Evidence map›Paper›PMID 30335623›Full record

ArticleCritical care medicine2019

Long-Term Outcome of Patients With a Hematologic Malignancy and Multiple Organ Failure Admitted at the Intensive Care.

Vera A de Vries, Marcella C A Müller, M Sesmu Arbous, Bart J Biemond, Nicole M A Blijlevens, Nuray Kusadasi, Lambert R F Span, Alexander P J Vlaar, David J van Westerloo, Hanneke C Kluin-Nelemans and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Article
  2. Observational
  3. Outcomes of Cancer Patients Requiring Non-elective Medical Admission to the Intensive Care Unit of a Tertiary Care Center in India: A 5-year Retrospective Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Clinical Outcomes and Determinants of Survival in Patients with Hematologic Malignancies Admitted to Intensive Care Units with Critical Illness.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

12 authors.

Vera A de VriesDepartment of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Marcella C A MüllerDepartment of Critical Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
M Sesmu ArbousDepartment of Critical Care, Leiden University Medical Center, Leiden, The Netherlands.
Bart J BiemondDepartment of Hematology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Nicole M A BlijlevensDepartment of Hematology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
Nuray KusadasiDepartment of Critical Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Lambert R F SpanDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Alexander P J VlaarDepartment of Critical Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
David J van WesterlooDepartment of Critical Care, Leiden University Medical Center, Leiden, The Netherlands.
Hanneke C Kluin-NelemansDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Walter M van den BerghDepartment of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
HEMA-ICU Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHistorically, patients with a hematologic malignancy have one of the highest mortality rates among cancer patients admitted to the ICU. Therefore, physicians are often reluctant to admit these patients to the ICU. The aim of our study was to examine the survival of patients who have a hematologic malignancy and multiple organ failure admitted to the ICU.

designThis retrospective cohort study, part of the HEMA-ICU study group, was designed to study the survival of patients with a hematologic malignancy and organ failure after admission to the ICU. Patients were followed for at least 1 year.

settingFive university hospitals in the Netherlands. PATIENTS: One-thousand ninety-seven patients with a hematologic malignancy who were admitted at the ICU.

interventionsNone. MEASUREMENTS AND MAIN

resultsPrimary outcome was 1-year survival. Organ failure was categorized as acute kidney injury, respiratory failure, hepatic failure, and hemodynamic failure; multiple organ failure was defined as failure of two or more organs. The World Health Organization performance score measured 3 months after discharge from the ICU was used as a measure of functional outcome. The 1-year survival rate among these patients was 38%. Multiple organ failure was inversely associated with long-term survival, and an absence of respiratory failure was the strongest predictor of 1-year survival. The survival rate among patients with 2, 3, and 4 failing organs was 27%, 22%, and 8%, respectively. Among all surviving patients for which World Health Organization scores were available, 39% had a World Health Organization performance score of 0-1 3 months after ICU discharge. Functional outcome was not associated with the number of failing organs.

conclusionsOur results suggest that multiple organ failure should not be used as a criterion for excluding a patient with a hematologic malignancy from admission to the ICU.

Indexed as

FemaleHematologic NeoplasmsHumansIntensive Care UnitsKaplan-Meier EstimateMaleMiddle AgedMultiple Organ FailureNetherlandsRetrospective StudiesSurvival AnalysisTreatment Outcome

Identifiers

PMID30335623
PMCPMC6336487

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.