Literature DB >> 36224632

Correction: Intensive care unit versus high-dependency care unit admission on mortality in patients with septic shock: a retrospective cohort study using Japanese claims data.

Koji Endo1, Kayoko Mizuno1, Tomotsugu Seki1,2, Woo Jin Joo1, Chikashi Takeda1,3, Masato Takeuchi1, Koji Kawakami4.   

Abstract

Entities:  

Year:  2022        PMID: 36224632      PMCID: PMC9555070          DOI: 10.1186/s40560-022-00638-z

Source DB:  PubMed          Journal:  J Intensive Care        ISSN: 2052-0492


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Correction: Journal of Intensive Care 10, 35 (2022) https://doi.org/10.1186/s40560-022-00627-2

Following publication of the original article [1], the authors reported three errors in Tables 5 and 6.
Table 5

Primary outcome and secondary outcomes

Primary outcomeOverallICUHDUPoint estimates95% CIP value
30-day mortality2602 (24.0)1576 (23.9)1026 (24.2)0.89a0.83–0.960.005
Secondary outcomes
 In-hospital death3308 (30.6)2041 (31.0)1267 (29.9)0.82b0.75–0.90 < 0.001
 Hospital length of stay, days25.0 (13.0–46.0)26.0 (14.0–48.0)22.0 (12.0–43.0)− 0.31c− 1.92 to 1.280.69
 ICU or HDU length of stay, days6.0 (3.0–13.0)7.0(4.0–14.0)5.0 (3.0–10.0)0.11c− 0.09 to 0.310.29
 Discharge to home3504 (32.4)2036 (30.9)1468 (34.7)1.03b0.94–1.140.42
 Discharge to other hospitals3501 (32.4)2289 (34.8)1212 (28.6)1.20b1.09–1.31 < 0.001
Discharge to nursing home1310 (12.1)812 (12.3)498 (11.8)1.12b0.95–1.310.15
Barthel index on discharge§50.0 (0.0–100.0)50.0 (0.0–100.0)45.0 (0.0–100.0)2.32c0.12–4.530.038

Data are presented as number of events (%) or mean (IQR)

IQR interquartile range, CI confidence interval, CRRT continuous renal replacement therapy, PMX-DHP polymyxin B immobilized fiber column direct hemoperfusion, VA-ECMO venoatrial extracorporeal membrane oxygenation, IABP intra-aortic balloon pumping

§The number of patients missing Barthel index: ICU 2499, HDU 1529

aAdjusted HR adjusted for age, sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone

bAdjusted odds ratio adjusted for the same covariates as a

cRegression coefficient adjusted for the same covariates as a

Table 6

Subgroup analysis and sensitivity analysis

30-day mortality
Number of events/number of patients (%)e
OverallICUHDUAdjusted HR95% CIP value
Subgroup analysis
Age, years0.71§
 < 65399/2149 (18.5)282/1479 (19.0)117/670 (17.4)0.92a0.74–1.130.440
 65–74607/2657 (22.8)376/1679 (22.3)231/978 (23.6)0.83a0.71–0.980.029
 75–84889/3679 (24.1)540/2213 (24.4)349/1466 (23.8)0.93a0.82–1.060.33
 ≥ 85707/2333 (30.3)378/1213 (31.1)329/1120 (29.3)0.92a0.79–1.060.27
Procedures
 Mechanical ventilation1266/4049 (31.2)896/2986 (30.0)370/1063 (34.8)0.95b0.85–1.070.44
 CRRT500/1691 (29.5)403/1351 (29.8)97/340 (28.5)1.08b0.89–1.330.44
 PMX257/1025 (25.0)180/746 (24.1)77/279 (27.6)0.91b0.7–1.190.52
 VA-ECMO/IABP67/200 (33.5)51/172 (29.6)16/28 (57.1)0.35b0.17–0.690.002
Source of infection
 Respiratory disease442/1635 (27.0)239/971 (24.6)203/664 (30.5)0.86b0.71–1.030.1
 Urinary tract disease102/1136 (8.9)50/526 (9.5)52/610 (8.5)1.06b0.72–1.570.75
 Gastrointestinal disease379/1739 (21.7)278/1293 (21.5)101/446 (22.6)1.10b0.88–1.360.38
 Hepatobiliary disease128/848 (15.0)61/451 (13.5)67/397 (16.8)0.68b0.47–0.990.046
 Skin/soft tissue34/174 (19.5)26/123 (21.1)8/51 (15.6)1.63b0.72–3.710.23
Sensitivity analysis
 (a) population which include the patients who met the exclusion criteria2859/11699 (24.4)1759/7218 (24.3)1100/4481 (24.5)0.9c0.84–0.970.008
 (b) ICD-9 codes from the previous study supplemented with the corresponding ICD-10 codes3204/13816 (23.1)1965/8448 (23.2)1239/5368 (23.0)0.92c0.86–0.980.02
 (c) Hospital with ICUs and HDUs1997/8311 (24.0)1395/5798 (24.0)602/2513 (23.9)0.86c0.78–0.950.002
 (d) 14-day mortality1800/10818 (16.6)1068/6584 (16.2)732/4234 (17.2)0.88c0.82–0.950.002
 (e) In-hospital mortality3308/10818 (30.5)2041/6584 (31.0)1267/4234 (29.9)0.89c0.83–0.960.005
 (f) changing the definition of exposure and comparisond
  (1)892/3539 (25.2)167/671 (24.8)725/2868 (25.2)1.02a0.86–1.210.78
  (2)589/2407 (24.4)167/671 (24.8)422/1736 (24.3)0.86a0.71–1.040.14
  (3)1147/4604 (24.9)725/2868 (25.2)422/1736 (24.3)0.88a0.77–1.000.052
 (g) propensity score-matched population
  (1) caliper width of 0.1 of SD1598/6788 (23.5)746/3394 (21.9)852/3394 (25.1)0.890.82–0.970.013
  (2) caliper width of 0.2 of SD1765/7432 (23.7)840/3716 (22.6)925/3716 (24.8)0.910.84–0.990.03

