Evidence map›Paper›PMID 30954692›Full record

Observational studyJournal of critical care2019

The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients.

Clark G Owyang, Jeremy L Kim, George Loo, Shamsuddoha Ranginwala, Kusum S Mathews

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of critical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Management of Mechanical Ventilation in Emergency Medicine: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
  4. Emergency department crowding: a national data report.Clinical and experimental emergency medicine · 2024
    Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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

5 authors at 4 institutions in 1 country.

Clark G OwyangDepartment of Medicine, Division of Critical Care Medicine, Stanford University School of Medicine, Stanford, CA, United States; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: owyang@stanford.edu.
Jeremy L KimDepartment of Emergency Medicine, St. David's South Austin Medical Center, Austin, TX, United States. Electronic address: jeremylkim@gmail.com.
George LooDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: george.loo@mountsinai.org.
Shamsuddoha RanginwalaDepartment of Respiratory Therapy, Mount Sinai Hospital, New York, NY, United States. Electronic address: shamsuddoha.ranginwala@mountsinai.org.
Kusum S MathewsDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: kusum.mathews@mssm.edu.
Icahn School of Medicine at Mount Sinai · USMount Sinai Hospital · USStanford University · USSt David's Medical Center · US

Funding

Optimizing ED to ICU triage decisions for critically ill patients in respiratory distressK23HL130648 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MATHEWS, KUSUM SARA · 2016 to 2021
$744k
NHLBI NIH HHS K23 HL130648
6 · The paper itself

Abstract

objectiveTo measure effects of ED crowding on lung-protective ventilation (LPV) utilization in critically ill ED patients.

methodsThis is a retrospective cohort study of adult mechanically ventilated ED patients admitted to the medical intensive care unit (MICU), over a 3.5-year period at a single academic tertiary care hospital. Clinical data, including reason for intubation, severity of illness (MPM

resultsMechanical ventilation was used in 446 patients for a median ED duration of 3.7 h (interquartile ratio, IQR, 2.3, 5.6). Mean MPM

conclusionsED patients remain on suboptimal tidal volume settings with infrequent ventilator adjustments during the ED stay. Hospitals should focus on both systemic factors and bedside physician and/or respiratory therapist interventions to increase LPV utilization in times of ED boarding and crowding for all patients.

Indexed as

Critical IllnessCrowdingEmergency Service, HospitalIntensive Care UnitsAcademic Medical CentersAdultAgedContinuity of Patient CareDyspneaElectronic Health RecordsFemaleGuideline AdherenceHumansLength of StayLogistic ModelsMale

Identifiers

PMID30954692
PMCPMC6579686
OpenAlexW2934905266

What OpenQuestion holds

Textmetadata
LicenceTDM
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.