Evidence map›Paper›PMID 31227528›Full record

ArticleBMJ open2019

Evaluating probiotics for the prevention of ventilator-associated pneumonia: a randomised placebo-controlled multicentre trial protocol and statistical analysis plan for PROSPECT.

Jennie Johnstone, Diane Heels-Ansdell, Lehana Thabane, Maureen Meade, John Marshall, Francois Lauzier, Erick Huaileigh Duan, Nicole Zytaruk, Daphnee Lamarche, Michael Surette and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02462590 (Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT02462590 phase4completednot on this map

Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial (PROSPECT)

TypeinterventionalSponsorMcMaster UniversityRan2015 to 2020Enrolled2,650ConditionsVentilator Associated Pneumonia, Infections, C-Difficile, Antibiotic-associated DiarrheaArmsL. rhamnosus GG - Probiotic, Placebo - Microcrystalline Cellulose
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 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

12 authors at 4 institutions in 1 country.

Jennie JohnstonePublic Health Ontario, University of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada.
Diane Heels-AnsdellDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Lehana ThabaneDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Maureen MeadeDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
John MarshallSurgery/Critical Care Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Francois LauzierCritical Care, CHU de Quebec-Universite Laval, Quebec, Quebec, Canada.
Erick Huaileigh DuanDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
Nicole ZytarukDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Daphnee LamarcheDepartment of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.
Michael SuretteDepartment of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.
Deborah J CookDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
PROSPECT Investigators and the Canadian Critical Care Trials Group
McMaster University · CASt. Michael's Hospital · CAUniversité Laval · CAUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

introductionVentilator-associated pneumonia (VAP) is the most common healthcare-associated infection in critically ill patients. Prior studies suggest that probiotics may reduce VAP and other infections in critically ill patients; however, most previous randomised trials were small, single centre studies. The Probiotics: Prevention of Severe Pneumonia and Endotracheal Colonization Trial (PROSPECT) aims to determine the impact of the probiotic

methodsPROSPECT is a multicentre, concealed, randomised, stratified, blinded, controlled trial in patients ≥18 years old, anticipated to be mechanically ventilated ≥72 hours, in intensive care units (ICUs) in Canada, the USA and Saudi Arabia. Patients receive either 1×10 ETHICS AND DISSEMINATION: This protocol and statistical analysis plan outlines the methodology, primary and secondary analyses, sensitivity analyses and subgroup analyses. PROSPECT is approved by Health Canada (#9427-M1133-45C), the research ethics boards of all participating hospitals and Public Health Ontario. Results will be disseminated via academic channels (peer reviewed journal publications, professional healthcare fora including international conferences) and conventional and social media. The results of PROSPECT will inform practice guidelines worldwide. TRIALREGISTRATION NUMBER: NCT02462590; Pre-results.

Indexed as

Pneumonia, Ventilator-AssociatedProbioticsAdultAgedCanadaData Interpretation, StatisticalFemaleHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicSaudi ArabiaUnited Statescritically illinfectionintensive careprobioticsventilator-associated pneumonia

Identifiers

PMID31227528
PMCPMC6596980
OpenAlexW2949568582

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.