Evidence map›Paper›PMID 38127268›Full record

ArticleBlood advances2024

Intensive care risk and long-term outcomes in pediatric allogeneic hematopoietic cell transplant recipients.

Matt S Zinter, Ruta Brazauskas, Joelle Strom, Stella Chen, Stephanie Bo-Subait, Akshay Sharma, Amer Beitinjaneh, Dimana Dimitrova, Greg Guilcher, Jaime Preussler and 19 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Upper and Lower Respiratory Tract Compartmentalization in Pediatric Stem Cell Transplantation.American journal of respiratory cell and molecular biology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 20 institutions in 4 countries.

Matt S ZinterDivision of Critical Care Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-3351-3278
Ruta BrazauskasMedical College of Wisconsin, Milwaukee, WI.
Joelle StromMedical College of Wisconsin, Milwaukee, WI.
Stella ChenMedical College of Wisconsin, Milwaukee, WI.
Stephanie Bo-SubaitMedical College of Wisconsin, Milwaukee, WI.
Akshay SharmaSt. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-3281-2081
Amer BeitinjanehDepartment of Medicine, University of Miami, Miami, FL.
Dimana DimitrovaNational Institutes of Health, National Cancer Institute, Bethesda, MD.ORCID 0000-0002-4868-6852
Greg GuilcherAlberta Children's Hospital, Calgary, AB, Canada.
Jaime PreusslerNational Marrow Donor Program/Be The Match, Minneapolis, MN.ORCID 0000-0001-7047-5720
Kasiani MyersCincinnati Children's Hospital Medical Center, Cincinnati, OH.ORCID 0000-0002-5528-4405
Neel S BhattFred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0003-2033-1125
Olle RingdenKarolinska Institutet, Karolinska University Hospital, Huddinge, Sweden.ORCID 0000-0002-6092-1536
Peiman HemattiMedical College of Wisconsin, Milwaukee, WI.ORCID 0000-0001-5836-4497
Robert J HayashiWashington University in St. Louis, St. Louis, MO.
Sagar PatelHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0001-9949-3615
Satiro Nakamura De OliveiraDepartment of Pediatrics, University of California, Los Angeles, Los Angeles, CA.ORCID 0000-0002-8181-7316
Seth RotzCleveland Clinic, Cleveland, OH.
Sherif M BadawyNorthwestern University Feinberg School of Medicine, Chicago, IL.
Taiga NishihoriMoffitt Cancer Center, Tampa, FL.ORCID 0000-0002-2621-7924
David BuchbinderChildren's Hospital of Orange County, Orange, CA.
Betty HamiltonCleveland Clinic, Cleveland, OH.
Bipin SavaniVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-3304-9965
Hélène SchoemansUniversity Hospital Gasthuisberg, Leuven, Belgium.ORCID 0000-0002-7568-8239
Mohamed SorrorFred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-5260-1981
Lena WinestoneDivision of Allergy, Immunology, and BMT, Department of Pediatrics, University of California, San Francisco, San Francisco, CA.ORCID 0000-0001-9982-1594
Christine DuncanDana-Farber Cancer Center, Boston, MA.
Rachel PhelanMedical College of Wisconsin, Milwaukee, WI.
Christopher C DvorakDivision of Allergy, Immunology, and BMT, Department of Pediatrics, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-6146-3952
Medical College of Wisconsin · USUniversity of California, San Francisco · USCleveland Clinic · USFred Hutch Cancer Center · USAlberta Children's Hospital · CAChildren's Hospital of Orange County · USCincinnati Children's Hospital Medical Center · USDana-Farber Cancer Institute · USKarolinska University Hospital · SEMoffitt Cancer Center · USNational Institutes of Health · USNational Marrow Donor Program · USNorthwestern University · USSt. Jude Children's Research Hospital · USUniversitair Ziekenhuis Leuven · BEUniversity of California, Los Angeles · USUniversity of Miami · USUniversity of Utah · USVanderbilt University Medical Center · USWashington University in St. Louis · US

Funding

An mHealth Strategy to Improve Medication Adherence in Adolescents with Sickle Cell DiseaseK23HL150232 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI BADAWY, SHERIF MOHAMED · 2020 to 2024
$842k
NHLBI NIH HHS K23 HL150232
6 · The paper itself

Abstract

abstractAllogeneic hematopoietic cell transplantation (HCT) can be complicated by life-threatening organ toxicity and infection necessitating intensive care. Epidemiologic data have been limited by single-center studies, poor database granularity, and a lack of long-term survivors. To identify contemporary trends in intensive care unit (ICU) use and long-term outcomes, we merged data from the Center for International Blood and Marrow Transplant Research and the Virtual Pediatric Systems databases. We identified 6995 pediatric patients with HCT aged ≤21 years who underwent first allogeneic HCT between 2008 and 2014 across 69 centers in the United States or Canada and followed patients until the year 2020. ICU admission was required for 1067 patients (8.3% by day +100, 12.8% by 1 year, and 15.3% by 5 years after HCT), and was linked to demographic background, pretransplant organ toxicity, allograft type and HLA-match, and the development of graft-versus-host disease or malignancy relapse. Survival to ICU discharge was 85.7%, but more than half of ICU survivors required ICU readmission, leading to 52.5% and 42.6% survival at 1- and 5-years post-ICU transfer, respectively. ICU survival was worse among patients with malignant disease, poor pretransplant organ function, and alloreactivity risk factors. Among 1-year HCT survivors, those who required ICU in the first year had 10% lower survival at 5 years and developed new dialysis-dependent renal failure at a greater rate (P<.001). Thus, although ICU management is common and survival to ICU discharge is high, ongoing complications necessitate recurrent ICU admission and lead to a poor 1-year outcome in select patients who are at high risk.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationChildCritical CareHumansTransplantation, HomologousTransplant RecipientsUnited States

Identifiers

PMID38127268
PMCPMC10879681
OpenAlexW4390062087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.