and EDEN ARDS Network TrialsR01HL091760 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HOPKINS, RAMONA O, NEEDHAM, DALE MURRAY · 2008 to 2011
$2.0M
Discovery and Prediction of Novel Functional Outcome Phenotypes for ARDSR21HL123433 · NHLBI · IHC HEALTH SERVICES, INC. · PI BROWN, SAMUEL MORRIS, NEEDHAM, DALE MURRAY · 2014 to 2015
$217k
VITAMIN C, GLUTATHIONE, AND ENDOTHELIAL CELL FUNCTIONR01HL056170 · NHLBI · OREGON STATE UNIVERSITY · PI FREI, BALZ B · 1996 to 1999
–
NHLBI NIH HHS N01 HR056170NHLBI NIH HHS R01 HL091760NHLBI NIH HHS R21 HL123433
6 · The paper itself

Abstract

backgroundWith improving short-term mortality in acute respiratory distress syndrome (ARDS), understanding and improving quality of life (QOL) outcomes in ARDS survivors is a clinical and research priority. We sought to identify variables associated with QOL, as measured by the EQ-5D health utility score, after ARDS using contemporary data science methods.

methodsAnalysis of prospectively acquired baseline variables and 6-month EQ-5D health utility scores for adults with ARDS enrolled in the ARDS Network Long-Term Outcomes Study (ALTOS). Penalised regression identified predictors of health utility, with results validated using 10-fold cross-validation.

resultsAmong 616 ARDS survivors, several predictors were associated with 6-month EQ-5D utility scores, including two lifestyle factors. Specifically, older age, female sex, Hispanic/Latino ethnicity, current smoking and higher body mass index were associated with lower EQ-5D utilities, while living at home without assistance at baseline and AIDS were associated with higher EQ-5D utilities in ARDS survivors. No acute illness variables were associated with EQ-5D utility.

conclusionsAcute illness variables do not appear to be associated with postdischarge QOL among ARDS survivors. Functional independence and lifestyle factors, such as obesity and tobacco smoking, were associated with worse QOL. Future analyses of postdischarge health utility among ARDS survivors should incorporate measures of demographics and functional independence at baseline. TRIAL REGISTRATION NUMBERS: NCT00719446 (ALTOS), NCT00434993 (ALTA), NCT00609180 (EDEN/OMEGA), and NCT00883948 (EDEN); Post-results.

Indexed as

Quality of LifeSurvivorsAcute DiseaseAdultAge FactorsAPACHEBody Mass IndexFemaleHumansMalePredictive Value of TestsProspective StudiesRespiratory Distress SyndromeSex FactorsSmokingARDS

Identifiers

PMID27440140
PMCPMC5518323
OpenAlexW2488892922

What OpenQuestion holds

Textmetadata
LicenceTDM
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.