Evidence map›Paper›PMID 32389107›Full record

Observational studyCritical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine2020

Faecal diversion system usage in an adult intensive care unit.

Nicholas Wilson, Rinaldo Bellomo, Tyler Hay, Timothy Fazio, Jasmine Entwistle, Jeffrey J Presneill, Yasmine Ali Abdelhamid, Adam M Deane

Open access · greenAbstract readObservational Study
PubMed Full text at PMC
In one paragraph

Observational study in Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Critical care nutrition and the legacy of Rinaldo Bellomo.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
    Review
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 at 2 institutions in 1 country.

Nicholas WilsonIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia. Nicholas.Wilson@mh.org.au.
Rinaldo BellomoIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Tyler HayMelbourne Medical School, University of Melbourne, Melbourne, VIC, Australia.
Timothy FazioBusiness Intelligence Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Jasmine EntwistleIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Jeffrey J PresneillIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Yasmine Ali AbdelhamidIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Adam M DeaneIntensive Care Unit, Royal Melbourne Hospital, Melbourne, VIC, Australia.
The Royal Melbourne Hospital · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the frequency, indications and complications associated with the use of faecal diversion systems (rectal tubes) in critically ill patients.

designA single centre observational study over 15 months.

settingIntensive care unit (ICU).

participantsPatients admitted during this period.

main outcome measuresFrequency of rectal tubes utilisation in ICU, as well as associated adverse events, with major events defined as lower gastrointestinal bleeding associated with defined blood transfusion of two or more units of red cells or endoscopy or surgical intervention.

resultsOf 3418 admission episodes, there were 111 episodes of rectal tubes inserted in 99 patients. Rectal tubes remained indwelling for a median of 5 days (range, 1-23) for a total of 641 patient-days. The most frequent indication for insertion was excessive bowel motions. A major adverse event was observed in three patients (3%; 0.5 events per 100 device days). Two patients underwent laparotomy and one patient sigmoidoscopy. These patients received between two and 23 units of packed red blood cells. Patients who had a rectal tube inserted had a substantially greater duration of ICU admission (mean, 14 days [SD, 14]

conclusionRectal tubes appear to be frequently inserted and can lead to major adverse events in critically ill patients.

Indexed as

Critical IllnessFecesIntensive Care UnitsAdultAustraliaBlood TransfusionHospital MortalityHumansRectum

Identifiers

PMID32389107
PMCPMC10692465
OpenAlexW3021305847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.