Evidence map›Paper›PMID 29703972›Full record

SynthesisBone marrow transplantation2018

Critically ill allogenic HSCT patients in the intensive care unit: a systematic review and meta-analysis of prognostic factors of mortality.

Colombe Saillard, Michael Darmon, Magali Bisbal, Antoine Sannini, Laurent Chow-Chine, Marion Faucher, Etienne Lengline, Norbert Vey, Didier Blaise, Elie Azoulay and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Bone marrow transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Review
  2. Impact of functional capacity before hematopoietic stem cell transplantation on the length of hospital stay.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Article
  4. Article
  5. Can We Predict Acute Respiratory Distress Syndrome in Hematopoietic Stem Cell Recipients?American journal of respiratory and critical care medicine · 2024
    Article
  6. [With a tumor diagnosis in the intensive care unit].Innere Medizin (Heidelberg, Germany) · 2023
    Review
  7. Prognostic Factors and Intensive Care Outcome in Post-Transplant Phase of Hematopoietic Stem Cell Transplantation: Intensive Care Outcome in Hematopoietic Stem Cell Transplantation.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  15. Article
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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

12 authors.

Colombe SaillardDepartment of Hematology, Institut Paoli Calmettes, Marseille, France. saillardc@ipc.unicancer.fr.ORCID http://orcid.org/0000-0002-3984-5612
Michael DarmonMedical-Surgical ICU, Hôpital Nord, Saint-Etienne, France.
Magali BisbalGRRR-OH-Groupe de Recherche en Réanimation Respiratoire en Onco-Hématologie, Paris, France.
Antoine SanniniDepartment of Anesthesiology and Critical Care Institut Paoli Calmettes, Polyvalent Intensive Care Unit, Marseille, France.
Laurent Chow-ChineDepartment of Anesthesiology and Critical Care Institut Paoli Calmettes, Polyvalent Intensive Care Unit, Marseille, France.
Marion FaucherDepartment of Anesthesiology and Critical Care Institut Paoli Calmettes, Polyvalent Intensive Care Unit, Marseille, France.
Etienne LenglineGRRR-OH-Groupe de Recherche en Réanimation Respiratoire en Onco-Hématologie, Paris, France.
Norbert VeyDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
Didier BlaiseDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
Elie AzoulayGRRR-OH-Groupe de Recherche en Réanimation Respiratoire en Onco-Hématologie, Paris, France.
Djamel MokartGRRR-OH-Groupe de Recherche en Réanimation Respiratoire en Onco-Hématologie, Paris, France.
on behalf the Groupe de Recherche en Réanimation Respiratoire du patient d’Onco-Hématologie (GRRR-OH)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outcome of patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT) has improved. To investigate if this improvement can be transposed to the ICU setting, we conducted a systematic review and meta-analysis to assess short-term mortality of critically ill allo-HSCT patients admitted to the ICU and to identify prognostic factors of mortality. Public-domain electronic databases, including Medline via PubMed and the Cochrane Library were searched. All full-text articles written-English studies published from 2006 to 2016, including allo-HSCT adults transferred to the ICU were included. Eighteen studies were selected, including 2342 patients. Overall estimated ICU mortality was 51.7%. Prognostic factors associated with an increased ICU mortality were mechanical ventilation (OR = 12.2, 95% CI = 6.2-23.7), vasopressors (OR = 6.3, 95% CI = 3.6-11.1), renal replacement therapy (OR = 4.2, 95% CI = 2.8-6.2), ICU admission for acute respiratory failure (OR = 2.2, 95% CI = 1.1-4.4), acute kidney injury (OR = 2.2, 95% CI = 1.3-4), and acute graft-versus-host disease (OR = 1.6, 95% CI = 1.1-2.3). Factors associated with an increased ICU survival were a single-organ failure (OR = 0.2, 95% CI = 0.1-0.4), neurological failure (OR = 0.4, 95% CI = 0.2-0.8), and reduced-intensity conditioning regimens (OR = 0.7, 95% CI = 0.5-0.9). Septic shock, underlying malignancy, disease status, donor, and graft source did not impact prognosis. Outcome has improved, supporting the usefulness of ICU management. Organ failures at ICU admission, organ support requirement, and GVHD are the main prognostic factors.

Indexed as

Critical CareHematopoietic Stem Cell TransplantationHospitalizationIntensive Care UnitsAllograftsCritical IllnessFemaleHumansMaleNeoplasmsPrognosis

Identifiers

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.