Evidence map›Paper›PMID 30746240›Full record

ArticleJournal of thoracic disease2018

Ventilator-associated events: prevalence and mortality in Japan.

Susumu Nakahashi, Hiroshi Imai, Hideaki Imanaka, Shinichiro Ohshimo, Tomoko Satou, Masanori Shima, Masami Yanagisawa, Chizuru Yamashita, Toru Ogura, Tomomi Yamada and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. 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

11 authors at 9 institutions in 1 country.

Susumu NakahashiDepartment of Emergency & Critical Care Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Hiroshi ImaiDepartment of Emergency & Critical Care Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Hideaki ImanakaEmergency and Critical Care Medicine, Tokushima University Hospital, Tokushima, Japan.
Shinichiro OhshimoDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Tomoko SatouIntensive Care Unit, Akita University Hospital, Akita, Japan.
Masanori ShimaDepartment of Nursing, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Masami YanagisawaDepartment of Medical Engineering, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Chizuru YamashitaDepartment of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine, Aichi, Japan.
Toru OguraClinical Research Support Center, Mie University Hospital, Mie, Japan.
Tomomi YamadaDepartment of Medical Innovation, Osaka University Hospital, Osaka, Japan.
Nobuaki ShimeDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Hiroshima University · JPMie University · JPAkita University Hospital · JPFujita Health University · JPKyoto Medical Center · JPMie University Hospital · JPMitsubishi Kyoto Hospital · JPOsaka University Hospital · JPTokushima University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2013, the Centers for Disease Control and Prevention (CDC) issued the concept of the ventilator-associated events (VAEs) as a quality indicator (QI) in the intensive care unit (ICU). A number of studies have been conducted in the United States and other Western countries to evaluate its practicality. However, information on VAEs in non-Western countries is scarce. The purpose of this preliminary study was to illuminate the incidence and associated mortality rate of VAEs in Japan, as a first step in the effort to determine its practicality.

methodsWe conducted a multi-center, retrospective review of patient medical record using VAEs surveillance algorithm. We analyzed 785 patients with ≥2 days of mechanical ventilator (MV), admitted to the ICU at seven urban hospital in Japan. The prevalence of VAEs, including its three subtypes, and in-ICU mortality were researched.

resultsForty-nine VAEs were identified, affecting 5.7% of patients requiring MV for ≥2 days and 6.4 per 1,000 MV days. Mortality in those who developed VAEs was 42.9%, significantly higher than the rest of the cohort (

conclusionsThe prevalence of VAEs appears low in Japanese ICUs. Nonetheless, mortality was substantially higher in patients who developed VAEs. Although some potential indices of VAEs are suggested to serve as QIs, additional studies to elaborate its practicality would further be required.

Indexed as

intensive care unit (ICU)patient safetyquality indicator (QI)surveillanceVentilator-associated events (VAEs)

Identifiers

PMID30746240
PMCPMC6344668
OpenAlexW2905466014

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.