Evidence map›Paper›PMID 32033549›Full record

Observational studyBMC pulmonary medicine2020

Factors associated with intensive care admission in patients with lung cancer: a population-based observational study of 26, 731 patients.

Kathryn Puxty, Christopher H Grant, Philip McLoone, Billy Sloan, Tara Quasim, Kate Hulse, David S Morrison

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

7 authors at 1 institution in 1 country.

Kathryn PuxtyAcademic department of Anaesthesia, Critical Care and Pain, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. kadunne@doctors.net.uk.ORCID http://orcid.org/0000-0002-5742-6171
Christopher H GrantAcademic department of Anaesthesia, Critical Care and Pain, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Philip McLooneDepartment of Public Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Billy SloanDepartment of Public Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Tara QuasimAcademic department of Anaesthesia, Critical Care and Pain, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Kate HulseAcademic department of Anaesthesia, Critical Care and Pain, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
David S MorrisonDepartment of Public Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
University of Glasgow · GB

Funding

Cancer Research UK 16662Cancer Research UK C47114A / A16662
6 · The paper itself

Abstract

backgroundLung cancer is the most common cause of cancer related death worldwide and survival is poor. Patients with lung cancer may develop a critical illness, but it is unclear what features are associated with an Intensive Care Unit (ICU) admission.

methodsThis retrospective, observational, population-based study of linked cancer registration, ICU, hospital discharge and mortality data described the factors associated with ICU admission in patients with lung cancer. The cohort comprised all incident cases of adult lung cancer diagnosed between 1st January 2000 and 31st December 2009 in the West of Scotland, UK, who were subsequently admitted to an ICU within 2 years of cancer diagnosis. Multiple logistic regression was used to determine factors associated with admission.

results26,731 incident cases of lung cancer were diagnosed with 398 (1.5%) patients admitted to an ICU. Patients were most commonly admitted with respiratory conditions and there was a high rate of invasive mechanical ventilation. ICU, in-hospital and six-month survival were 58.5, 42.0 and 31.2%, respectively. Surgical treatment of lung cancer increased the odds of ICU admission (OR 7.23 (5.14-10.2)). Odds of admission to ICU were reduced with older age (75-80 years OR 0.69 (0.49-0.94), > 80 years OR 0.21 (0.12-0.37)), female gender (OR 0.73 (0.59-0.90)) and radiotherapy (OR 0.54 (0.39-0.73)) or chemotherapy treatment (OR 0.52 (0.38-0.70)).

conclusion1.5% of patients diagnosed with lung cancer are admitted to an ICU but both short term and long term survival was poor. Factors associated with ICU admission included age < 75 years, male gender and surgical treatment of cancer.

Indexed as

AgedAged, 80 and overFemaleHospitalizationHospital MortalityHumansIntensive Care UnitsLogistic ModelsLung NeoplasmsMaleMiddle AgedNeoplasm StagingRespiration, ArtificialRetrospective StudiesRisk FactorsScotland

Identifiers

PMID32033549
PMCPMC7007647
OpenAlexW3009763519

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.