Evidence map›Paper›PMID 31974919›Full record

SynthesisIntensive care medicine2020

Rate and risk factors for rehospitalisation in sepsis survivors: systematic review and meta-analysis.

Manu Shankar-Hari, Rohit Saha, Julie Wilson, Hallie C Prescott, David Harrison, Kathryn Rowan, Gordon D Rubenfeld, Neill K J Adhikari

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
–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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Healthcare costs after sepsis: a systematic review.Critical care (London, England) · 2025
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Trajectories of sepsis survivors in Australia: A scoping review.Journal of the Intensive Care Society · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Risk Factors for Adverse Outcomes in Cancer Patients With Sepsis.Journal of clinical medicine research · 2026
    Article
  13. Article
  14. Article
  15. Multi‑omics reveal neutrophil heterogeneity in sepsis (Review).International journal of molecular medicine · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

17 more citing papers are in PubMed but not listed here.

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.

Manu Shankar-HariGuy's and St Thomas' NHS Foundation Trust, ICU Support Offices, 1st Floor, East Wing, St Thomas' Hospital, SE1 7EH, UK. manu.shankar-hari@kcl.ac.uk.ORCID 0000-0002-5338-2538
Rohit SahaSchool of Immunology and Microbial Sciences, Kings College London, London, SE1 9RT, UK.
Julie WilsonGuy's and St Thomas' NHS Foundation Trust, ICU Support Offices, 1st Floor, East Wing, St Thomas' Hospital, SE1 7EH, UK.
Hallie C PrescottDivision of Pulmonary and Critical Care Medicine, Ann Arbor, MI, 48109-2800, USA.
David HarrisonIntensive Care National Audit and Research Centre, Napier House, 24 High Holborn, London, WC1V 6AZ, UK.
Kathryn RowanIntensive Care National Audit and Research Centre, Napier House, 24 High Holborn, London, WC1V 6AZ, UK.
Gordon D RubenfeldInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, M4N 3M5, Canada.
Neill K J AdhikariInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, M4N 3M5, Canada.

Funding

General pathways and personalized risk of morbidity after sepsisK08GM115859 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PRESCOTT, HALLIE CHRISTINE · 2015 to 2018
$776k
Department of Health 16/33/01Department of Health CS-2016-16-011Department of Health EME/16/33/01NIGMS NIH HHS K08 GM115859
6 · The paper itself

Abstract

purposeSepsis survivors have a higher risk of rehospitalisation and of long-term mortality. We assessed the rate, diagnosis, and independent predictors for rehospitalisation in adult sepsis survivors.

methodsWe searched for non-randomized studies and randomized clinical trials in MEDLINE, Cochrane Library, Web of Science, and EMBASE (OVID interface, 1992-October 2019). The search strategy used controlled vocabulary terms and text words for sepsis and hospital readmission, limited to humans, and English language. Two authors independently selected studies and extracted data using predefined criteria and data extraction forms.

resultsThe literature search identified 12,544 records. Among 56 studies (36 full and 20 conference abstracts) that met our inclusion criteria, all were non-randomised studies. Studies most often report 30-day rehospitalisation rate (mean 21.4%, 95% confidence interval [CI] 17.6-25.4%; N = 36 studies reporting 6,729,617 patients). The mean (95%CI) rehospitalisation rates increased from 9.3% (8.3-10.3%) by 7 days to 39.0% (22.0-59.4%) by 365 days. Infection was the most common rehospitalisation diagnosis. Risk factors that increased the rehospitalisation risk in sepsis survivors were generic characteristics such as older age, male, comorbidities, non-elective admissions, hospitalisation prior to index sepsis admission, and sepsis characteristics such as infection and illness severity, with hospital characteristics showing inconsistent associations. The overall certainty of evidence was moderate for rehospitalisation rates and low for risk factors.

conclusionsRehospitalisation events are common in sepsis survivors, with one in five rehospitalisation events occurring within 30 days of hospital discharge following an index sepsis admission. The generic and sepsis-specific characteristics at index sepsis admission are commonly reported risk factors for rehospitalisation. REGISTRATION: PROSPERO CRD 42016039257, registered on 14-06-2016.

Indexed as

Patient ReadmissionSepsisAdultAgedHumansMalePatient DischargeRisk FactorsSurvivorsCompeting riskRehospitalisationRisk factorsSepsis

Identifiers

PMID31974919
PMCPMC7222906

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.