Evidence map›Paper›PMID 33165878›Full record

Observational studyAnaesthesiology intensive therapy2020

ANCA-associated vasculitis patients treated in Polish intensive care units - retrospective characteristics based on the POLVAS registry.

Anna Włudarczyk, Grzegorz Biedroń, Krzysztof Wójcik, Zbigniew Zdrojewski, Anna Masiak, Zenobia Czuszyńska, Maria Majdan, Radosław Jeleniewicz, Magdalena Krajewska, Mariusz Kusztal and 13 more

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Anaesthesiology intensive therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

23 authors at 10 institutions in 1 country.

Anna WłudarczykDepartment of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.
Grzegorz Biedroń2nd Department of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Krzysztof Wójcik2nd Department of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Zbigniew ZdrojewskiDepartment of Internal Medicine, Connective Tissue Diseases, and Geriatrics, Medical University of Gdansk, Gdansk, Poland.
Anna MasiakDepartment of Internal Medicine, Connective Tissue Diseases, and Geriatrics, Medical University of Gdansk, Gdansk, Poland.
Zenobia CzuszyńskaDepartment of Internal Medicine, Connective Tissue Diseases, and Geriatrics, Medical University of Gdansk, Gdansk, Poland.
Maria MajdanDepartment of Rheumatology and Connective Tissue Diseases, Medical University of Lublin, Lublin, Poland.
Radosław JeleniewiczDepartment of Rheumatology and Connective Tissue Diseases, Medical University of Lublin, Lublin, Poland.
Magdalena KrajewskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
Mariusz KusztalDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
Marek BrzoskoDepartment of Rheumatology and Internal Diseases, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Iwona BrzoskoDepartment of Rheumatology and Internal Diseases, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Alicja Dębska-ŚlizieńDepartment of Nephrology, Transplantology, and Internal Diseases, Medical University of Gdansk, Gdansk, Poland.
Hanna StoroniakDepartment of Nephrology, Transplantology, and Internal Diseases, Medical University of Gdansk, Gdansk, Poland.
Witold TłustochowiczDepartment of Internal Medicine and Rheumatology, Military Institute of Medicine, Warszawa, Poland.
Joanna Kur-ZalewskaDepartment of Internal Medicine and Rheumatology, Military Institute of Medicine, Warszawa, Poland.
Andrzej RydzewskiDepartment of Internal Medicine, Nephrology, and Transplantology, Central Clinical Hospital of the Ministry of the Interior and Administration, Warszawa, Poland.
Marta MadejDepartment of Rheumatology and Internal Medicine, Wroclaw Medical University, Wroclaw, Poland.
Anna Hawrot-KaweckaDepartment of Internal Medicine and Metabolic Diseases, Medical University of Silesia, Katowice, Poland.
Małgorzata StasiekDepartment of Rheumatology, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warszawa, Poland.
Eugeniusz KucharzDepartment of Internal Medicine, Rheumatology, and Clinical Immunology, Medical University of Silesia, Katowice, Poland.
Jacek Musial2nd Department of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Wojciech SzczeklikDepartment of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.
Gdańsk Medical University · PLJagiellonian University · PLWroclaw Medical University · PLMedical University of Lublin · PLMedical University of Silesia · PLPomeranian Medical University · PLUniversity of Opole · PLWojskowy Instytut Medycyny Lotniczej · PLCentral Clinical Hospital · PLNational Institute of Geriatrics, Rheumatology and Rehabilitation · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionANCA-associated vasculitides (AAV) is a group of rare disorders where inflammation and damage of the small blood vessels lead to dysfunction of the supplied organs. In severe flares of the disease patients may require intensive care unit (ICU) admission and treatment. The study aims to characterize Polish patients with AAV who were admitted to the ICU and compare them to the others. MATERIAL AND

methodsAn observational, retrospective study based on the POLVAS - registry of Polish adult patients with AAV was carried out. Patients admitted to the ICU (ICU group) were identified and compared with the patients who did not require ICU admission (non-ICU group). Characteristics and comparison between groups were made using standard statistic descriptive methods.

results30 patients admitted to the ICU were identified among 573 cases included in the registry. All patients in the ICU group with available data were ANCA positive. The clinical manifestations related to the ICU admission were respiratory, renal and central nervous system involvement. The treatment regimen for remission induction was similar in both groups. Almost half of the patients in the ICU-group (48.3%) required dialysis, whereas in the non-ICU group it was 21.8% (P = 0.01). Infections were also more frequent in the ICU group (72.4% vs. 36.9% P < 0.001). The mortality rate among patients who needed ICU treatment was significantly higher when compared to the rest of the patients (53.6% vs. 7.8%; P < 0.001).

conclusionsIn the Polish AAV cohort one in twenty patients required ICU admission. This group was characterized by multiple organ involvement and high mortality.

Indexed as

AdultAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisFemaleHumansIntensive Care UnitsMaleRegistriesRetrospective StudiesAAV.ANCAautoimmune diseasesICUintensive care unitvasculitis

Identifiers

PMID33165878
PMCPMC10183786
OpenAlexW3095999962

What OpenQuestion holds

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Registered trials

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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.