Evidence map›Paper›PMID 27899105›Full record

Observational studyBMC pulmonary medicine2016

Non-invasive mechanical ventilation after heart surgery in children.

Sarah Fernández Lafever, Blanca Toledo, Miguel Leiva, Maite Padrón, Marina Balseiro, Angel Carrillo, Jesús López-Herce

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Risk factors and outcomes of extubation failure in a South African tertiary paediatric intensive care unit.The Southern African journal of critical care : the official journal of the Critical Care Society · 2022
    Article
  11. Review
  12. Review
  13. Article
  14. Noninvasive Ventilation and High-Flow NasalSultan Qaboos University medical journal · 2018
    Review
  15. Article
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 2 countries.

Sarah Fernández LafeverPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain. sarahlafever@gmail.com.
Blanca ToledoPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain.
Miguel LeivaPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain.
Maite PadrónPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain.
Marina BalseiroPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain.
Angel CarrilloPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain.
Jesús López-HercePediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Calle Dr. Castelo 47, 28009, Madrid, Spain. pielvi@hotmail.com.
Spanish Clinical Research Network · ESHospital General Universitario Gregorio Marañón · ESBiomedical Research Foundation · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of the study was to analyze the characteristics and evolution of non-invasive mechanical ventilation (NIV) in the postoperative period of heart surgery in children.

methodsRetrospective observational study including all children requiring NIV after heart surgery in a single center pediatric intensive care unit (PICU) between 2001 and 2012. Demographic characteristics, ventilation parameters and outcomes were registered, comparing the first 6 years of the study with the last 6 years.

results935 children required invasive or non-invasive mechanical ventilation, of which 200 (21.4) received NIV. The median duration of NIV was 3 days. Mortality rate was 3.9%. The use of NIV increased from 13.2% in the first period to 29.2% in the second period (p <0.001). Continuous positive airway pressure (CPAP) was the most common modality of NIV (65.5%). The use of bilevel positive airway pressure mode (BIPAP) increased from 15% in the first period to 42.9% in the second period (p < 0.001). The nasopharyngeal tube was the most common interface (66%), but the use of nasal cannula increased from 3.3 to 41.4% in the second period (p < 0.001). NIV failed in 15% of patients. The mortality rate did not change, the duration of NIV decreased and the PICU length of stay increased throughout the study.

conclusionsNIV is increasingly being used in the postoperative period of heart surgery in our center with an 85% success rate and is associated with a lesser need for invasive mechanical ventilation. CPAP was the most common modality and the "nasopharyngeal tube" was the most common interface in our study although, in the latter years, the use of BIPAP and nasal cannula has increased significantly.

Indexed as

Cardiac Surgical ProceduresChild, PreschoolContinuous Positive Airway PressureFemaleHumansInfantIntensive Care Units, PediatricLength of StayMaleNoninvasive VentilationPostoperative ComplicationsPostoperative PeriodRespiratory InsufficiencyRetrospective StudiesSpainChildrenHeart surgeryNon-invasive ventilation

Identifiers

PMID27899105
PMCPMC5129591
OpenAlexW2558377219

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.