Evidence map›Paper›PMID 28448162›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Joblessness and Lost Earnings after Acute Respiratory Distress Syndrome in a 1-Year National Multicenter Study.

Biren B Kamdar, Minxuan Huang, Victor D Dinglas, Elizabeth Colantuoni, Till M von Wachter, Ramona O Hopkins, Dale M Needham, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network

4 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in American journal of respiratory and critical 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 4 registered trials, which are not on this map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
10.9field-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.

NCT03569358 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Safety, Tolerability, and Early Efficacy of Immersive Virtual Reality for Early Neurocognitive Stimulation in the Intensive Care Unit.

TypeinterventionalSponsorChangi General HospitalRan2018 to 2019Enrolled40ConditionsMechanical Ventilation, Virtual Reality, DeliriumArmsImmersive Virtual Reality, EEG headband
NCT03797313 completednot on this mapstarted 2019, after this paper: background citation

Observational Study of Expected Acute Respiratory Failure (ARF) Recovery

TypeobservationalSponsorJohns Hopkins UniversityRan2019 to 2021Enrolled180ConditionsAcute Respiratory Failure, Post Intensive Care Syndrome
NCT04556227 narecruitingnot on this mapstarted 2024, after this paper: background citation

Simultaneous Recumbent Cycling and Cognitive Training on Cognition in Intensive Care Unit Survivors: a Randomized Control Trial

TypeinterventionalSponsorUniversity of Missouri, Kansas CityRan2024 to 2025Enrolled50ConditionsDelirium, Impaired CognitionArmsSimultaneous Cycle/Cognitive Training
NCT07354425 completednot on this mapstarted 2022, after this paper: background citation

Pneumococcal Community-Acquired Pneumonia Requiring Hospitalization Among Colombian Adults (Pneumo-CAP Colombia)

Typeobservational_patient_registrySponsorUniversidad de la SabanaRan2022 to 2025Enrolled688ConditionsCommunity Acquired Pneumonia (CAP), Pneumococcal Pneumonia
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  10. Observational
  11. Article
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  13. Family Experiences of Financial Hardship after Critical Illness.Annals of the American Thoracic Society · 2025
    Article
  14. Article
  15. Return to work of major trauma survivors from a private level 1 trauma centre in South Africa.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
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  18. Article
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Biren B Kamdar1 Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.ORCID 0000-0002-9245-6229
Minxuan Huang2 Outcomes after Critical Illness and Surgery Group.ORCID 0000-0001-5551-586X
Victor D Dinglas2 Outcomes after Critical Illness and Surgery Group.ORCID 0000-0001-5238-2790
Elizabeth Colantuoni2 Outcomes after Critical Illness and Surgery Group.ORCID 0000-0002-0091-9434
Till M von Wachter5 Department of Economics, University of California, Los Angeles, Los Angeles, California.ORCID 0000-0003-1711-6897
Ramona O Hopkins6 Department of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, Utah.
Dale M Needham2 Outcomes after Critical Illness and Surgery Group.
National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network
Health Protection and Research Organisation · AFJohns Hopkins University · USUniversity of California, Los Angeles · USBrigham Young University · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ · 2016 to 2026
$6.9M
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
VITAMIN C, GLUTATHIONE, AND ENDOTHELIAL CELL FUNCTIONR01HL056170 · NHLBI · OREGON STATE UNIVERSITY · PI FREI, BALZ B · 1996 to 1999
–
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NHLBI NIH HHS N01 HR056170NHLBI NIH HHS R01 HL091760NICHD NIH HHS P2C HD041022
6 · The paper itself

Abstract

rationaleFollowing acute respiratory distress syndrome (ARDS), joblessness is common but poorly understood.

objectivesTo evaluate the timing of return to work after ARDS, and associated risk factors, lost earnings, and changes in healthcare coverage Methods: Over 12-month longitudinal follow-up, ARDS survivors from 43 U.S. ARDSNet hospitals provided employment and healthcare coverage data via structured telephone interviews. Factors associated with the timing of return to work were assessed using Fine and Gray regression analysis. Lost earnings were estimated using Bureau of Labor Statistics data. MEASUREMENTS AND MAIN

resultsOf 922 consenting survivors, 386 (42%) were employed before ARDS (56% male; mean ± SD age, 45 ± 13 yr), with seven dying by 12-month follow-up. Of 379 previously employed 12-month survivors, 166 (44%) were jobless at 12-month follow-up. Accounting for competing risks of death and retirement, half of enrolled and previously employed survivors returned to work by 13 weeks after hospital discharge, with 68% ever returning by 12 months. Delays in return to work were associated with longer hospitalization and older age among nonwhite survivors. Over 12-month follow-up, 274 (71%) survivors accrued lost earnings, averaging $26,949 ± $22,447 (60% of pre-ARDS annual earnings). Jobless survivors experienced a 14% (95% confidence interval, 5-22%; P = 0.002) absolute decrease in private health insurance (from 44% pre-ARDS) and a 16% (95% confidence interval, 7-24%; P < 0.001) absolute increase in Medicare and Medicaid (from 33%).

conclusionsAt 12 months after ARDS, nearly one-half of previously employed survivors were jobless. Post-ARDS joblessness is associated with readily identifiable patient and hospital variables and accompanied by substantial lost earnings and a shift toward government-funded healthcare coverage.

Indexed as

AdultCritical IllnessEmploymentFemaleHumansIncomeLongitudinal StudiesMaleMiddle AgedRespiratory Distress SyndromeSurvivorsTime FactorsUnemploymentUnited Statesemploymenthealth insuranceincomeintensive care unit

Identifiers

PMID28448162
PMCPMC5649982
OpenAlexW2609483572

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.