Evidence map›Paper›PMID 29215400›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2018

Five-Year Survival and Causes of Death in Children After Intensive Care-A National Registry Study.

Elina Kyösti, Janne H Liisanantti, Outi Peltoniemi, Pasi Ohtonen, Paula Rautiainen, Janne Kataja, Tero Ala-Kokko

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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, 14 citations in OpenAlex.

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  6. Mortality After Pediatric Critical Illness: Made It Home, Still Vulnerable.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Elina KyöstiDepartment of Anesthesiology, Oulu University Hospital, Oulu, Finland.
Janne H LiisananttiDepartment of Anesthesiology, Oulu University Hospital, Oulu, Finland.
Outi PeltoniemiDepartment of Pediatrics and Adolescence, Oulu University Hospital, Oulu, Finland.
Pasi OhtonenAnesthesiology and Intensive Care Medicine, Medical Research Centre of Oulu University and Oulu University Hospital, Research Group of Surgery, Oulu, Finland.
Paula RautiainenDepartment of Anesthesia and Intensive Care, Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Janne KatajaDepartment of Pediatrics, Turku University Hospital, Turku, Finland.
Tero Ala-KokkoDepartment of Anesthesiology, Oulu University Hospital, Oulu, Finland.
Oulu University Hospital · FITurku University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study was to compare long-term mortality and causes of death in children post admission to an ICU with a control population of same age.

designLongitudinal follow-up study.

settingRegistry study of a national ICU register and hospital registries. PATIENTS: Children admitted to an ICU in the years 2009 and 2010.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe mortality and causes of death following ICU discharge were analyzed retrospectively. The median follow-up period was 4.9 years (25-75th percentiles, 4.4-5.5 yr). The causes of death in survivors 30 days after ICU discharge were compared with a cohort of 1 million children of the general population of same age. In total, 2,792 children were admitted to an ICU during the study period. Of those, 53 (1.9%) died in the ICU and 2,739 were discharged. Thirteen children died within 30 days of discharge, and 68 died between 30 days and the end of follow-up (December 31, 2014). In the control population (n = 1,020,407 children), there were 1,037 deaths (0.10%) from 2009 to 2014. The standardized mortality rate for the children admitted to the ICU during the study period was 53.4 (95% CI, 44.7-63.2). The standardized mortality rate for those children alive 1 year after discharge was 16.7 (12.1-22.6). One-year cumulative mortality was 3.3%. The most common causes of death in subjects alive 30 days post ICU were cancer (35.3%), neurologic (17.6%), and metabolic diseases (11.7%), whereas trauma was the most common cause in the control group (45.3%).

conclusionsThere was an increased risk of death in a cohort of ICU-admitted children even 3 years after discharge. In those who survived 30 days after discharge, medical causes of death were dominant, whereas deaths due to trauma were most common in the control group.

Indexed as

Cause of DeathChild MortalityHospital MortalityAdolescentChildChild, PreschoolFemaleFinlandFollow-Up StudiesHospitalizationHospitals, PediatricHumansInfantInfant, NewbornIntensive Care Units, PediatricLongitudinal Studies

Identifiers

PMID29215400
OpenAlexW2774890839

What OpenQuestion holds

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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.