Evidence map›Paper›PMID 29603031›Full record

ArticleNeurosurgical review2019

Does the subspecialty of an intensive care unit (ICU) has an impact on outcome in patients suffering from aneurysmal subarachnoid hemorrhage?

Dorothee Mielke, Vesna Malinova, Onnen Moerer, Patricia Suntheim, Martin Voit, Veit Rohde

Abstract read
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In one paragraph

Article in Neurosurgical review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

6 authors at 1 institution in 1 country.

Dorothee MielkeDepartment of Neurosurgery, Georg-August-University Göttingen, Göttingen, Germany. dorothee.mielke@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-1462-4864
Vesna MalinovaDepartment of Neurosurgery, Georg-August-University Göttingen, Göttingen, Germany.
Onnen MoererDepartment of Anesthesiology, Georg-August-University Göttingen, Göttingen, Germany.
Patricia SuntheimDepartment of Neurosurgery, Georg-August-University Göttingen, Göttingen, Germany.
Martin VoitDepartment of Neurosurgery, Georg-August-University Göttingen, Göttingen, Germany.
Veit RohdeDepartment of Neurosurgery, Georg-August-University Göttingen, Göttingen, Germany.
University of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We retrospectively compared the outcome of aneurysmal subarachnoid hemorrhage (aSAH) patients treated in a neurosurgical ICU (nICU) between 1990 and 2005 with that of patients treated in a general ICU (gICU) between 2005 and 2013 with almost identical treatment strategies. Among other parameters, we registered the initial Hunt and Hess grade, Fisher score, the incidence of vasospasm, and outcome. A multivariate analysis (logistic regression model) was performed to adjust for different variables. In total, 755 patients were included in this study with 456 patients assigned to the nICU and 299 patients to the gICU. Multivariate logistic regression analysis revealed no significant difference between the patient outcome treated in a nICU versus gICU after adjusting for different variables. The outcome of patients after aSAH is not influenced by the type of ICU (gICU versus nICU). The data do not allow claiming that aSAH patients need to be treated in a specialized ICU for obtaining better results. Parameters which might differ from hospital to hospital, especially warranty of neurosurgical expertise on gICU, have the potential to influence the results.

Indexed as

Critical CareAdultAgedAngiography, Digital SubtractionDatabases, FactualFemaleHospitals, UniversityHumansIncidenceIntensive Care UnitsMaleMiddle AgedNeurosurgical ProceduresPostoperative ComplicationsRetrospective StudiesSubarachnoid HemorrhageGeneral intensive care unitNeurosurgical intensive care unitOutcomeSubarachnoid hemorrhageSubspecialty

Identifiers

PMID29603031
OpenAlexW2795175497

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.