Evidence map›Paper›PMID 29686878›Full record

ArticleJournal of intensive care2018

Limitation of life support techniques at admission to the intensive care unit: a multicenter prospective cohort study.

Olga Rubio, Anna Arnau, Sílvia Cano, Carles Subirà, Begoña Balerdi, María Eugenía Perea, Miguel Fernández-Vivas, María Barber, Noemí Llamas, Susana Altaba and 34 more

Abstract read
In one paragraph

Article in Journal of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Prevalence and long-term outcomes of patients with life-limiting illness admitted to intensive care units in Australia and New Zealand.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
  2. Limitation of Non-Beneficial Interventions and their Impact on the Intensive Care Unit Costs.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2023
    Article
  3. Article
  4. Article
  5. Determining the impact of timing and of clinical factors during end-of-life decision-making in potential controlled donation after circulatory death donors.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Observational
  6. Article
  7. 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

44 authors.

Olga RubioHospital Sant Joan De Déu, Fundació Althaia Xarxa Universitaria de Manresa, C/ Dr. Joan Soler s. n., 08243 Manresa, Spain.
Anna ArnauHospital Sant Joan De Déu, Fundació Althaia Xarxa Universitaria de Manresa, C/ Dr. Joan Soler s. n., 08243 Manresa, Spain.
Sílvia CanoHospital Sant Joan De Déu, Fundació Althaia Xarxa Universitaria de Manresa, C/ Dr. Joan Soler s. n., 08243 Manresa, Spain.
Carles SubiràHospital Sant Joan De Déu, Fundació Althaia Xarxa Universitaria de Manresa, C/ Dr. Joan Soler s. n., 08243 Manresa, Spain.
Begoña Balerdi2Hospital la Fe de Valencia, Valencia, Spain.
María Eugenía Perea3Hospital General Yagué de Burgos, Burgos, Spain.
Miguel Fernández-Vivas4Hospital Virgen Arrixaca Murcia, Murcia, Spain.
María Barber5Hospital de Navarra, Pamplona, Spain.
Noemí LlamasHospital Morales Messeguer, Murcia, Spain.
Susana AltabaHospital Universitario de Castellon, Castellon de la Plana, Spain.
Ana Prieto8Hospital Rio Hortega, Valladolid, Spain.
Vicente GómezHospital la Moncloa, Madrid, Spain.
Mar Martin10Hospital Candelaria de Tenerife, Santa Cruz de Tenerife, Spain.
Marta Paz11Hospital Clínico Universitario de Salamanca, Salamanca, Spain.
Belen Quesada12Fundación Jiménez Díaz, Madrid, Spain.
Valentí Español13Hospital Central de Asturias, Oviedo, Spain.
Juan Carlos Montejo14Hospital Universitario Doce de Octubre, Madrid, Spain.
José Manuel Gomez15Hospital Gregorio Marañon, Madrid, Spain.
Gloria Miro16Hospital Mataro, Mataro, Spain.
Judith XirgúHospital de Granollers, Granollers, Spain.
Ana Ortega18Hospital Montecelo Pontevedra, Pontevedra, Spain.
Pedro Rascado19Centro Hospitalario Universitario Santiago Compostela, Santiago de Compostela, Spain.
Juan María SánchezHospital de la Sant Creu i Sant Pau, Barcelona, Spain.
Alfredo Marcos21Hospital Virgen de la Concha, Zamora, Spain.
Ana Tizon22Hospital Xeral Cíes Vigo, Vigo, Spain.
Pablo Monedero23Clínica Universitaria de Navarra, Pamplona, Spain.
Elisabeth Zabala24Hospital Clínico Universitario de Barcelona, Barcelona, Spain.
Cristina Murcia25Hospital Josep Trueta, Girona, Spain.
Ines Torrejon26Hospital de Henares, Coslada, Spain.
Kenneth PlanasHospital Moisses Broggi, Sant Joan Despí, Spain.
José Manuel Añon28Hospital Virgen de la Luz, Cuenca, Spain.
Gonzalo Hernandez29Hospital Infanta Sofía, San Sebastián de los Reyes, Spain.
María-Del-Mar Fernandez30Hospital Mútua de Terrassa, Terrassa, Spain.
Consuelo Guía31Hospital Parc Tauli, Sabadell, Spain.
Vanesa Arauzo32Hospital de Terrassa, Terrassa, Spain.
José Miguel Perez33Hospital Virgen de las Nieves, Granada, Spain.
Rosa Catalan34Hospital General de Vic, Vic, Spain.
Javier GonzalezHospital Virgen Vega Salamanca, Salamanca, Spain.
Rosa Poyo36Hospital Son Llátzer, Palma, Spain.
Roser Tomas37Hospital General de Catalunya, Sant Cugat del Valles, Spain.
Iñaki SaraleguiHospital de Áraba, Vitoria-Gasteiz, Spain.
Jordi Mancebo39Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Charles Sprung40Hadassh Hebrew University Medical Center, Jerusalem, Israel.
Rafael Fernández41Hospital Sant Joan de Deu, Fundació Althaia Xarxa Universitaria de Manresa, Manresa, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission.

methodsThis prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011. We recorded hospitals' characteristics (availability of intermediate care units, usual availability of ICU beds, and financial model) and patients' characteristics (demographics, reason for admission, functional status, risk of death, and LLST on ICU admission (withholding/withdrawing; specific techniques affected)). The primary outcome was 30-day survival for patients with LLST on ICU admission. Statistical analysis included multilevel logistic regression models.

resultsWe recruited 3042 patients (age 62.5 ± 16.1 years). Most ICUs (94.8%) admitted patients with LLST, but only 238 (7.8% [95% CI 7.0-8.8]) patients had LLST on ICU admission; this group had higher ICU mortality (44.5 vs. 9.4% in patients without LLST;

conclusionsThe frequency of ICU admission with LLST is low but probably increasing; nearly one third of these patients survive for ≥ 30 days.

Indexed as

Critical careIntensive care unitsLimitations on life support techniquesPalliative care

Identifiers

PMID29686878
PMCPMC5899386

What OpenQuestion holds

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Registered trials

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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.