Evidence map›Paper›PMID 31695737›Full record

ArticleJournal of the Intensive Care Society2019

The role of a critical care outreach service in the management of patients with haematological malignancy.

Leila Taheri, Rathai Anandanadesan, Hugues de Lavallade, Eirini Pagkalidou, Antonio Pagliuca, Ghulam Mufti, Georg Auzinger, Victoria Metaxa

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Article in Journal of the Intensive Care Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

8 authors.

Leila TaheriSouth Thames Training Scheme, London Deanery, London, UK.
Rathai AnandanadesanSouth Thames/South East School of Anaesthesia (SESA), London LETB, London Deanery, London, UK.
Hugues de LavalladeDepartment of Haematological Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Eirini PagkalidouSchool of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Antonio PagliucaDepartment of Haematological Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Ghulam MuftiDepartment of Haematological Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Georg AuzingerDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Victoria MetaxaDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-4232-6845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough improvement in survival from haematological malignancies has been reported, a substantial number of these patients develop life threatening complications. Critical care outreach services (CCOS) aim to avert inappropriate ICU admissions, while ensuring timely patient review.

methodsWe retrospectively analysed patients with haematological malignancy reviewed by an outreach service between January 2014 and December 2015 at a single institution. The aim of our study was to describe the patient population assessed by a well-established outreach team, identify predictors of ICU admission, as well as ICU and hospital mortality.

resultsSixty of 126 patients reviewed (47.6%) were admitted to ICU. ICU and hospital mortality were 25.3% and 45.2%, respectively. The odds of being admitted to ICU was 13 times higher (

conclusionsICU and hospital mortality of patients with haemato-oncological malignancy continue to improve. CCOS are heavily involved in the recognition and management of these patients, as well as in the facilitation of end-of-life discussions. Sepsis was associated with increased risk of ICU admission and mortality. Initiation of HFNCO outside ICU appears to be feasible and safe and was not associated with increasing risk in this single centre study.

Indexed as

Critical carehaematological malignancyintensive care unitpalliative carepatient admission

Identifiers

PMID31695737
PMCPMC6820225

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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.