CI confidence interval, SD standard deviation, CRRT continuous renal replacement therapy, PMX-DHP polymyxin B immobilized fiber column direct hemoperfusion, VA-ECMO venoatrial extracorporeal membrane oxygenation, IABP intra-aortic balloon pumping

§P for interaction

aAdjusted for sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone

bAdjusted for age and the same covariates as a. Among these, procedure and source of infection that fell into each subgroup were excluded from the covariates

cAdjusted for age and the same covariates as a

d(1) “ICU management fee 1” vs. “ICU management fee 3” and “Emergency and critical care unit management fee 2”, (2) “ICU management fee 1” vs. “Emergency and critical care unit management fee 1”, (3) “ICU management fee 3” and “Emergency and critical care unit management fee 2” vs. “Emergency and critical care unit management fee 1”

eThe "number of events" indicates deaths within 30 days of hospitalization, except for "14-days mortality," which indicates deaths within 14 days

Primary outcome and secondary outcomes Data are presented as number of events (%) or mean (IQR) IQR interquartile range, CI confidence interval, CRRT continuous renal replacement therapy, PMX-DHP polymyxin B immobilized fiber column direct hemoperfusion, VA-ECMO venoatrial extracorporeal membrane oxygenation, IABP intra-aortic balloon pumping §The number of patients missing Barthel index: ICU 2499, HDU 1529 aAdjusted HR adjusted for age, sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone bAdjusted odds ratio adjusted for the same covariates as a cRegression coefficient adjusted for the same covariates as a Subgroup analysis and sensitivity analysis CI confidence interval, SD standard deviation, CRRT continuous renal replacement therapy, PMX-DHP polymyxin B immobilized fiber column direct hemoperfusion, VA-ECMO venoatrial extracorporeal membrane oxygenation, IABP intra-aortic balloon pumping §P for interaction aAdjusted for sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone bAdjusted for age and the same covariates as a. Among these, procedure and source of infection that fell into each subgroup were excluded from the covariates cAdjusted for age and the same covariates as a d(1) “ICU management fee 1” vs. “ICU management fee 3” and “Emergency and critical care unit management fee 2”, (2) “ICU management fee 1” vs. “Emergency and critical care unit management fee 1”, (3) “ICU management fee 3” and “Emergency and critical care unit management fee 2” vs. “Emergency and critical care unit management fee 1” eThe "number of events" indicates deaths within 30 days of hospitalization, except for "14-days mortality," which indicates deaths within 14 days In the annotation “a” of Table 5, “catecholamines” and “vasopressin” have been mistakenly listed as covariates and should be removed. The correct annotation “a” of Table 5 should read: “Adjusted HR adjusted for age, sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone”. In the annotation “a” of Table 6, “blood culture test”, “urinary chemistry test”, “catecholamines” and “vasopressin” have been mistakenly listed as covariates and should be removed. The correct annotation “a” of Table 6 should read: “Adjusted for sex, Charlson comorbidity index, admission year, ambulance use, teaching hospitals, emergency charge, hospital beds, patients from nursing home, source of infection, drainage, surgery, mechanical ventilation, CRRT, PMX-DHP, VA-ECMO, use of two or more catecholamines, transfusions (red blood cell, platelet, fresh frozen plasma), albumin, globulin, sedatives drugs, opioids drugs, recombinant thrombomodulin, antithrombin III, and hydrocortisone”. In addition, the “*” in annotation b and annotation c of both Tables 5 and 6 should be replaced by “a”. The correct annotation b of Table 5 should read: “Adjusted odds ratio adjusted for the same covariates as a”. The correct annotation c of Table 5 should read: “Regression coefficient adjusted for the same covariates as a”. The correct annotation b of Table 6 should read: “Adjusted for age and the same covariates as a. Among these, procedure and source of infection that fell into each subgroup were excluded from the covariates”. The correct annotation c of Table 6 should read: “Adjusted for age and the same covariates as a”. The original article [1] has been updated.
  1 in total

1.  Intensive care unit versus high-dependency care unit admission on mortality in patients with septic shock: a retrospective cohort study using Japanese claims data.

Authors:  Koji Endo; Kayoko Mizuno; Tomotsugu Seki; Woo Jin Joo; Chikashi Takeda; Masato Takeuchi; Koji Kawakami
Journal:  J Intensive Care       Date:  2022-07-22
  1 in total

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