Evidence map›Paper›PMID 28597121›Full record

ReviewIntensive care medicine2017

Current research priorities in perioperative intensive care medicine.

Michael A Gillies, Michael Sander, Andrew Shaw, Duminda N Wijeysundera, John Myburgh, Cesar Aldecoa, Ib Jammer, Suzana M Lobo, Naomi Pritchard, Michael P W Grocott and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Pulmonary function testing in preoperative high-risk patients.Perioperative medicine (London, England) · 2024
    Article
  7. Intensive care utilisation after elective surgery in Australia and New Zealand: A point prevalence study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
  8. Postoperative Critical Care Admission Was Not Associated with Improved Postoperative Outcomes in Elective Colorectal Surgery: Secondary Analysis Of POWER Trial.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Observational
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Focus on improved patient management.Intensive care medicine · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. 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

12 authors.

Michael A GilliesDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK. michael.gillies@ed.ac.uk.
Michael SanderDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Universitätsklinikum Giessen und Marburg GmbH, Justus-Liebig-University, Giessen, Germany.
Andrew ShawDepartment of Anesthesiology, Vanderbilt University Medical Centre, Nashville, TN, USA.
Duminda N WijeysunderaDepartment of Anesthesia, University of Toronto, Toronto, Canada.
John MyburghDepartment of Intensive Care Medicine, St George Clinical School, University of New South Wales, The George Institute for Global Health, Sydney, Australia.
Cesar AldecoaDepartment of Anaesthesia and Surgical Critical Care, Hospital Universitario Río Hortega, Valladolid, Spain.
Ib JammerDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Suzana M LoboIntensive Care Division, Hospital de Base de Sao Jose do Rio Preto, Sao Paulo, Brazil.
Naomi PritchardPatient, Carer and Public Representative, London, UK.
Michael P W GrocottRespiratory and Critical Care Theme, Southampton NIHR Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, SO16 6YD, UK.
Marcus J SchultzDepartment of Intensive Care and Laboratory of Experimental Intensive Care and Anaesthesiology (LEICA), Academic Medical Center, Amsterdam, Netherlands.
Rupert M PearseQueen Mary University London, London, UK.

Funding

Department of Health RP_2014-04-022
6 · The paper itself

Abstract

introductionSurgical treatments are offered to more patients than ever before, and increasingly to older patients with chronic disease. High-risk patients frequently require critical care either in the immediate postoperative period or after developing complications. The purpose of this review was to identify and prioritise themes for future research in perioperative intensive care medicine.

methodsWe undertook a priority setting process (PSP). A panel was convened, drawn from experts representing a wide geographical area, plus a patient representative. The panel was asked to suggest and prioritise key uncertainties and future research questions in the field of perioperative intensive care through a modified Delphi process. Clinical trial registries were searched for on-going research. A proposed "Population, Intervention, Comparator, Outcome" (PICO) structure for each question was provided.

resultsTen key uncertainties and future areas of research were identified as priorities and ranked. Appropriate intravenous fluid and blood component therapy, use of critical care resources, prevention of delirium and respiratory management featured prominently.

conclusionAdmissions following surgery contribute a substantial proportion of critical care workload. Studies aimed at improving care in this group could have a large impact on patient-centred outcomes and optimum use of healthcare resources. In particular, the optimum use of critical care resources in this group is an area that requires urgent research.

Indexed as

Biomedical ResearchClinical Trials as TopicCritical CareDelphi TechniqueGeneral SurgeryHumansOutcome Assessment, Health CarePerioperative CarePostoperative ComplicationsRegistriesIntensive carePerioperative medicineSurgery

Identifiers

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.