Evidence map›Paper›PMID 21732167›Full record

ArticleIntensive care medicine2011

The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks.

Nicolò Patroniti, Alberto Zangrillo, Federico Pappalardo, Adriano Peris, Giovanni Cianchi, Antonio Braschi, Giorgio A Iotti, Antonio Arcadipane, Giovanna Panarello, V Marco Ranieri and 5 more

Abstract read
In one paragraph

Article in Intensive care medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 10 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

148 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  3. Clinical course and outcomes of critically ill patients with COVID-19 infection: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
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  5. Extracorporeal Life Support in Pregnancy: A Systematic Review.Journal of the American Heart Association · 2020
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  17. Impact of Extracorporeal Membrane Oxygenation Circuitry on Remdesivir.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
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88 more citing papers are in PubMed but not listed here.

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

15 authors.

Nicolò PatronitiDepartment of Experimental Medicine, University of Milan-Bicocca, Via Pergolesi 33, 20052 Monza, Italy. nicolo.patroniti@unimib.it
Alberto Zangrillo
Federico Pappalardo
Adriano Peris
Giovanni Cianchi
Antonio Braschi
Giorgio A Iotti
Antonio Arcadipane
Giovanna Panarello
V Marco Ranieri
Pierpaolo Terragni
Massimo Antonelli
Luciano Gattinoni
Fabrizio Oleari
Antonio Pesenti

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn view of the expected 2009 influenza A(H1N1) pandemic, the Italian Health Authorities set up a national referral network of selected intensive care units (ICU) able to provide advanced respiratory care up to extracorporeal membrane oxygenation (ECMO) for patients with acute respiratory distress syndrome (ARDS). We describe the organization and results of the network, known as ECMOnet.

methodsThe network consisted of 14 ICUs with ECMO capability and a national call center. The network was set up to centralize all severe patients to the ECMOnet centers assuring safe transfer. An ad hoc committee defined criteria for both patient transfer and ECMO institutions.

resultsBetween August 2009 and March 2010, 153 critically ill patients (53% referred from other hospitals) were admitted to the ECMOnet ICU with suspected H1N1. Sixty patients (48 of the referred patients, 49 with confirmed H1N1 diagnosis) received ECMO according to ECMOnet criteria. All referred patients were successfully transferred to the ECMOnet centers; 28 were transferred while on ECMO. Survival to hospital discharge in patients receiving ECMO was 68%. Survival of patients receiving ECMO within 7 days from the onset of mechanical ventilation was 77%. The length of mechanical ventilation prior to ECMO was an independent predictor of mortality.

conclusionsA network organization based on preemptive patient centralization allowed a high survival rate and provided effective and safe referral of patients with severe H1N1-suspected ARDS.

Indexed as

Community NetworksDisaster PlanningExtracorporeal Membrane OxygenationInfluenza A Virus, H1N1 SubtypePandemicsAdultDisease OutbreaksFemaleHumansInfluenza, HumanIntensive Care UnitsItalyMaleMiddle AgedProspective StudiesReferral and Consultation

Identifiers

PMID21732167
PMCPMC7080128

What OpenQuestion holds

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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.