Evidence map›Paper›PMID 20135090›Full record

GuidelineIntensive care medicine2010

Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster.

Charles L Sprung, Janice L Zimmerman, Michael D Christian, Gavin M Joynt, John L Hick, Bruce Taylor, Guy A Richards, Christian Sandrock, Robert Cohen, Bruria Adini and 1 more

Open access · bronzeAbstract readGuidelineReview
In one paragraph

Guideline in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 8 pooled it
15.8field-weighted citation impact, top 1% 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.

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

58 citing papers in PubMed, 8 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
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  13. Flow-Sizing Critical Care Resources.Critical care medicine · 2023
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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

11 authors at 9 institutions in 6 countries.

Charles L SprungDepartment of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. charles.sprung@ekmd.huji.ac.il
Janice L Zimmerman
Michael D Christian
Gavin M Joynt
John L Hick
Bruce Taylor
Guy A Richards
Christian Sandrock
Robert Cohen
Bruria Adini
European Society of Intensive Care Medicine Task Force for Intensive Care Unit Triage during an Influenza Epidemic or Mass Disaster
Israel Ministry of Health · ILChinese University of Hong Kong · CNHadassah Medical Center · ILHennepin County Medical Center · USMethodist Hospital · USMount Sinai Hospital · CAPortsmouth Hospitals NHS Trust · GBUniversity of California, Davis · USUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide recommendations and standard operating procedures for intensive care units and hospital preparedness for an influenza pandemic.

methodsBased on a literature review and expert opinion, a Delphi process was used to define the essential topics.

resultsKey recommendations include: Hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas. Hospitals should have appropriate beds and monitors for these expansion areas. Establish a management system with control groups at facility, local, regional and/or national levels to exercise authority over resources. Establish a system of communication, coordination and collaboration between the ICU and key interface departments. A plan to access, coordinate and increase labor resources is required with a central inventory of all clinical and non-clinical staff. Delegate duties not within the usual scope of workers' practice. Ensure that adequate essential medical equipment, pharmaceuticals and supplies are available. Protect patients and staff with infection control practices and supporting occupational health policies. Maintain staff confidence with reassurance plans for legal protection and assistance. Have objective, ethical, transparent triage criteria that are applied equitably and publically disclosed. ICU triage of patients should be based on the likelihood for patients to benefit most or a 'first come, first served' basis. Develop protocols for safe performance of high-risk procedures. Train and educate staff.

conclusionsMortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.

Indexed as

Advisory CommitteesDisease OutbreaksHealth Planning GuidelinesMass Casualty IncidentsClinical ProtocolsCooperative BehaviorEquipment and Supplies, HospitalEuropeHospital Bed CapacityHumansInfluenza, HumanInservice TrainingIntensive Care UnitsSafety ManagementSurge CapacityTriage

Identifiers

PMID20135090
PMCPMC7079971
OpenAlexW2046002848

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.