Evidence map›Paper›PMID 38228972›Full record

ArticleAnnals of intensive care2024

Characteristics and outcome of COVID-19 patients admitted to the ICU: a nationwide cohort study on the comparison between the consecutive stages of the COVID-19 pandemic in the Netherlands, an update.

Fabian Termorshuizen, Dave A Dongelmans, Sylvia Brinkman, Ferishta Bakhshi-Raiez, M Sesmu Arbous, Dylan W de Lange, Bas C T van Bussel, Nicolette F de Keizer, Dutch COVID-19 Research Consortium

Abstract read
In one paragraph

Article in Annals of intensive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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  4. Comparative analysis of COVID-19 critically ill patients across four pandemic waves in Greece.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025
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  9. In-hospital mortality in patients admitted to Australian intensive care units with COVID-19 between 2020 and 2024.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
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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

9 authors.

Fabian TermorshuizenNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands. F.Termorshuizen@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-4831-9507
Dave A DongelmansNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Sylvia BrinkmanNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Ferishta Bakhshi-RaiezNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
M Sesmu ArbousNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Dylan W de LangeNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Bas C T van BusselNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Nicolette F de KeizerNational Intensive Care Evaluation (NICE) Foundation, Postbus 23640, 1100, EC, Amsterdam, The Netherlands.
Dutch COVID-19 Research Consortium

Funding

The Netherlands Organisation for Health Research and Development (ZonMw) 10430 01 201 0011: IRIS
6 · The paper itself

Abstract

backgroundPreviously, we reported a decreased mortality rate among patients with COVID-19 who were admitted at the ICU during the final upsurge of the second wave (February-June 2021) in the Netherlands. We examined whether this decrease persisted during the third wave and the phases with decreasing incidence of COVID-19 thereafter and brought up to date the information on patient characteristics.

methodsData from the National Intensive Care Evaluation (NICE)-registry of all COVID-19 patients admitted to an ICU in the Netherlands were used. Patient characteristics and rates of in-hospital mortality (the primary outcome) during the consecutive periods after the first wave (periods 2-9, May 25, 2020-January 31, 2023) were compared with those during the first wave (period 1, February-May 24, 2020).

resultsAfter adjustment for patient characteristics and ICU occupancy rate, the mortality risk during the initial upsurge of the third wave (period 6, October 5, 2021-January, 31, 2022) was similar to that of the first wave (OR

conclusionsThe results show variation in mortality rates among critically ill COVID-19 patients across the calendar time periods that is not explained by differences in case-mix and ICU occupancy rates or by varying proportions of patients with COVID-19 as main reason for ICU admission. The consistent increase in mortality during the initial, rising phase of each separate wave might be caused by the increased virulence of the contemporary virus strain and lacking immunity to the new strain, besides unmeasured patient-, treatment- and healthcare system characteristics.

Indexed as

CoronavirusCOVID-19Critical CareIntensive CareMortalityOutcome

Identifiers

PMID38228972
PMCPMC10792150

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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.