Evidence map›Paper›PMID 30136138›Full record

Observational studyIntensive care medicine2018

Factors associated with health-related quality of life 6 years after ICU discharge in a Finnish paediatric population: a cohort study.

Elina Kyösti, Tero I Ala-Kokko, Pasi Ohtonen, Outi Peltoniemi, Paula Rautiainen, Janne Kataja, Hanna Ebeling, Janne H Liisanantti

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Intensive care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Neurocognitive functioning and health-related quality of life of children after pediatric intensive care admission: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Health-related quality of life outcome measures for children surviving critical care: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  6. Article
  7. Trajectories and Risk Factors for Altered Physical and Psychosocial Health-Related Quality of Life After Pediatric Community-Acquired Septic Shock.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  8. Longitudinal Trajectories of Caregiver Distress and Family Functioning After Community-Acquired Pediatric Septic Shock.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  9. Article
  10. Focus on paediatrics.Intensive care medicine · 2019
    Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Elina KyöstiMedical Research Centre of Oulu University and Oulu University Hospital, Oulu, Finland. elina.kyosti@ppshp.fi.ORCID http://orcid.org/0000-0002-6788-7246
Tero I Ala-KokkoMedical Research Centre of Oulu University and Oulu University Hospital, Oulu, Finland.
Pasi OhtonenMedical Research Centre of Oulu University and Oulu University Hospital, Oulu, Finland.
Outi PeltoniemiDivision of Intensive Care Medicine, Department of Paediatrics, Oulu University Hospital, Oulu, Finland.
Paula RautiainenDepartment of Anaesthesia and Intensive Care, Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Janne KatajaDepartment of Paediatrics, Turku University Hospital, Turku, Finland.
Hanna EbelingPEDEGO Research Unit, University of Oulu, Oulu, Finland.
Janne H LiisananttiMedical Research Centre of Oulu University and Oulu University Hospital, Oulu, Finland.
Oulu University Hospital · FITurku University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLong-term data are urgently needed in children after intensive care. The aim of this study was to measure health-related quality of life 6 years after intensive care in a paediatric intensive care population.

methodsThis national, multicentre study enrolled all children and young people admitted to intensive care units (ICUs) in Finland in 2009 and 2010. The data concerning ICU stay were collected retrospectively from the ICU data registries and combined with prospective data from Paediatric Quality of Life Inventory (PedsQL 4.0) questionnaires, the generic 15D, 16D or 17D instrument, and data regarding children's chronic diagnoses and need for healthcare support.

resultsThe questionnaires were answered by 1109 of 3682 living children and adolescents admitted to an ICU, response rate was 30.1%. Among the responders, 90 children (8.4%) had poor (under - 2 SD) PedsQL scores. Children with low scores had a higher rate of chronic diagnoses (94.4% vs. 47.6%), medication on a daily basis (78.7% vs. 29.4%) and a greater need for healthcare services (97.7% vs. 82.2%) than those with normal scores. Diagnoses associated with poor quality of life were asthma, epilepsy, cerebral palsy and other neurological diseases, chromosomal alterations, cancer and long-term pain. These children were mostly admitted electively, and less frequently on an emergency basis, but no other significant differences were found during the intensive care stay.

conclusionsThe long-term quality of life after paediatric intensive care is good for the majority of children and young people, and it is dependent on the number of chronic diagnoses and the burden of the chronic disease, especially neurological diseases.

Indexed as

Critical CareHealth StatusQuality of LifeAdolescentAge DistributionChildChild, PreschoolCritical IllnessFemaleFinlandHumansIntensive Care UnitsLength of StayLongitudinal StudiesMaleSurveys and QuestionnairesAdolescentsChildrenChronic diseasesDisabilityFunctional outcomePaediatric patients

Identifiers

PMID30136138
OpenAlexW2888064528

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.