Evidence map›Paper›PMID 28900039›Full record

Observational studyRespiratory care2017

The Contributing Risk of Tobacco Use for ARDS Development in Burn-Injured Adults With Inhalation Injury.

Majid Afshar, Giora Netzer, Michael J Mosier, Richard S Cooper, William Adams, Ellen L Burnham, Elizabeth J Kovacs, Ramon Durazo-Arvizu, Stephanie Kliethermes

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Respiratory care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

9 authors at 6 institutions in 1 country.

Majid AfsharBurn and Shock Trauma Research Institute majid.afshar@luhs.org.
Giora NetzerDivision of Pulmonary and Critical Care Medicine, University of Maryland, Baltimore Maryland.
Michael J MosierBurn and Shock Trauma Research Institute.
Richard S CooperDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Health Sciences Campus, Maywood, Illinois.
William AdamsDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Health Sciences Campus, Maywood, Illinois.
Ellen L BurnhamDivision of Pulmonary Sciences and Critical Care Medicine, Department of Medicine.
Elizabeth J KovacsDepartment of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Ramon Durazo-ArvizuDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Health Sciences Campus, Maywood, Illinois.
Stephanie KliethermesDepartment of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin.
Loyola University Chicago · USBurn Institute · USPulmonary and Critical Care Associates · USUniversity of Colorado Denver · USUniversity of Maryland, Baltimore · USUniversity of Wisconsin–Madison · US

Funding

Ethanol Effects on Recovery after InjuryR01GM115257 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI KOVACS, ELIZABETH J. · 2015 to 2018
$1.7M
CHANGE OF GRANTEE INSTITUTION 1 K23 AA024503 Alcohol, Burn-Injury, and Acute Respiratory Distress SyndromeK23AA024503 · NIAAA · UNIVERSITY OF WISCONSIN-MADISON · PI AFSHAR, MAJID · 2016 to 2020
$948k
Binge alcohol intoxication, mesenchymal stem cells and lung inflammationR21AA023193 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI KOVACS, ELIZABETH J. · 2015 to 2016
$402k
NIAAA NIH HHS K23 AA024503NIAAA NIH HHS R21 AA023193NIGMS NIH HHS R01 GM115257
6 · The paper itself

Abstract

backgroundThis study aims to determine the relationship between tobacco use, inhalation injury, and ARDS in burn-injured adults.

methodsThis study was an observational cohort of 2,485 primary burn admissions to a referral burn center between January 1, 2008 and March 15, 2015. Subjects were evaluated by methods used to account for mediation and traditional approaches (multivariable logistic regression and propensity score analysis). Mediation analysis examined both the (1) indirect effect of tobacco use via inhalation injury as the mediator on ARDS development and (2) the direct effect of tobacco use alone on ARDS development.

resultsARDS development occurred in 6.8% (

conclusionsIn mediation analysis, inhalation injury was the overwhelming predictor for ARDS development, whereas tobacco use has its strongest effect indirectly through inhalation injury. Patients with at least moderate inhalation injury are at greatest risk for ARDS development despite baseline risk factors like tobacco use.

Indexed as

AdultBurns, InhalationCohort StudiesFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPropensity ScoreRespiratory Distress SyndromeRisk FactorsTobacco Useacute lung injuryARDSburn injuryinhalation injurytobacco use

Identifiers

PMID28900039
PMCPMC6373849
OpenAlexW2754707083

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.