Evidence map›Paper›PMID 31737365›Full record

ArticleEmergency medicine international2019

Use High-Flow Nasal Cannula for Acute Respiratory Failure Patients in the Emergency Department: A Meta-Analysis Study.

Cheng-Chieh Huang, Hao-Min Lan, Chao-Jui Li, Tsung-Han Lee, Wen-Liang Chen, Wei-Yuan Lei, Pei-You Hsieh, Mei-Chueh Yang, Chu-Chung Chou, Han-Ping Wu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Emergency medicine international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 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

11 authors at 5 institutions in 1 country.

Cheng-Chieh HuangDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.ORCID https://orcid.org/0000-0002-1819-8989
Hao-Min LanDepartment of Education, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chao-Jui LiDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0002-7777-2215
Tsung-Han LeeDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Wen-Liang ChenDepartment of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan.ORCID https://orcid.org/0000-0003-4308-3128
Wei-Yuan LeiDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Pei-You HsiehDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Mei-Chueh YangDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chu-Chung ChouDepartment of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Han-Ping WuDepartment of Pediatric Emergency Medicine, Children Hospital, China Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-0069-4183
Yuan-Jhen SyueDepartment of Anaesthesiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0003-4043-6661
Chang Gung University · TWChanghua Christian Hospital · TWNational Yang Ming Chiao Tung University · TWChina Medical University · TWKaohsiung Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of high-flow nasal cannula (HFNC) therapy compared with conventional oxygen therapy (COT) or noninvasive ventilation (NIV) for the treatment of acute respiratory failure (ARF) in emergency departments (EDs).

methodWe comprehensively searched 3 databases (PubMed, EMBASE, and the Cochrane Library) for articles published from database inception to 12 July 2019. This study included only randomized controlled trials (RCTs) that were conducted in EDs and compared HFNC therapy with COT or NIV. The primary outcome was the intubation rate. The secondary outcomes were the mortality rate, intensive care unit (ICU) admission rate, ED discharge rate, need for escalation, length of ED stay, length of hospital stay, and patient dyspnea and comfort scores.

resultFive RCTs (

conclusionAdministering HFNC therapy in ARF patients in EDs might decrease the intubation rate compared with COT. In addition, it can decrease the need for escalation, decrease the patient's dyspnea level, and increase the patient's comfort level compared with COT.

Identifiers

PMID31737365
PMCPMC6815584
OpenAlexW2979462806

What OpenQuestion holds

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LicenceCC BY
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.