Evidence map›Paper›PMID 33075607›Full record

ArticleJournal of critical care2021

On predictions in critical care: The individual prognostication fallacy in elderly patients.

Michael Beil, Sigal Sviri, Hans Flaatten, Dylan W De Lange, Christian Jung, Wojciech Szczeklik, Susannah Leaver, Andrew Rhodes, Bertrand Guidet, P Vernon van Heerden

Registry-linked trialOpen access · greenAbstract readEditorial
In one paragraph

Article in Journal of critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07001410 (Geriatrics in the Intensive Care Unit. An Observational Clinical Trial), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.2field-weighted citation impact, top 7% 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.

NCT07001410 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Geriatrics in the Intensive Care Unit. An Observational Clinical Trial

TypeobservationalSponsorHospital Departamental de VillavicencioRan2026 to 2027Enrolled1,000ConditionsGeriatricsArmsAge group
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 31 citations in OpenAlex.

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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

10 authors at 7 institutions in 8 countries.

Michael BeilMedical Intensive Care Unit, Hadassah University Hospital, POB 12000, Jerusalem 9112001, Israel.
Sigal SviriMedical Intensive Care Unit, Hadassah University Hospital, POB 12000, Jerusalem 9112001, Israel.
Hans FlaattenIntensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen, Norway.
Dylan W De LangeDepartment of Intensive Care Medicine, University Medical Center, University Utrecht, Utrecht, the Netherlands.
Christian JungDivision of Cardiology, University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.
Wojciech SzczeklikDepartment of Intensive Care, Jagiellonian University Medical College, Kraków, Poland.
Susannah LeaverIntensive Care, St George's University Hospitals NHS Foundation Trust, London, UK.
Andrew RhodesIntensive Care, St George's University Hospitals NHS Foundation Trust, London, UK.
Bertrand GuidetService de Réanimation Médicale, Hôpital Saint-Antoine, Assistance Publique Hôpitaux de Paris, Paris, France.
P Vernon van HeerdenGeneral Intensive Care Unit, Hadassah University Hospital, Jerusalem, Israel. Electronic address: vernon@hadassah.org.il.
Hadassah Medical Center · ILSt George’s University Hospitals NHS Foundation Trust · GBDüsseldorf University Hospital · DEHaukeland University Hospital · NOJagiellonian University · PLSorbonne Université · FRUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Predicting the future course of critical conditions involves personal experience, heuristics and statistical models. Although these methods may perform well for some cases and population averages, they suffer from substantial shortcomings when applied to individual patients. The reasons include methodological problems of statistical modeling as well as limitations of cross-sectional data sampling. Accurate predictions for individual patients become crucial when they have to guide irreversible decision-making. This notably applies to triage situations in response to a lack of healthcare resources. We will discuss these issues and argue that analysing longitudinal data obtained from time-limited trials in intensive care can provide a more robust approach to individual prognostication.

Indexed as

Critical CareModels, StatisticalAgedCross-Sectional StudiesHumansTriageCritical careindividual prognosticationpredictive modelingtime-limited trial

Identifiers

PMID33075607
PMCPMC7553132
OpenAlexW3093231744

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.