Evidence map›Paper›PMID 32667448›Full record

ArticleRevista Brasileira de terapia intensiva2020

Characteristics and short-term outcomes of patients with esophageal cancer with unplanned intensive care unit admissions: a retrospective cohort study.

Isabel Cristina Lima de Freitas, Dryelen Moreira de Assis, Cristina Prata Amendola, Diana da Silva Russo, Ana Paula Pierre de Moraes, Pedro Caruso, Antonio Paulo Nassar Júnior

Abstract readMulticenter Study
In one paragraph

Article in Revista Brasileira de terapia intensiva, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 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

7 authors.

Isabel Cristina Lima de FreitasA. C. Camargo Cancer Center, São Paulo, SP, Brasil.
Dryelen Moreira de AssisHospital de Câncer de Barretos, Barretos, SP, Brasil.
Cristina Prata AmendolaHospital de Câncer de Barretos, Barretos, SP, Brasil.
Diana da Silva RussoHospital Moinhos de Vento, Porto Alegre, RS, Brasil.
Ana Paula Pierre de MoraesHospital de Câncer do Maranhão "Tarquínio Lopes Filho", São Luís, MA, Brasil.
Pedro CarusoA. C. Camargo Cancer Center, São Paulo, SP, Brasil.
Antonio Paulo Nassar JúniorA. C. Camargo Cancer Center, São Paulo, SP, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo depict the clinical presentation and outcomes of a cohort of critically ill patients with esophageal cancer.

methodsWe carried out a multicenter retrospective study that included patients with esophageal cancer admitted to intensive care units with acute illness between September 2009 and December 2017. We collected the demographic and clinical characteristics of all included patients, as well as organ-support measures and hospital outcomes. We performed logistic regression analysis to identify independent factors associated with in-hospital mortality.

resultsOf 226 patients included in the study, 131 (58.0%) patients died before hospital discharge. Squamous cell carcinoma was more frequent than adenocarcinoma, and 124 (54.9%) patients had metastatic cancer. The main reasons for admission were sepsis/septic shock and acute respiratory failure. Mechanical ventilation (OR = 6.18; 95%CI 2.86 - 13.35) and metastatic disease (OR = 7.10; 95%CI 3.35 - 15.05) were independently associated with in-hospital mortality.

conclusionIn this cohort of patients with esophageal cancer admitted to intensive care units with acute illness, the in-hospital mortality rate was very high. The requirement for invasive mechanical ventilation and metastatic disease were independent prognostic factors and should be considered in discussions about the short-term outcomes of these patients.

Indexed as

Critical IllnessAcute DiseaseAgedCohort StudiesEsophageal NeoplasmsFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedPrognosisRespiration, ArtificialRespiratory InsufficiencyRetrospective StudiesSepsis

Identifiers

PMID32667448
PMCPMC7405734

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