Evidence map›Paper›PMID 19912120›Full record

ArticleBosnian journal of basic medical sciences2009

When less is more in the intensive care unit; lessons learned.

Emir Festic, Ognjen Gajic

Abstract read
In one paragraph

Article in Bosnian journal of basic medical sciences, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Emir FesticMayo Clinic, Jacksonville, FL, USA.
Ognjen Gajic

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In parallel to technological advances in late twentieth century, medical diagnostics and therapeutic options greatly improved. A surge of evidence-based research in intensive care medicine provided additional opportunities and the "best" medical practice has been changing rapidly. However, the primary focus of Hippocrates: "Primum non nocere" (first do no harm) is often neglected at the bedside. It became apparent that lesser intervention in the ICU may actually mean more for the patient. Multiple examples of the concept "when less is more in the ICU" are described here in an ABC format. Critical care providers have an obligation to keenly and closely follow the results of new investigative studies and to carefully incorporate those into our practice. However, they have to be sensitive to individual circumstances, patient and family preferences, and avoidance of harm.

Indexed as

Evidence-Based MedicineIntensive Care UnitsAdrenal Cortex HormonesBlood GlucoseBlood TransfusionFluid TherapyHumansProtein CRecombinant ProteinsRespiratory Distress SyndromeShock, SepticAdrenal Cortex HormonesBlood Glucosedrotrecogin alfa activatedProtein CRecombinant Proteins

Identifiers

PMID19912120
PMCPMC5655173

What OpenQuestion holds

Textmetadata
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.