Evidence map›Paper›PMID 31325967›Full record

ArticleSystematic reviews2019

Clinical epidemiology and outcomes of ventilator-associated pneumonia in critically ill adult patients: protocol for a large-scale systematic review and planned meta-analysis.

John Mark M Gutiérrez, Annabelle R Borromeo, Allan L Dueño, Emmanuel D Paragas, Rosanta O Ellasus, Russel S Abalos-Fabia, Jerry A Abriam, Arnel E Sonido, Monina A Hernandez, Alain Jason A Generale and 5 more

Abstract read
In one paragraph

Article in Systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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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

15 authors.

John Mark M GutiérrezSchool of Advanced Studies, Saint Louis University, Baguio, Philippines. jmgutierrez@su.edu.sa.ORCID 0000-0002-3819-4408
Annabelle R BorromeoSchool of Advanced Studies, Saint Louis University, Baguio, Philippines.
Allan L DueñoUniversity of the Philippines Open University, Los Baños, Philippines.
Emmanuel D ParagasDepartment of Nursing, West Liberty University, West Liberty, USA.
Rosanta O EllasusSchool of Advanced Studies, Saint Louis University, Baguio, Philippines.
Russel S Abalos-FabiaDepartment of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia.
Jerry A AbriamInstitute of Community Health and Allied Medical Sciences, Don Mariano Marcos Memorial State University, Agoo, Philippines.
Arnel E SonidoInstitute of Community Health and Allied Medical Sciences, Don Mariano Marcos Memorial State University, Agoo, Philippines.
Monina A HernandezSchool of Nursing, Massey University, Palmerston North, New Zealand.
Alain Jason A GeneraleClinical Research Support Office, Children's Hospital Los Angeles, Los Angeles, USA.
Roberto C SombilloDelos Santos Medical Center, Quezon City, Philippines.
Mary Grace C LacanariaSchool of Advanced Studies, Saint Louis University, Baguio, Philippines.
Mae M CentenoBaylor Scott & White Health, Dallas, USA.
Jose Reinhard C LaoingcoGraduate School of Nursing and Allied Medical Sciences, Holy Angel University, Angeles, Philippines.
John Anthony A DomantaySchool of Medicine, Saint Louis University, Baguio, Philippines.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of studies have investigated the clinical epidemiology and outcomes of ventilator-associated pneumonia (VAP) in intensive care units. However, these findings have not been clearly defined in broad subgroups of mechanically ventilated adults. Hence, this protocol for a systematic review and meta-analysis is designed to better understand the clinical and epidemiological features of VAP in these patient populations by establishing its overall prognosis of and risk factors for morbidity and mortality and to determine the differences in clinical and economic outcomes between VAP and non-VAP patients.

methodsThis present review will systematically search available full-text articles without date and language restrictions and indexed in PubMed, CENTRAL, CINAHL, Web of Science, and EMBASE databases. In addition, reference lists and citations of retrieved articles and relevant medical and nursing journals will be manually reviewed. Supplementary search in other databases involving trials, reviews, and grey literatures, including conference proceedings, theses, and dissertations, will be performed. Study investigators will be contacted to clarify missing or unpublished data. All prognostic studies meeting the pre-defined eligibility criteria will be included. The study selection, risk of bias assessment, data extraction, and grading of the quality of evidence will be carried out in duplicate, involving independent evaluation by two investigators with consensus or a third-party adjudication. The degree of inter-rater agreement will be calculated using the kappa statistic. For meta-analysis, dichotomous and continuous outcome measures will be pooled using odds ratios and standardized mean differences with 95% confidence intervals, respectively. The Mantel-Haenszel or inverse variance methods with random effects model will be used as a guide for analysis. The heterogeneity of each outcome measure will be assessed using both X DISCUSSION: The investigation of the epidemiological profiles, prognostic factors, and outcomes associated with VAP is critical for the identification of high-risk groups of mechanically ventilated patients and evaluation of possible clinical endpoints. This may provide substantial links for improved VAP prevention practices targeting modifiable risk factors. Implications for future research directions are discussed. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017048158.

Indexed as

Critical IllnessPneumonia, Ventilator-AssociatedRespiration, ArtificialAdultHumansIntensive Care UnitsMeta-Analysis as TopicRisk FactorsSystematic Reviews as TopicClinical epidemiologyCritical care nursingMeta-analysisPredictive analyticsPrognostic reviewRisk assessmentRisk factorsSystematic reviewVentilator-associated pneumonia

Identifiers

PMID31325967
PMCPMC6642735

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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.