Evidence map›Paper›PMID 29951846›Full record

ArticleIntensive care medicine2018

Health-related outcomes of critically ill patients with and without sepsis.

Kelly Thompson, Colman Taylor, Stephen Jan, Qiang Li, Naomi Hammond, John Myburgh, Manoj Saxena, Balasubramanian Venkatesh, Simon Finfer

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04567433 (Days Alive and Out of Hospital for Patients With Sepsis), which is not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 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.

NCT04567433 completednot on this mapstarted 2020, after this paper: background citation

Days Alive and Out of Hospital for Patients With Sepsis

TypeobservationalSponsorThe George Institute for Global Health, AustraliaRan2020 to 2024Enrolled6,213ConditionsSepsis, Septic ShockArmsHydroxyethyl starch, Hydrocortisone, Early Goal Directed Therapy
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Healthcare costs after sepsis: a systematic review.Critical care (London, England) · 2025
    Pooled it
  2. Pooled it
  3. What Animal Models Can Tell Us About Long-Term Psychiatric Symptoms in Sepsis Survivors: a Systematic Review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Pooled it
  4. Pooled it
  5. Understanding and Enhancing Sepsis Survivorship. Priorities for Research and Practice.American journal of respiratory and critical care medicine · 2019
    Pooled it
  6. Trial
  7. The cost-effectiveness of adjunctive corticosteroids for patients with septic shock.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2020
    Trial
  8. Trial
  9. Review
  10. Trajectories of sepsis survivors in Australia: A scoping review.Journal of the Intensive Care Society · 2026
    Article
  11. Measuring health-related quality of life in sepsis survivors and caregivers: a mapping review and a preliminary conceptual framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Lower quality of life in obese ICU survivors: a multicenter cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  17. Review
  18. Challenges of assessing the burden of sepsis.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Kelly ThompsonThe George Institute for Global Health, Sydney, Australia. kthompson@georgeinstitute.org.au.
Colman TaylorThe George Institute for Global Health, Sydney, Australia.
Stephen JanThe George Institute for Global Health, Sydney, Australia.
Qiang LiThe George Institute for Global Health, Sydney, Australia.
Naomi HammondThe George Institute for Global Health, Sydney, Australia.
John MyburghThe George Institute for Global Health, Sydney, Australia.
Manoj SaxenaThe George Institute for Global Health, Sydney, Australia.
Balasubramanian VenkateshThe George Institute for Global Health, Sydney, Australia.
Simon FinferThe George Institute for Global Health, Sydney, Australia.

Funding

NSW Health PhD Scholarship
6 · The paper itself

Abstract

purposeTo determine differences in health-related quality of life (HRQoL), survival and healthcare resource use of critically ill adults with and without sepsis.

methodsWe conducted a primary propensity score matched analysis of patients with and without sepsis enrolled in a large multicentre clinical trial. Outcomes included HRQoL at 6 months, survival to 2 years, length of ICU and hospital admission and cost of ICU and hospital treatment to 2 years.

resultsWe obtained linked data for 3442 (97.3%) of 3537 eligible patients and matched 806/905 (89.0%) patients with sepsis with 806/2537 (31.7%) without. After matching, there were no significant differences in the proportion of survivors with and without sepsis reporting problems with mobility (37.8% vs. 38.7%, p = 0.86), self-care (24.7% vs. 26.0%, p = 0.44), usual activities (44.5% vs. 46.8%, p = 0.28), pain/discomfort (42.4% vs. 41.6%, p = 0.54) and anxiety/depression (36.9% vs. 37.7%, p = 0.68). There was no significant difference in survival at 2 years: 482/792 (60.9%) vs. 485/799 (60.7%) (HR 1.01, 95% CI 0.86-1.18, p = 0.94). The initial ICU and hospital admission were longer for patients with sepsis: 10.1 ± 11.9 vs. 8.0 ± 9.8 days (p < 0.0001) and 22.8 ± 21.2 vs. 19.1 ± 19.0 days, (p = 0.0003) respectively. The cost of ICU admissions was higher for patients with sepsis: A$43,345 ± 46,263 (€35,109 ± 35,043) versus 34,844 ± 38,281 (€28,223 ± 31,007), mean difference $8501 (€6885), 95% CI $4342-12,660 (€3517 ± 10,254), p < 0.001 as was the total cost of hospital treatment to 2 years: A$74,120 ± 60,750 (€60,037 ± 49,207) versus A$65,806 ± 59,856 (€53,302 ± 48,483), p = 0.005.

conclusionsCritically ill patients with sepsis have higher healthcare resource use and costs but similar survival and HRQoL compared to matched patients without sepsis.

Indexed as

Critical IllnessHealth Care CostsQuality of LifeSepsisAdultAustraliaHumansIntensive Care UnitsLength of StayNew ZealandProspective StudiesLong-term outcomesPost-intensive care syndromePost-sepsis syndromeSepsis

Identifiers

What OpenQuestion holds

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Registered trials

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.