Evidence map›Paper›PMID 30537993›Full record

Observational studyBMC research notes2018

Anaemia requiring red blood cell transfusion is associated with unfavourable 90-day survival in surgical patients with sepsis.

Katalin Kristof, Benedikt Büttner, Anna Grimm, Caspar Mewes, Bastian Schmack, Aron Frederik Popov, Michael Ghadimi, Tim Beissbarth, José Hinz, Ingo Bergmann and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. The treatment of chronic anemia in heart failure: a global approach.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
  4. Article
  5. 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

11 authors.

Katalin KristofDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Benedikt BüttnerDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Anna GrimmDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Caspar MewesDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Bastian SchmackDepartment of Cardiac Surgery, University Hospital, Ruprecht Karls University, Heidelberg, Germany.
Aron Frederik PopovDepartment of Thoracic and Cardiovascular Surgery, University Medical Center, Goethe University, Frankfurt, Germany.
Michael GhadimiDepartment of General, Visceral and Pediatric Surgery, University Medical Center, Georg August University, Goettingen, Germany.
Tim BeissbarthDepartment of Medical Statistics, University Medical Center, Georg August University, Goettingen, Germany.
José HinzDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Ingo BergmannDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany.
Ashham MansurDepartment of Anesthesiology, University Medical Center, Georg August University, Goettingen, Germany. ashham.mansur@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-0322-2480

Funding

Volkswagen Foundation ZN3168
6 · The paper itself

Abstract

objectiveThe mortality associated with sepsis remains unacceptably high, despite modern high-quality intensive care. Based on the results from previous studies, anaemia and its management in patients with sepsis appear to impact outcomes; however, the transfusion policy is still being debated, and the ideal approach may be extremely specific to the individual. This study aimed to investigate the long-term impact of anaemia requiring red blood cell (RBC) transfusion on mortality and disease severity in patients with sepsis. We studied a general surgical intensive care unit (ICU) population, excluding cardiac surgery patients. 435 patients were enrolled in this observational study between 2012 and 2016.

resultsPatients who received RBC transfusion between 28 days before and 28 days after the development of sepsis (n = 302) exhibited a significantly higher 90-day mortality rate (34.1% vs 19.6%; P = 0.004, Kaplan-Meier analysis). This association remained significant after adjusting for confounders in the multivariate Cox regression analysis (hazard ratio 1.68; 95% confidence interval 1.03-2.73; P = 0.035). Patients who received transfusions also showed significantly higher morbidity scores, such as SOFA scores, and ICU lengths of stay compared to patients without transfusions (n = 133). Our results indicate that anaemia and RBC transfusion are associated with unfavourable outcomes in patients with sepsis.

Indexed as

Blood TransfusionKaplan-Meier EstimateAnemiaFemaleHumansMaleMiddle AgedMultivariate AnalysisSepsisSeverity of Illness IndexSurgical Procedures, OperativeMorbidityMortalityOrgan dysfunctionOrgan supportRed blood cell transfusionSepsisSurgical ICUSurvival

Identifiers

PMID30537993
PMCPMC6290543

What Socratic holds

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LicenceCC BY
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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 Socratic graph.