Trial reportPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2016
Utilizing a Collaborative Learning Model to Promote Early Extubation Following Infant Heart Surgery.
Trial report in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Perioperative Corticosteroid Therapy in Children Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2020Pooled it
- Variation in care for infants undergoing the Stage II palliation for hypoplastic left heart syndrome.Cardiology in the young · 2018Trial
- Frequency and determinants of reintubation following pediatric cardiac surgery.Turk gogus kalp damar cerrahisi dergisi · 2026Article
- Early extubation after pediatric cardiac surgery.Anesthesia and pain medicine · 2024Article
- Is Early Extubation Associated with Better Outcomes After Neonatal Congenital Heart Disease Surgery?Journal of pediatric intensive care · 2022Article
- Successful Reduction of Postoperative Chest Tube Duration and Length of Stay After Congenital Heart Surgery: A Multicenter Collaborative Improvement Project.Journal of the American Heart Association · 2021Article
- Health Care Policy and Congenital Heart Disease: 2020 Focus on Our 2030 Future.Journal of the American Heart Association · 2021Article
- Intensive Care Unit and Acute Care Unit Length of Stay After Congenital Heart Surgery.The Annals of thoracic surgery · 2020Article
- Center Variation in Chest Tube Duration and Length of Stay After Congenital Heart Surgery.The Annals of thoracic surgery · 2020Article
- Improvement in Pediatric Cardiac Surgical Outcomes Through Interhospital Collaboration.Journal of the American College of Cardiology · 2019Article
- Comparison of outcomes of pulmonary valve replacement in adult versus paediatric hospitals: institutional influence†.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2019Article
- Changes in Anesthetic and Postoperative Sedation-Analgesia Practice Associated With Early Extubation Following Infant Cardiac Surgery: Experience From the Pediatric Heart Network Collaborative Learning Study.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019Article
- Enhancing efficiency and scientific impact of a clinical trials network: the Pediatric Heart Network Integrated CARdiac Data and Outcomes (iCARD) Collaborative.Cardiology in the young · 2019Review
- Extubation Failure Rates After Pediatric Cardiac Surgery Vary Across Hospitals.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019Article
- Variation in Implementation and Outcomes of Early Extubation Practices After Infant Cardiac Surgery.The Annals of thoracic surgery · 2019Article
- Hospital Costs Related to Early Extubation After Infant Cardiac Surgery.The Annals of thoracic surgery · 2019Article
- Differences in Cost of Care by Palliation Strategy for Infants With Ductal-Dependent Pulmonary Blood Flow.Circulation. Cardiovascular interventions · 2019Article
- A Learning Collaborative Approach Increases Specificity of Diagnosis of Acute Liver Failure in Pediatric Patients.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2018Observational
- Early Experiences with Ultra-Fast-Track Extubation after Surgery for Congenital Heart Disease at a Single Center.The Korean journal of thoracic and cardiovascular surgery · 2018Article
- Characteristics, Risk Factors, and Outcomes of Extracorporeal Membrane Oxygenation Use in Pediatric Cardiac ICUs: A Report From the Pediatric Cardiac Critical Care Consortium Registry.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
17 authors at 10 institutions in 2 countries.
Funding
Abstract
objectiveTo determine whether a collaborative learning strategy-derived clinical practice guideline can reduce the duration of endotracheal intubation following infant heart surgery.
designProspective and retrospective data collected from the Pediatric Heart Network in the 12 months pre- and post-clinical practice guideline implementation at the four sites participating in the collaborative (active sites) compared with data from five Pediatric Heart Network centers not participating in collaborative learning (control sites).
settingTen children's hospitals. PATIENTS: Data were collected for infants following two-index operations: 1) repair of isolated coarctation of the aorta (birth to 365 d) and 2) repair of tetralogy of Fallot (29-365 d). There were 240 subjects eligible for the clinical practice guideline at active sites and 259 subjects at control sites.
interventionsDevelopment and application of early extubation clinical practice guideline. MEASUREMENTS AND MAIN
resultsAfter clinical practice guideline implementation, the rate of early extubation at active sites increased significantly from 11.7% to 66.9% (p < 0.001) with no increase in reintubation rate. The median duration of postoperative intubation among active sites decreased from 21.2 to 4.5 hours (p < 0.001). No statistically significant change in early extubation rates was found in the control sites 11.7% to 13.7% (p = 0.63). At active sites, clinical practice guideline implementation had no statistically significant impact on median ICU length of stay (71.9 hr pre- vs 69.2 hr postimplementation; p = 0.29) for the entire cohort. There was a trend toward shorter ICU length of stay in the tetralogy of Fallot subgroup (71.6 hr pre- vs 54.2 hr postimplementation, p = 0.068).
conclusionsA collaborative learning strategy designed clinical practice guideline significantly increased the rate of early extubation with no change in the rate of reintubation. The early extubation clinical practice guideline did not significantly change postoperative ICU length of stay.
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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.