ReviewThe Lancet. Respiratory medicine2020
Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations.
Review in The Lancet. Respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 819 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
819 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Diabetes mellitus increases the risk of post-COVID-19 pulmonary fibrosis: a meta-analysis of observational studies.BMC pulmonary medicine · 2025Pooled it
- Maternal COVID-19 infection and risk of respiratory distress syndrome among newborns: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- The involvement of the dysfunctional insulin receptor signaling system in long COVID patients with diabetes and chronic pain and its implications for the clinical management using taVNS.Frontiers in pain research (Lausanne, Switzerland) · 2024Pooled it
- Generation of Aerosols by Noninvasive Respiratory Support Modalities: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Family-centred care of patients admitted to the intensive care unit in times of COVID-19: A systematic review.Intensive & critical care nursing · 2022Pooled it
- Oral Melatonin in Critically Ill Patients With COVID-19: A Quasi-Experimental Pragmatic Trial.Journal of medical virology · 2026Trial
- Use of etomidate in endotracheal intubations in the emergency room during the COVID-19 pandemic: a randomized clinical trial.Acta cirurgica brasileira · 2024Trial
- Azvudine reduces the in-hospital mortality of COVID-19 patients: A retrospective cohort study.Acta pharmaceutica Sinica. B · 2023Trial
- Cardiopulmonary and hematological effects of infrared LED photobiomodulation in the treatment of SARS-COV2.Journal of photochemistry and photobiology. B, Biology · 2023Trial
- COVID-19 status and intensive care unit burden and mortality: a single-center retrospective cohort study comparing COVID-19 and non-COVID-19 admissions.BMC infectious diseases · 2026Article
- COVID-19 Mortality in Swedish Intensive Care Units: A Multicenter Survival Analysis.Acta anaesthesiologica Scandinavica · 2026Article
- Relationship between negative-pressure ICU rooms and the risk of COVID-19-associated pulmonary aspergillosis: an ancillary analysis of the COVID-ICU cohort study.Critical care (London, England) · 2026Article
- Prognostic Significance of Computed Tomography Severity Score for Machine Learning Prediction of Intensive Care Unit Admission in COVID-19 Patients.Thoracic research and practice · 2026Article
- Critical care resource disparities in China: a nationwide survey and policy recommendations for health equity.Critical care (London, England) · 2026Article
- Continuous-flow ventilation with VENTIJET in moderate ARDS: a pilot safety and feasibility study.Intensive care medicine experimental · 2026Article
- The current situation of intensive care units in Chinese mainland: A nationwide survey.Journal of intensive medicine · 2026Article
- Non-Surgical Causes of Death in the Emergency Department: A Five-Year Monocentric Clinicopathological Study.Medicina (Kaunas, Lithuania) · 2026Article
- Nursing workload, staffing qualifications, and nursing care costs associated with hospital-acquired pressure ulcer days in the ICU: a retrospective cohort study.Frontiers in public health · 2026Article
- In Vivo Preclinical Platforms to Study Coronavirus Infection.Methods in molecular biology (Clifton, N.J.) · 2026Article
- In-hospital cardiovascular outcomes of COVID-19-associated cytokine storm: a population-level study.Frontiers in epidemiology · 2026Article
759 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As coronavirus disease 2019 (COVID-19) spreads across the world, the intensive care unit (ICU) community must prepare for the challenges associated with this pandemic. Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention will matter not only to patients with COVID-19, but also to health-care workers and other patients who are at risk from nosocomial transmission. Management of acute respiratory failure and haemodynamics is key. ICU practitioners, hospital administrators, governments, and policy makers must prepare for a substantial increase in critical care bed capacity, with a focus not just on infrastructure and supplies, but also on staff management. Critical care triage to allow the rationing of scarce ICU resources might be needed. Researchers must address unanswered questions, including the role of repurposed and experimental therapies. Collaboration at the local, regional, national, and international level offers the best chance of survival for the critically ill.
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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.