Evidence map›Paper›PMID 33888129›Full record

ArticleCritical care (London, England)2021

Day-to-day progression of vital-sign circadian rhythms in the intensive care unit.

Shaun Davidson, Mauricio Villarroel, Mirae Harford, Eoin Finnegan, João Jorge, Duncan Young, Peter Watkinson, Lionel Tarassenko

Open access · goldAbstract 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. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 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

8 authors at 1 institution in 1 country.

Shaun DavidsonInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK. shaun.davidson@eng.ox.ac.uk.ORCID 0000-0002-5868-8640
Mauricio VillarroelInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK.
Mirae HarfordInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK.
Eoin FinneganInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK.
João JorgeInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK.
Duncan YoungNuffield Department of Clinical Neurosciences, University of Oxford, Oxford University Hospitals NHS Trust, NIHR Biomedical Research Centre, Oxford, UK.
Peter WatkinsonNuffield Department of Clinical Neurosciences, University of Oxford, Oxford University Hospitals NHS Trust, NIHR Biomedical Research Centre, Oxford, UK.
Lionel TarassenkoInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, UK.
University of Oxford · GB

Funding

NIHR Oxford Biomedical Research Centre BRC3
6 · The paper itself

Abstract

backgroundDisrupted vital-sign circadian rhythms in the intensive care unit (ICU) are associated with complications such as immune system disruption, delirium and increased patient mortality. However, the prevalence and extent of this disruption is not well understood. Tools for its detection are currently limited.

methodsThis paper evaluated and compared vital-sign circadian rhythms in systolic blood pressure, heart rate, respiratory rate and temperature. Comparisons were made between the cohort of patients who recovered from the ICU and those who did not, across three large, publicly available clinical databases. This comparison included a qualitative assessment of rhythm profiles, as well as quantitative metrics such as peak-nadir excursions and correlation to a demographically matched 'recovered' profile.

resultsCircadian rhythms were present at the cohort level in all vital signs throughout an ICU stay. Peak-nadir excursions and correlation to a 'recovered' profile were typically greater throughout an ICU stay in the cohort of patients who recovered, compared to the cohort of patients who did not.

conclusionsThese results suggest that vital-sign circadian rhythms are typically present at the cohort level throughout an ICU stay and that quantitative assessment of these rhythms may provide information of prognostic use in the ICU.

Indexed as

Vital SignsAdultAgedBlood PressureCircadian RhythmFemaleHeart RateHumansIntensive Care UnitsMaleMiddle AgedBlood pressureCircadian rhythmsDeliriumIntensive careIntensive care unitVital sign monitoring

Identifiers

PMID33888129
PMCPMC8063456
OpenAlexW3153498755

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.