Evidence map›Paper›PMID 33849625›Full record

ArticleCritical care (London, England)2021

Death in hospital following ICU discharge: insights from the LUNG SAFE study.

Fabiana Madotto, Bairbre McNicholas, Emanuele Rezoagli, Tài Pham, John G Laffey, Giacomo Bellani, LUNG SAFE Investigators, ESICM Trials Group

Registry-linked trialAbstract read
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02010073 (A Multicentre, Prospective, Observational, 4-week Inception Cohort Study Being Carried Out by the Acute Respiratory Failure Section of ESICM), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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.

NCT02010073 completednot on this map

A Multicentre, Prospective, Observational, 4-week Inception Cohort Study Being Carried Out by the Acute Respiratory Failure Section of ESICM

TypeobservationalSponsorEuropean Society of Intensive Care MedicineRan2014 to 2014Enrolled14,000ConditionsAcute Severe Respiratory Failure, Acute Respiratory Distress Syndrome
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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  9. Observational
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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

8 authors.

Fabiana Madotto *Value-Based Health Care Unit, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Bairbre McNicholas *Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.
Emanuele RezoagliDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.
Tài PhamService de Médecine Intensive-Réanimation, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, APHP, Le Kremlin-Bicêtre, France.
John G LaffeyDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland. john.laffey@nuigalway.ie.
Giacomo BellaniDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.
LUNG SAFE Investigators
ESICM Trials Group

Funding

Science Foundation Ireland 16-FRL-3945
6 · The paper itself

Abstract

backgroundTo determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward.

methodsThe Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments ('treatment limitations'), and the subpopulations with treatment limitations.

results2186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge.

conclusionsA significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors.

trial registrationClinicalTrials.gov NCT02010073 .

Indexed as

AdultAgedFemaleHumansIntensive Care UnitsKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedMortalityPatient DischargeProspective StudiesRespiratory InsufficiencyRisk FactorsAcute hypoxemic respiratory failureAcute respiratory distress syndromeHospital survivalICU dischargeLUNG SAFE

Identifiers

PMID33849625
PMCPMC8043098

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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.