Evidence map›Paper›PMID 36890503›Full record

Trial reportBMC pulmonary medicine2023

A prediction model for predicting the risk of acute respiratory distress syndrome in sepsis patients: a retrospective cohort study.

Chi Xu, Lei Zheng, Yicheng Jiang, Li Jin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
11.2field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 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

4 authors at 4 institutions in 2 countries.

Chi XuEmergency Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, No.299 Qingyang Road, Wuxi, 214023, Jiangsu Province, People's Republic of China. xuchi77@outlook.com.
Lei ZhengEmergency Department, The Affiliated Wuxi People's Hospital of Nanjing Medical University, No.299 Qingyang Road, Wuxi, 214023, Jiangsu Province, People's Republic of China.
Yicheng JiangUniversity of California, Santa Cruz, 95064, USA.
Li JinEmergency Department, The Affiliated Nantong Hospital 3 of Nantong University, Nantong, 226000, People's Republic of China.
Affiliated Hospital of Nantong University · CNNanjing Medical University · CNUniversity of California, Santa Cruz · USWuxi People's Hospital · CN

Funding

Re-E Special Fund for Emergency Medicine Research in 2021 R2021018Scientific Research Foundation of Kangda College of Nanjing Medical University KD2021KYJJZD004
6 · The paper itself

Abstract

backgroundThe risk of death in sepsis patients with acute respiratory distress syndrome (ARDS) was as high as 20-50%. Few studies focused on the risk identification of ARDS among sepsis patients. This study aimed to develop and validate a nomogram to predict the ARDS risk in sepsis patients based on the Medical Information Mart for Intensive Care IV database.

methodsA total of 16,523 sepsis patients were included and randomly divided into the training and testing sets with a ratio of 7:3 in this retrospective cohort study. The outcomes were defined as the occurrence of ARDS for ICU patients with sepsis. Univariate and multivariate logistic regression analyses were used in the training set to identify the factors that were associated with ARDS risk, which were adopted to establish the nomogram. The receiver operating characteristic and calibration curves were used to assess the predictive performance of nomogram.

resultsTotally 2422 (20.66%) sepsis patients occurred ARDS, with the median follow-up time of 8.47 (5.20, 16.20) days. The results found that body mass index, respiratory rate, urine output, partial pressure of carbon dioxide, blood urea nitrogen, vasopressin, continuous renal replacement therapy, ventilation status, chronic pulmonary disease, malignant cancer, liver disease, septic shock and pancreatitis might be predictors. The area under the curve of developed model were 0.811 (95% CI 0.802-0.820) in the training set and 0.812 (95% CI 0.798-0.826) in the testing set. The calibration curve showed a good concordance between the predicted and observed ARDS among sepsis patients.

conclusionWe developed a model incorporating thirteen clinical features to predict the ARDS risk in patients with sepsis. The model showed a good predictive ability by internal validation.

Indexed as

Respiratory Distress SyndromeSepsisShock, SepticHumansRetrospective StudiesRisk FactorsAcute respiratory distress syndromeMIMIC-IVNomogramPredictionSepsis

Identifiers

PMID36890503
PMCPMC9994387
OpenAlexW4323545410

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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.