Evidence map›Paper›PMID 18982307›Full record

ArticleIntensive care medicine2009

Predictive factors of non invasive ventilation failure in critically ill children: a prospective epidemiological study.

Juan Mayordomo-Colunga, Alberto Medina, Corsino Rey, Juan José Díaz, Andrés Concha, Marta Los Arcos, Sergio Menéndez

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01301352 (The Efficacy and Safety of Gastric Feeding in Critically Ill Pediatric Patients Receiving Non-invasive Positive Pressure Ventilation), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT01301352 nacompletednot on this mapstarted 2011, after this paper: background citation

The Efficacy and Safety of Gastric Feeding in Critically Ill Pediatric Patients Receiving Non-invasive Positive Pressure Ventilation: A Pilot Study

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2011 to 2014Enrolled30ConditionsRespiratory Insufficiency, Pneumonia, Aspiration, Nutrition DisordersArmsRoute of feeding (nasogastric vs. nasojejunal)
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.

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  14. SpOScientific reports · 2021
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  19. [Predictive factors for failure of continuous positive airway pressure treatment in infants with bronchiolitis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
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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

7 authors at 3 institutions in 1 country.

Juan Mayordomo-ColungaDepartamento de Pediatría, Paediatric Intensive Care Unit, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Asturias, Spain.
Alberto Medina
Corsino Rey
Juan José Díaz
Andrés Concha
Marta Los Arcos
Sergio Menéndez
Universidad de Oviedo · ESHospital Universitario Central de Asturias · ESHospital Universitario San Agustín · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdentification of predictive factors for non-invasive ventilation (NIV) failure and determination of NIV characteristics.

designProspective observational study.

settingPaediatric Intensive Care Unit in a University Hospital. PATIENTS AND MEASUREMENTS: A total of 116 episodes were included. Clinical data collected were respiratory rate (RR), heart rate and FiO(2) before NIV began. Same data and expiratory and support pressures were collected at 1, 6, 12, 24 and 48 h. Conditions precipitating acute respiratory failure (ARF) were classified into two groups: type 1 (38 episodes) and type 2 (78 episodes). Ventilation-perfusion impairment was the main respiratory failure mechanism in type 1, and hypoventilation in type 2. Factors predicting NIV failure were determined by multivariate analysis.

resultsMost common admission diagnoses were pneumonia (81.6%) in type 1 and bronchiolitis (39.7%) and asthma (42.3%) in type 2. Complications secondary to NIV were detected in 23 episodes (20.2%). NIV success rate was 84.5% (68.4% in type 1 and 92.3% in type 2). Type 1 patients showed a higher risk of NIV failure compared to type 2 (OR 11.108; CI 95%, 2.578-47.863). A higher PRISM score (OR 1.138; CI 95%, 1.022-1.267), and a lower RR decrease at 1 h and at 6 h (OR 0.926; CI 95%, 0.860-0.997 and OR 0.911; CI 95%, 0.837-0.991, respectively) were also independently associated with NIV failure.

conclusionsNIV is a useful respiratory support technique in paediatric patients. Type 1 group classification, higher PRISM score, and lower RR decrease during NIV were independent risk factors for NIV failure.

Indexed as

AdolescentAnti-Anxiety AgentsAnxietyAsthmaBronchiolitisChildChild, PreschoolCritical IllnessFemaleHospitalizationHumansInfantMaleMidazolamPneumoniaPositive-Pressure RespirationAnti-Anxiety AgentsMidazolam

Identifiers

PMID18982307
OpenAlexW1973296929

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.