Evidence map›Paper›PMID 29353024›Full record

ArticleChest2018

Outcomes and Mortality Prediction Model of Critically Ill Adults With Acute Respiratory Failure and Interstitial Lung Disease.

Whitney D Gannon, David J Lederer, Mauer Biscotti, Azka Javaid, Nina M Patel, Daniel Brodie, Matthew Bacchetta, Matthew R Baldwin

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Whitney D GannonDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
David J LedererDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.
Mauer BiscottiDivision of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
Azka JavaidDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
Nina M PatelDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
Daniel BrodieDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
Matthew BacchettaDivision of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY.
Matthew R BaldwinDivision of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY. Electronic address: mrb45@cumc.columbia.edu.
NewYork–Presbyterian Hospital · USColumbia University · USNew York Hospital Queens · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Subclinical Interstitial Lung Disease in MESA and FAR-ILDR01HL103676 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GARCIA, CHRISTINE KIM · 2011 to 2020
$6.4M
Mentored Patient Oriented Research in Lung TransplantationK24HL115354 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2012 to 2021
$1.2M
Frailty, Palliative Care Needs, and Outcomes in Older Survivors of Critical IllneK23AG045560 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BALDWIN, MATTHEW R · 2014 to 2018
$750k
Mentored Patient Oriented Research in Pulmonary Fibrosis and Lung TransplantationK24HL131937 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEDERER, DAVID J. · 2016 to 2018
$352k
NCATS NIH HHS UL1 TR001873NHLBI NIH HHS K24 HL115354NHLBI NIH HHS K24 HL131937NHLBI NIH HHS R01 HL103676NIA NIH HHS K23 AG045560NIA NIH HHS L30 AG040838
6 · The paper itself

Abstract

backgroundWe aimed to examine short- and long-term mortality in a mixed population of patients with interstitial lung disease (ILD) with acute respiratory failure, and to identify those at lower vs higher risk of in-hospital death.

methodsWe conducted a single-center retrospective cohort study of 126 consecutive adults with ILD admitted to an ICU for respiratory failure at a tertiary care hospital between 2010 and 2014 and who did not undergo lung transplantation during their hospitalization. We examined associations of ICU-day 1 characteristics with in-hospital and 1-year mortality, using Poisson regression, and examined survival using Kaplan-Meier curves. We created a risk score for in-hospital mortality, using a model developed with penalized regression.

resultsIn-hospital mortality was 66%, and 1-year mortality was 80%. Those with connective tissue disease-related ILD had better short-term and long-term mortality compared with unclassifiable ILD (adjusted relative risk, 0.6; 95% CI, 0.3-0.9; and relative risk, 0.6; 95% CI, 0.4-0.9, respectively). Our prediction model includes male sex, interstitial pulmonary fibrosis diagnosis, use of invasive mechanical ventilation and/or extracorporeal life support, no ambulation within 24 h of ICU admission, BMI, and Simplified Acute Physiology Score-II. The optimism-corrected C-statistic was 0.73, and model calibration was excellent (P = .99). In-hospital mortality rates for the low-, moderate-, and high-risk groups were 33%, 65%, and 96%, respectively.

conclusionsWe created a risk score that classifies patients with ILD with acute respiratory failure from low to high risk for in-hospital mortality. The score could aid providers in counseling these patients and their families.

Indexed as

Intensive Care UnitsAgedCritical IllnessFemaleFollow-Up StudiesHospitalizationHospital MortalityHumansLung Diseases, InterstitialMaleMiddle AgedNew YorkRespiratory Distress SyndromeRetrospective StudiesRisk FactorsSurvival Rateidiopathic interstitial pneumoniaidiopathic pulmonary fibrosisintensive careinterstitial lung diseaserespiratory failure

Identifiers

PMID29353024
PMCPMC6026289
OpenAlexW2783048407

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.