Evidence map›Paper›PMID 27473872›Full record

SynthesisBMC health services research2016

Systematic review of factors influencing length of stay in ICU after adult cardiac surgery.

Ahmed Almashrafi, Mustafa Elmontsri, Paul Aylin

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 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 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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.

NCT02945358 completednot on this map

Assessment of OHIR Score to Predict a Prolonged Intensive Care Unit Stay for Adult Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass

TypeobservationalSponsorKhon Kaen UniversityRan2016 to 2017Enrolled120ConditionsICU StayArmsadult cardiac surgery with cardiopulmonary pump
NCT07782749 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Virtual Reality-Based Cardiac Rehabilitation in Patients Undergoing Cardiac Surgery

TypeinterventionalSponsorAzienda Ospedaliero Universitaria di SassariRan2026 to 2029Enrolled46ConditionsCardiac RehabilitationArmsVirtual Reality
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  7. Age-related differences in sepsis outcomes: A comparative analysis of elderly and very elderly ICU patients.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025
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  14. Right ventricular to pulmonary arterial coupling as a predictor of survival in patients undergoing mitral valve surgery for mitral regurgitation.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024
    Article
  15. Concomitant trauma of brain and upper cervical spine: lessons in injury patterns and outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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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

3 authors.

Ahmed AlmashrafiDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstans Road, London, W6 8RP, UK. a.almashrafi12@imperial.ac.uk.ORCID 0000-0003-1072-8057
Mustafa ElmontsriDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstans Road, London, W6 8RP, UK.
Paul AylinDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstans Road, London, W6 8RP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive care unit (ICU) care is associated with costly and often scarce resources. In many parts of the world, ICUs are being perceived as major bottlenecks limiting downstream services such as operating theatres. There are many clinical, surgical and contextual factors that influence length of stay. Knowing these factors can facilitate resource planning. However, the extent at which this knowledge is put into practice remains unclear. The aim of this systematic review was to identify factors that impact the duration of ICU stay after cardiac surgery and to explore evidence on the link between understanding these factors and patient and resource management.

methodsWe conducted electronic searches of Embase, PubMed, ISI Web of Knowledge, Medline and Google Scholar, and reference lists for eligible studies.

resultsTwenty-nine papers fulfilled inclusion criteria. We recognised two types of objectives for identifying influential factors of ICU length of stay (LOS) among the reviewed studies. These were general descriptions of predictors and prediction of prolonged ICU stay through statistical models. Among studies with prediction models, only two studies have reported their implementation. Factors most commonly associated with increased ICU LOS included increased age, atrial fibrillation/ arrhythmia, chronic obstructive pulmonary disease (COPD), low ejection fraction, renal failure/ dysfunction and non-elective surgery status.

conclusionCardiac ICUs are major bottlenecks in many hospitals around the world. Efforts to optimise resources should be linked to patient and surgical characteristics. More research is needed to integrate patient and surgical factors into ICU resource planning.

Indexed as

AdultAgedAtrial FibrillationCardiac Surgical ProceduresCritical CareFemaleHeart FailureHumansIntensive Care UnitsLength of StayMaleMiddle AgedModels, StatisticalPulmonary Disease, Chronic ObstructiveCardiac ICU resource utilisationCardiac surgeryLength of stay

Identifiers

PMID27473872
PMCPMC4966741

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.