Evidence map›Paper›PMID 36915207›Full record

ArticleCritical care (London, England)2023

Outcomes in critically Ill HIV-infected patients between 1997 and 2020: analysis of the OUTCOMEREA multicenter cohort.

Antoine Gaillet, Elie Azoulay, Etienne de Montmollin, Maité Garrouste-Orgeas, Yves Cohen, Claire Dupuis, Carole Schwebel, Jean Reignier, Shidasp Siami, Laurent Argaud and 5 more

Open access · goldFull text readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. HIV disease in the ICU: an evolving challenge.Proceedings (Baylor University. Medical Center) · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Frequency of fungal pathogens in autopsy studies of people who died with HIV in Africa: a scoping review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Coinfections and In-Hospital Mortality in a Group of Patients With HIV/AIDS: A Longitudinal Study.Inquiry : a journal of medical care organization, provision and financing
    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

15 authors at 15 institutions in 1 country.

Antoine GailletMedical Intensive Care Unit, Henri Mondor University Hospital, APHP, 1 Rue Gustave Eiffel, 94010, Créteil Cedex, France. gaillet.antoine75@gmail.com.
Elie AzoulayMedical Intensive Care Unit, Saint-Louis University Hospital, APHP, Paris University, 1 Avenue Claude Vellefaux, 75010, Paris, France.
Etienne de MontmollinIAME UMR 1137, INSERM, Paris University, 75018, Paris, France.
Maité Garrouste-OrgeasMedical Unit, French-British Hospital Institute Levallois-Perret, Levallois-Perret, France.
Yves CohenMedical-Surgical Intensive Care Unit, Avicenne University Hospital, Paris Seine Saint-Denis Hospital Network, APHP, Bobigny, France.
Claire DupuisMedical Intensive Care Unit, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Carole SchwebelMedical ICU, Albert Michallon University Hospital, Grenoble 1 University, Grenoble, France.
Jean ReignierMedical ICU, Nantes University Hospital, Nantes, France.
Shidasp SiamiPolyvalent ICU, Sud Essonne Dourdan-Etampes Hospital, Dourdan, France.
Laurent ArgaudMedical Intensive Care Unit, Hospices Civils de Lyon, Edouard Herriot University Hospital, Lyon, France.
Christophe AdriePolyvalent ICU, Delafontaine Hospital, Saint-Denis, France.
Bruno MourvillierMedical Intensive Care Unit, Reims University Hospital, Reims, France.
Stéphane RucklyIAME UMR 1137, INSERM, Paris University, 75018, Paris, France.
Jean-Marie ForelMedical ICU, Hôpital Nord University Hospital, Marseille, France.
Jean-Francois TimsitIAME UMR 1137, INSERM, Paris University, 75018, Paris, France. jean-francois.timsit@aphp.fr.
Assistance Publique – Hôpitaux de Paris · FRCentre de Recherche en Nutrition Humaine d'Auvergne · FRCentre Hospitalier Saint-Denis · FRCentre Hospitalier Sud-Essonne Dourdan-Etampes · FRCentre Hospitalier Universitaire de Reims · FRDélégation Paris 7 · FRHôpital Nord · FRHôpital Saint-Louis · FRHôpitaux Universitaires Henri-Mondor · FRHospices Civils de Lyon · FRInserm · FRInstitut Hospitalier Franco Britannique · FRNantes Université · FRUniversité Grenoble Alpes · FRUniversité Sorbonne Paris Nord · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite antiviral therapy (ART), 800,000 deaths still occur yearly and globally due to HIV infection. In parallel with the good virological control and the aging of this population, multiple comorbidities [HIV-associated-non-AIDS (HANA) conditions] may now be observed.

methodsHIV adult patients hospitalized in intensive care unit (ICU) from all the French region from university and non-university hospital who participate to the OutcomeRea™ database on a voluntary basis over a 24-year period.

resultsOf the 24,298 stays registered, 630 (2.6%) were a first ICU stay for HIV patients. Over time, the mean age and number of comorbidities (diabetes, renal and respiratory history, solid neoplasia) of patients increased. The proportion of HIV diagnosed on ICU admission decreased significantly, while the median duration of HIV disease as well as the percentage of ART-treated patients increased. The distribution of main reasons for admission remained stable over time (acute respiratory distress > shock > coma). We observed a significant drop in the rate of active opportunistic infection on admission, while the rate of active hemopathy (newly diagnosed or relapsed within the last 6 months prior to admission to ICU) qualifying for AIDS increased-nonsignificantly-with a significant increase in the anticancer chemotherapy administration in ICU. Admissions for HANA or non-HIV reasons were stable over time. In multivariate analysis, predictors of 60-day mortality were advanced age, chronic liver disease, past chemotherapy, sepsis-related organ failure assessment score > 4 at admission, hospitalization duration before ICU admission > 24 h, AIDS status, but not the period of admission.

conclusionWhereas the profile of ICU-admitted HIV patients has evolved over time (HIV better controlled but more associated comorbidities), mortality risk factors remain stable, including AIDS status.

Indexed as

HIV InfectionsAdultCritical CareCritical IllnessHospital MortalityHumansIntensive Care UnitsRetrospective StudiesRisk FactorsAcquired immune deficiency syndrome (AIDS)Antiretroviral therapy (ART)Human immunodeficiency virus (HIV)Intensive care unit (ICU)Outcome assessment

Identifiers

PMID36915207
PMCPMC10012467
OpenAlexW4324045706

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read506
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.