Evidence map›Paper›PMID 30612249›Full record

ArticleAnnals of intensive care2019

Long-term health-related quality of life of critically ill patients with haematological malignancies: a prospective observational multicenter study.

Franck Ehooman, Lucie Biard, Virginie Lemiale, Damien Contou, Nicolas de Prost, Djamel Mokart, Frédéric Pène, Achille Kouatchet, Julien Mayaux, Alexandre Demoule and 12 more

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. 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

22 authors at 14 institutions in 2 countries.

Franck EhoomanMedical ICU, Saint-Louis Teaching Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.
Lucie BiardBiostatistics Department, Saint-Louis Teaching Hospital, Paris, France.
Virginie LemialeMedical ICU, Saint-Louis Teaching Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.
Damien ContouMedical ICU, Henri Mondor Teaching Hospital, Paris, France.
Nicolas de ProstMedical ICU, Henri Mondor Teaching Hospital, Paris, France.
Djamel MokartMedical ICU, Henri Mondor Teaching Hospital, Paris, France.
Frédéric PèneICU, Paoli Calmette Institute, Marseille, France.
Achille KouatchetMedical ICU, Cochin Teaching Hospital, Paris, France.
Julien MayauxMedical ICU, Angers Teaching Hospital, Angers, France.
Alexandre DemouleMedical ICU, Angers Teaching Hospital, Angers, France.
François VincentMedical ICU, Pitié-Salpétrière Teaching Hospital, Paris, France.
Martine NyungaICU, Avicenne Teaching Hospital, Bobigny, France.
Fabrice BruneelICU, Roubaix Hospital, Roubaix, France.
Antoine RabbatICU, Mignot Hospital, Versailles, France.
Christine LebertRespiratory Unit, Cochin Teaching Hospital, Paris, France.
Pierre PerezICU, Vendée hospital, La Roche sur Yon, France.
Anne-Pascale MeertICU, Brabois Teaching Hospital, Nancy, France.
Dominique BenoitService soins intensifs et urgences oncologiques, Institut Jules Bordet, Brussels, Belgium.
Rebecca HamidfarICU, Ghent Teaching Hospital, Ghent, Belgium.
Michael DarmonICU, Albert Michallon University Hospital, Grenoble, France.
Elie AzoulayMedical ICU, Saint-Louis Teaching Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.
Lara ZafraniMedical ICU, Saint-Louis Teaching Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France. lara.zafrani@aphp.fr.
Hôpital Saint-Louis · FRHôpitaux Universitaires Henri-Mondor · FRUniversité d'Angers · FRCentre Hospitalier Départemental Vendée · FRCentre Hospitalier de Roubaix · FRCentre Hospitalier Régional et Universitaire de Nancy · FRGhent University Hospital · BEHôpital Albert Michallon · FRHôpital André Mignot · FRHôpital Avicenne · FRHôpital Cochin · FRInstitut Jules Bordet · BEInstitut Paoli-Calmettes · FRPitié-Salpêtrière Hospital · FR

Funding

French Ministry of Health PHRC AOM 08235
6 · The paper itself

Abstract

backgroundAlthough outcomes of critically ill patients with haematological malignancies (HMs) have been fully investigated in terms of organ failure and mortality, data are scarce on health-related quality of life (HRQOL) in this population. We aim to assess post-intensive care unit (ICU) burden and HRQOL of critically ill patients with HMs and to identify risk factors for quality-of-life (QOL) impairment.

resultsIn total, 1011 patients with HMs who required ICU admission in 17 ICUs in France and Belgium were included in the study; 278 and 117 patients were evaluated for QOL at 3 months and 1 year, respectively, after ICU discharge. HRQOL was determined by applying the interview form of the Short Form 36 (SF-36) questionnaire. Psychological distress symptoms were evaluated using the Hospital Anxiety Depression Score (HADS) and the Impact of Event Scale (IES). In-hospital mortality rates at 3 months and 1 year were, respectively, 39.1, 50.7 and 57.2%, respectively. At 3 months, median [IQR] physical and mental component summary scores (PCS and MCS) (SF-36) were 37 [28-46] and 51 [45-58], respectively. PCS was lower in ICU patients with HMs when compared to general ICU septic patients (52 [5-13], p = 0.00001). The median combined HAD score was 8 [5-13], and the median IES score was 8 [3-16]. However, recovery during the first year after ICU discharge was not consistent in all dimensions of HRQOL. Three months after ICU discharge, the maximum daily Sequential Organ Failure Assessment score and status of the underlying malignancy at ICU admission were significantly associated with MCS impairment (- 0.54 points [95% CI - 0.99; - 0.1], p = 0.018 and - 4.83 points [95% CI - 8.44; - 1.22], p = 0.009, respectively).

conclusionHRQOL is strongly impaired in critically ill patients with HMs at 3 months and 1 year after ICU discharge. Organ failure and disease status are strongly associated with QOL. The kinetic evaluation of QOL at 3 months and 1 year offers the opportunity to focus on QOL aspects that may be improved by therapeutic interventions during the first year after ICU discharge.

Indexed as

AnxietyDepressionHaematological malignancyIntensive care unitLong-term health-related quality of lifePost-traumatic syndrome disorder

Identifiers

PMID30612249
PMCPMC6320707
OpenAlexW2914683116

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.