Evidence map›Paper›PMID 30165749›Full record

Observational studyThe Journal of international medical research2018

Prompt admission to intensive care is associated with improved survival in patients with severe sepsis and/or septic shock.

Qiang Li, Jiajiong Wang, Guomin Liu, Meng Xu, Yanguo Qin, Qin Han, He Liu, Xiaonan Wang, Zonghan Wang, Kerong Yang and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Qiang Li1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Jiajiong Wang2 Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Guomin Liu1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Meng Xu1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Yanguo Qin1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Qin Han1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
He Liu1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Xiaonan Wang1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Zonghan Wang1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Kerong Yang1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Chaohua Gao1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Jin-Cheng Wang1 Orthopaedic Medical Centre, The Second Hospital of Jilin University, Changchun, Jilin, China.
Zhongheng Zhang3 Department of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Second Affiliated Hospital of Jilin University · CNJilin University · CNSir Run Run Shaw Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective To investigate the association between time from hospital admission to intensive care unit (ICU) admission (door to ICU time) and hospital mortality in patients with sepsis. Methods This retrospective observational study included routinely collected healthcare data from patients with sepsis. The primary endpoint was hospital mortality, defined as the survival status at hospital discharge. Door to ICU time was calculated and included in a multivariable model to investigate its association with mortality. Results Data from 13 115 patients were included for analyses, comprising 10 309 survivors and 2 806 non-survivors. Door to ICU time was significantly longer for non-survivors than survivors (median, 43.0 h [interquartile range, 12.4, 91.3] versus 26.7 h [7.0, 74.2]). In the multivariable regression model, door to ICU time remained significantly associated with mortality (odds ratio [OR] 1.11, 95% confidence interval [CI] 1.006, 1.017) and there was a significant interaction between age and door to ICU time (OR 0.99, 95% CI 0.99, 1.00). Conclusion A shorter time from hospital door to ICU admission was shown to be independently associated with reduced hospital mortality in patients with severe sepsis and/or septic shock.

Indexed as

AgedAged, 80 and overBostonCritical CareDatabases, FactualFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedPatient AdmissionRetrospective StudiesSepsisShock, SepticSurvival AnalysismortalitySepsisseptic shock

Identifiers

PMID30165749
PMCPMC6166340
OpenAlexW2888782727

What OpenQuestion holds

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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.