Evidence map›Paper›PMID 30540694›Full record

ArticleNursing research

A Novel Research Method for Determining Sedative Exposure in Critically Ill Patients.

Mary Fran Tracy, Linda Chlan, Kay Savik, Debra J Skaar, Craig Weinert

2 registry-linked trialsAbstract read
In one paragraph

Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 33% 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.

NCT02819141 phase2 / phase3completednot on this map

Efficacy of Self-management of Sedative Therapy by Ventilated ICU Patients

TypeinterventionalSponsorMayo ClinicRan2016 to 2024Enrolled161ConditionsCritical Illness, Anxiety, Respiratory FailureArmsDexmedetomidine
NCT05275543 nacompletednot on this map

Robot Rehab: Animal Assisted Interactions With a Robotic Baby Harp Seal During Inpatient Pediatric Rehabilitation

TypeinterventionalSponsorUniversity of NebraskaRan2022 to 2025Enrolled25ConditionsPediatric ALL, Child, Hospitalized, Physical Therapy Modalities, Occupational TherapyArmsParo Robot
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

5 authors at 3 institutions in 3 countries.

Mary Fran TracyMary Fran Tracy, PhD, RN, APRN, CNS, FAAN, is Associate Professor, University of Minnesota School of Nursing, and Nurse Scientist, University of Minnesota Medical Center, Minneapolis. Linda Chlan, PhD, RN, ATSF, FAAN, is Associate Dean for Nursing Research and Professor of Nursing, Mayo Clinic College of Medicine and Science, Rochester, Minnesota. Kay Savik, MS, is Senior Statistician, University of Minnesota School of Nursing, Minneapolis. Debra J. Skaar, PharmD, FCCM, is Associate Professor of Experimental & Clinical Pharmacology, University of Minnesota College of Pharmacy, Minneapolis. Craig Weinert, MD, MPH, is Professor of Medicine, Pulmonary, Allergy, Critical Care, and Sleep Medicine Division, University of Minnesota Medical School, Minneapolis.
Linda Chlan
Kay Savik
Debra J Skaar
Craig Weinert
University of Minnesota · USWales Institute of Social and Economic Research, Data and Methods · GBMayo Clinic · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Efficacy of self-management of sedative therapy by ventilated ICU patientsR01HL130881 · NHLBI · MAYO CLINIC ROCHESTER · PI CHLAN, LINDA L, TRACY, MARY FRANCES · 2016 to 2021
$3.2M
NCATS NIH HHS UL1 TR002373NHLBI NIH HHS R01 HL130881
6 · The paper itself

Abstract

backgroundAlthough potent sedative and opioid drugs are some of the most commonly used medications to manage pain, anxiety, and discomfort in critically ill patients, conducting clinical trials where sedative and opioid medications are outcome variables within a longitudinal research design can be a methodological challenge.

objectivesThe purpose of this article is to provide in detail a conceptual discussion of the concept and analysis of sedative exposure: A novel research analysis method for aggregating sedative and opioid medication doses from disparate drug classes commonly administered to critically ill patients and used by our team in several clinical research studies.

methodsComparing the dose of each sedative and opioid administered to an individual patient (within a defined time interval) to all other patients in a research study receiving the same medications allows for ranking of dosages for each medication by quartiles. Rank values for all sedatives and opioids received can be summed to a single value resulting in a Sedation Intensity Score. In addition, a simple count of how many hours at least one dose of a sedative or opioid medication has been administered can determine sedation frequency.

resultsThis method can allow for comparison of sedative exposure with medications from disparate drug classes and for analysis of estimates of change in medication use over time. DISCUSSION: This novel research analysis method can overcome the challenges and limitations of determining changes in sedative and opioid medication regimens in cohort and clinical trial study designs.

Indexed as

AdultBenzodiazepinesCohort StudiesCritical IllnessDrug Dosage CalculationsFemaleHumansHypnotics and SedativesIntensive Care UnitsMaleMiddle AgedMorphineResearch DesignBenzodiazepinesHypnotics and SedativesMorphine

Identifiers

PMID30540694
PMCPMC6293984
OpenAlexW2904090428

What OpenQuestion holds

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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.