Evidence map›Paper›PMID 35407598›Full record

ArticleJournal of clinical medicine2022

Incidence and Risk Factors of Worsened Activities of Daily Living Status Three Months after Intensive Care Unit Discharge among Critically Ill Patients: A Prospective Cohort Study.

Kyohei Miyamoto, Mami Shibata, Nozomu Shima, Tsuyoshi Nakashima, Rikako Tanaka, Keita Nakamoto, Yuriko Imanaka, Seiya Kato

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  3. Article
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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.

Kyohei MiyamotoDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.ORCID 0000-0001-5473-2731
Mami ShibataDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.ORCID 0000-0003-2528-1913
Nozomu ShimaDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.
Tsuyoshi NakashimaDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.
Rikako TanakaDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.
Keita NakamotoDepartment of Nursing, Wakayama Medical University Hospital, Wakayama 641-0012, Japan.
Yuriko ImanakaDepartment of Nursing, Wakayama Medical University Hospital, Wakayama 641-0012, Japan.
Seiya KatoDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama 641-0012, Japan.ORCID 0000-0002-8267-2454
Wakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We aimed to determine risk factors associated with worsened activity of daily living (ADL) status three months after intensive care unit (ICU) discharge. Methods: In this prospective, observational study, we enrolled critically ill adult patients that were emergently admitted to an ICU. We assessed ADL status by Barthel index score prior to ICU admission and three months after ICU discharge. The primary outcome was worsened ADL status, defined as a ≥10 decrease in Barthel index score. Results: We enrolled 102 patients (median age was 72 years old, 55% were male, and 87% received mechanical ventilation during ICU stay), and 42 patients (41%) had worsened ADL status three months after discharge from ICU. Multivariate analysis revealed that older age (>70 years old; adjusted odds ratio (aOR) 3.68; 95% confidence interval (95%CI) 1.33−10.19), high burden of chronic illness (aOR 4.11; 95%CI 1.43−11.81), and longer duration of mechanical ventilation (≥4 days; aOR 2.83; 95%CI 1.04−7.69) were independent risk factors for worsened ADL status at three months. Conclusions: Almost half of the critically ill adult patients in this cohort had worsened ADL status after ICU discharge. Older age, high burden of chronic illness, and longer duration of mechanical ventilation were risk factors for worsened ADL status.

Indexed as

activity of daily living statusdisabilitypost-intensive care syndromerisk factors

Identifiers

PMID35407598
PMCPMC9000035
OpenAlexW4223651121

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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.