Evidence map›Paper›PMID 33922414›Full record

ArticleBrain sciences2021

The Prognostic Value of Brain Dysfunction in Critically Ill Patients with and without Sepsis: A

Ilaria A Crippa, Fabio S Taccone, Xavier Wittebole, Ignacio Martin-Loeches, Mary E Schroeder, Bruno François, Katarzyna Kotfis, Silvio A Ñamendys-Silva, Xavier Forceville, Jordi Solé-Violán and 3 more

Abstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

13 authors.

Ilaria A CrippaDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Fabio S TacconeDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Xavier WitteboleDepartment of Critical Care, Cliniques Universitaires St Luc, UCLouvain, 1200 Brussels, Belgium.
Ignacio Martin-LoechesDepartment of Clinical Medicine, Trinity Centre for Health Sciences, Multidisciplinary Intensive Care Research Organization (MICRO), Wellcome Trust, HRB Clinical Research, St James's University Hospital Dublin, D08 NHY1 Dublin, Ireland.ORCID 0000-0002-5834-4063
Mary E SchroederDivision of Trauma and Critical Care Surgery, Medical College of Wisconsin/Froedtert Hospital, Milwaukee, WI 53226, USA.ORCID 0000-0001-5880-8051
Bruno FrançoisIntensive Care Unit and Inserm CIC 1435 & UMR 1092, Dupuytren University Hospital, 87000 Limoges, France.
Katarzyna KotfisDepartment of Anesthesiology, Intensive Therapy and Acute Intoxications, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-8430-1369
Silvio A Ñamendys-SilvaDepartment of Critical Care Medicine, Instituto Nacional de Cancerología, Ciudad de México 14080, Mexico.ORCID 0000-0003-3862-169X
Xavier ForcevilleMedico-Surgical Intensive Care Unit, Great Hospital of East Francilien-Meaux Site, Hôpital Saint Faron, 77100 Meaux, France.
Jordi Solé-ViolánIntensive Care Unit, University Hospital of GC Dr Negrín, 35010 Las Palmas, Gran Canaria, Spain.ORCID 0000-0002-0483-4470
Luis E FontesDepartamento de Medicina Baseada em Evidências, Medicina Intensiva, Urgência e Emergência-Faculdade de Medicina de Petrópolis, 25680-120 Petrópolis, Brazil.ORCID 0000-0002-0928-7031
Jean-Louis VincentDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
On Behalf Of The Icon Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain dysfunction is associated with poor outcome in critically ill patients. In a post hoc analysis of the Intensive Care over Nations (ICON) database, we investigated the effect of brain dysfunction on hospital mortality in critically ill patients. Brain failure was defined as a neurological sequential organ failure assessment (nSOFA) score of 3-4, based on the assumed Glasgow Coma Scale (GCS) score. Multivariable analyses were performed to assess the independent roles of nSOFA and change in nSOFA from admission to day 3 (ΔnSOFA) for predicting hospital mortality. Data from 7192 (2096 septic and 5096 non-septic) patients were analyzed. Septic patients were more likely than non-septic patients to have brain failure on admission (434/2095 (21%) vs. 617/4665 (13%),

Indexed as

brain functionGlasgow Coma ScaleICUoutcome

Identifiers

PMID33922414
PMCPMC8146463

What OpenQuestion holds

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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.