Evidence map›Paper›PMID 34939474›Full record

ArticleJournal of intensive care medicine2022

Association of Surge Conditions with Mortality Among Critically Ill Patients with COVID-19.

Adam B Keene, Andrew J Admon, Samantha K Brenner, Shruti Gupta, Deepa Lazarous, David E Leaf, Hayley B Gershengorn, STOP-COVID Investigators

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04343898 (Study of the Treatment and Outcomes in Critically Ill Patients With COVID-19), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 19% 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.

NCT04343898 completednot on this map

Study of the Treatment and Outcomes in Critically Ill Patients With COVID-19

TypeobservationalSponsorBrigham and Women's HospitalRan2020 to 2023Enrolled5,154ConditionsCoronavirus InfectionArmsNo intervention
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 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 5 institutions in 1 country.

Adam B KeeneAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0003-3382-7146
Andrew J AdmonUniversity of Michigan, Ann Arbor, MI, USA.
Samantha K BrennerHackensack Meridian School of Medicine at Seton Hall, Nutley, NJ, USA.
Shruti GuptaBrigham and Women's Hospital, Boston, MA, USA.
Deepa LazarousGeorgetown University Hospital, Washington, DC, USA.
David E LeafBrigham and Women's Hospital, Boston, MA, USA.
Hayley B GershengornAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0002-7360-2489
STOP-COVID Investigators
Brigham and Women's Hospital · USAlbert Einstein College of Medicine · USUniversity of Michigan · USGeorgetown University · USHackensack University Medical Center · US

Funding

Oxygen Saturation Targets during Mechanical Ventilation of Critically Ill Adults: A Clinical TrialK23HL143053 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SEMLER, MATTHEW WALL · 2018 to 2022
$854k
Characterizing the Impact of Fragmented Care in Acute Respiratory FailureK08HL155407 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ADMON, ANDREW JOHN · 2021 to 2025
$848k
Diet Related Inflammation and Kidney Function Decline in Racial/Ethnic MinoritiesK23DK124644 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI JOHNS, TANYA · 2021 to 2023
$752k
NHLBI NIH HHS K08 HL155407NHLBI NIH HHS K23 HL143053NIDDK NIH HHS K23 DK124644
6 · The paper itself

Abstract

objectiveTo determine whether surge conditions were associated with increased mortality.

designMulticenter cohort study.

settingU.S. ICUs participating in STOP-COVID. PATIENTS: Consecutive adults with COVID-19 admitted to participating ICUs between March 4 and July 1, 2020.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe main outcome was 28-day in-hospital mortality. To assess the association between admission to an ICU during a surge period and mortality, we used two different strategies: (1) an inverse probability weighted difference-in-differences model limited to appropriately matched surge and non-surge patients and (2) a meta-regression of 50 multivariable difference-in-differences models (each based on sets of randomly matched surge- and non-surge hospitals). In the first analysis, we considered a single surge period for the cohort (March 23 - May 6). In the second, each surge hospital had its own surge period (which was compared to the same time periods in matched non-surge hospitals).Our cohort consisted of 4342 ICU patients (average age 60.8 [sd 14.8], 63.5% men) in 53 U.S. hospitals. Of these, 13 hospitals encountered surge conditions. In analysis 1, the increase in mortality seen during surge was not statistically significant (odds ratio [95% CI]: 1.30 [0.47-3.58], p = .6). In analysis 2, surge was associated with an increased odds of death (odds ratio 1.39 [95% CI, 1.34-1.43], p < .001).

conclusionsAdmission to an ICU with COVID-19 in a hospital that is experiencing surge conditions may be associated with an increased odds of death. Given the high incidence of COVID-19, such increases would translate into substantial excess mortality.

Indexed as

COVID-19Critical IllnessAdultCohort StudiesFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedSARS-CoV-2COVID-19intensive care unitmortalityoccupancysurge

Identifiers

PMID34939474
PMCPMC8926920
OpenAlexW4200300086

What OpenQuestion holds

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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.