Evidence map›Paper›PMID 28238055›Full record

ReviewIntensive care medicine2017

The status of intensive care medicine research and a future agenda for very old patients in the ICU.

H Flaatten, D W de Lange, A Artigas, D Bin, R Moreno, S Christensen, G M Joynt, Sean M Bagshaw, C L Sprung, D Benoit and 2 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04321265 (Outcomes and Prognostic Factors in Coronavirus Disease), which is not on this map. Cited by 130 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing 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.

NCT04321265 unknown statusnot on this mapstarted 2020, after this paper: background citation

Outcomes and Prognostic Factors in Coronavirus Disease (COVID-19) in Very Old Intensive Care Patients

TypeobservationalSponsorHeinrich-Heine University, DuesseldorfRan2020 to 2023Enrolled1,500ConditionsCOVID-19, Elderly Patients, Critical Illness, Survival
3 · Its place in the literature

Who cites it

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

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70 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

12 authors.

H FlaattenDepartment of Clinical Medicine, ICU, Haukeland University Hospital, University of Bergen, Bergen, Norway. Hans.Flaatten@uib.no.ORCID http://orcid.org/0000-0001-9186-3482
D W de LangeDepartment of Intensive Care Medicine, University Medical Center, Utrecht, The Netherlands.
A ArtigasDepartment of Intensive Care Medicine, CIBER Enfermedades Respiratorias, Corporacion Sanitaria Universitaria Parc Tauli, Autonomous University of Barcelona, Sabadell, Spain.
D BinMedical ICU, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, China.
R MorenoUnidade de Cuidados Intensivos Neurocríticos, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
S ChristensenDepartment of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
G M JoyntDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong and School of Medicine, Royal Brisbane Clinical School, The University of Queensland, Queensland, Australia.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
C L SprungDepartment of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
D BenoitDepartment of Intensive Care, Ghent University Hospital, de pintelaan 185, 2K12IC, Ghent, Belgium.
M SoaresDepartment of Critical Care, D'Or Institute for Research and Education, Rio De Janeiro, Brazil.
B GuidetAssistance Publique, Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, 75012, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was little survival to gain and the incremental life expectancy of ICU admission was considered too small. Several publications have questioned this belief, but others have confirmed the poor long-term mortality rates in VOPs. More appropriate triage (resource limitation enforced decisions), admission decisions based on shared decision-making and improved prediction models are also needed for this particular patient group. Here, an expert panel proposes a research agenda for VOPs for the coming years.

Indexed as

Hospital MortalityOutcome and Process Assessment, Health CareSeverity of Illness IndexAgedAged, 80 and overAge FactorsBiomedical ResearchCognitive DysfunctionCritical CareEpidemiologic StudiesFrailtyHumansIntensive Care UnitsLength of StayPatient AdmissionQuality of LifeElderlyFrailtyICUMortalityOctogenariansSeverity of illness

Identifiers

PMID28238055

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.