Evidence map›Paper›PMID 29370849›Full record

Observational studyBMC pulmonary medicine2018

Predictors of one-year mortality after hospitalization for an exacerbation of COPD.

Cristóbal Esteban, Ady Castro-Acosta, Carlos Jose Alvarez-Martínez, Alberto Capelastegui, José Luis López-Campos, Francisco Pozo-Rodriguez

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 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.

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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

6 authors.

Cristóbal EstebanPulmonary Service, Galdakao-Usansolo Hospital, Galdakao, Bizkaia, Spain. cristobal.est@gmail.com.
Ady Castro-AcostaPulmonary Service and Research Institute, Doce de Octubre University Hospital, Madrid, Spain.
Carlos Jose Alvarez-MartínezPulmonary Service and Research Institute, Doce de Octubre University Hospital, Madrid, Spain.
Alberto CapelasteguiPulmonary Service, Galdakao-Usansolo Hospital, Galdakao, Bizkaia, Spain.
José Luis López-CamposHospital Universitario Virgen del Rocío, Medical- Surgical Unit of Respiratory Diseases, Seville, Spain.
Francisco Pozo-RodriguezPulmonary Service and Research Institute, Doce de Octubre University Hospital, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitalization for a severe exacerbation of COPD (eCOPD) is an important event in the natural history of COPD. Identifying factors related to mortality 1 year after hospitalization could help determine interventions to reduce mortality.

methodsIn a prospective, observational, multicentre study, we evaluated data from two cohorts: the Spanish audit of hospital COPD exacerbation care (our derivation sample) and the Spanish cohort of the European audit of COPD exacerbation care (our validation sample). The endpoint was all-cause mortality. Mortality was determined by local research managers of the participating hospitals and matched the official national index records in Spain.

resultsIn the multivariate analysis, factors independently related to an increase in mortality were older age, cardio-cerebro-vascular and/or dementia comorbidities, PaCO2 > 55 mmHg measured at emergency department arrival, hospitalizations for COPD exacerbations in the previous year, and hospital characteristics. The area under the receiver-operating curve for this model was 0.75 in the derivation cohort and 0.76 in the validation cohort.

conclusionOne-year mortality following the index hospitalization for an exacerbation of COPD was related to clinical characteristics of the patient and of the index event, previous events of similar severity, and characteristics of the hospital where the patient was treated.

Indexed as

HospitalizationAgedAged, 80 and overAge FactorsCarbon DioxideCardiovascular DiseasesCerebrovascular DisordersComorbidityDementiaFemaleHealth Facility SizeHumansMaleMiddle AgedPartial PressureProspective StudiesCarbon DioxideChronic obstructiveHospitalizationMortalityPulmonary disease

Identifiers

PMID29370849
PMCPMC5785839

What OpenQuestion holds

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LicenceCC BY
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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.