Evidence map›Paper›PMID 32339510›Full record

ReviewChest2020

Regional Planning for Extracorporeal Membrane Oxygenation Allocation During Coronavirus Disease 2019.

Matthew E Prekker, Melissa E Brunsvold, J Kyle Bohman, Gwenyth Fischer, Kendra L Gram, John M Litell, Ramiro Saavedra-Romero, John L Hick

Abstract readReview
In one paragraph

Review in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
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  6. Review
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  11. Review
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  16. Clinical predictors of COVID-19 mortality.medRxiv : the preprint server for health sciences · 2020
    Article
  17. 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

8 authors.

Matthew E PrekkerDepartment of Medicine, Division of Pulmonary & Critical Care, Hennepin Healthcare and the University of Minnesota Medical School, Minneapolis, MN; Department of Emergency Medicine, Hennepin Healthcare and the University of Minnesota Medical School, Minneapolis, MN. Electronic address: Matthew.Prekker@hcmed.org.
Melissa E BrunsvoldDepartment of Surgery, University of Minnesota Medical School, Minneapolis, MN.
J Kyle BohmanDepartment of Anesthesiology, Mayo Clinic School of Medicine, Rochester, MN.
Gwenyth FischerDepartment of Pediatrics, Division of Pediatric Critical Care, University of Minnesota Medical School, Minneapolis, MN.
Kendra L GramPediatric Critical Care, Children's Minnesota, Minneapolis, MN.
John M LitellDepartment of Critical Care, Allina Health, Minneapolis, MN; Department of Emergency Medicine, Hennepin Healthcare and the University of Minnesota Medical School, Minneapolis, MN.
Ramiro Saavedra-RomeroDepartment of Critical Care, Allina Health, Minneapolis, MN; Department of Medicine, the University of Minnesota Medical School, Minneapolis, MN.
John L HickDepartment of Emergency Medicine, Hennepin Healthcare and the University of Minnesota Medical School, Minneapolis, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health systems confronting the coronavirus disease 2019 (COVID-19) pandemic must plan for surges in ICU demand and equitably distribute resources to maximize benefit for critically ill patients and the public during periods of resource scarcity. For example, morbidity and mortality could be mitigated by a proactive regional plan for the triage of mechanical ventilators. Extracorporeal membrane oxygenation (ECMO), a resource-intensive and potentially life-saving modality in severe respiratory failure, has generally not been included in proactive disaster preparedness until recently. This paper explores underlying assumptions and triage principles that could guide the integration of ECMO resources into existing disaster planning. Drawing from a collaborative framework developed by one US metropolitan area with multiple adult and pediatric extracorporeal life support centers, this paper aims to inform decision-making around ECMO use during a pandemic such as COVID-19. It also addresses the ethical and practical aspects of not continuing to offer ECMO during a disaster.

Indexed as

BetacoronavirusPandemicsCoronavirus InfectionsCOVID-19Critical IllnessExtracorporeal Membrane OxygenationGlobal HealthHumansPneumonia, ViralSARS-CoV-2TriageVentilators, Mechanicalcritical caredisasterECMO (extracorporeal membrane oxygenation)

Identifiers

PMID32339510
PMCPMC7182515

What OpenQuestion holds

Textmetadata
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.