Evidence map›Paper›PMID 32420720›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2020

Caring for Critically Ill Adults With Coronavirus Disease 2019 in a PICU: Recommendations by Dual Trained Intensivists.

Kenneth E Remy, Philip A Verhoef, Jay R Malone, Michael D Ruppe, Timothy B Kaselitz, Frank Lodeserto, Eliotte L Hirshberg, Anthony Slonim, Cameron Dezfulian

Open access · greenAbstract read
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. COVID-19 and Children: Reflections after Three Years.Children (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The Role of the Pediatric Intensivist in the Coronavirus Disease 2019 Pandemic.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  20. The authors reply.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Kenneth E RemyDivision of Pediatric Critical Care, Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
Philip A VerhoefDepartment of Internal Medicine, University of Hawaii-Manoa, Manoa, HI.
Jay R MaloneDivision of Pediatric Critical Care, Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
Michael D RuppeDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Norton Healthcare, University of Louisville, Louisville, KY.
Timothy B KaselitzDepartment of Critical Care, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Frank LodesertoDepartment of Internal Medicine, Geisinger Commonwealth School of Medicine, Danville, PA.
Eliotte L HirshbergDivision of Pulmonary and Critical Care, Department of Internal Medicine and Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Anthony SlonimUniversity of Nevada, Reno School of Medicine, Renown Health System, Reno, NV.
Cameron DezfulianDepartment of Critical Care, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Washington University in St. Louis · USUniversity of Pittsburgh · USCommonwealth Medical College · USKaiser Permanente · US

Funding

Impact of Red Blood Cell (RBC)-Derived DAMPs on Host Immune Response in Pediatric SepsisK08GM129763 · NIGMS · WASHINGTON UNIVERSITY · PI REMY, KENNETH EUGENE · 2018 to 2021
$714k
NIGMS NIH HHS K08 GM129763
6 · The paper itself

Abstract

objectiveIn the midst of the severe acute respiratory syndrome coronavirus 2 pandemic, which causes coronavirus disease 2019, there is a recognized need to expand critical care services and beds beyond the traditional boundaries. There is considerable concern that widespread infection will result in a surge of critically ill patients that will overwhelm our present adult ICU capacity. In this setting, one proposal to add "surge capacity" has been the use of PICU beds and physicians to care for these critically ill adults.

designNarrative review/perspective.

settingNot applicable. PATIENTS: Not applicable.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe virus's high infectivity and prolonged asymptomatic shedding have resulted in an exponential growth in the number of cases in the United States within the past weeks with many (up to 6%) developing acute respiratory distress syndrome mandating critical care services. Coronavirus disease 2019 critical illness appears to be primarily occurring in adults. Although pediatric intensivists are well versed in the care of acute respiratory distress syndrome from viral pneumonia, the care of differing aged adult populations presents some unique challenges. In this statement, a team of adult and pediatric-trained critical care physicians provides guidance on common "adult" issues that may be encountered in the care of these patients and how they can best be managed in a PICU.

conclusionsThis concise scientific statement includes references to the most recent and relevant guidelines and clinical trials that shape management decisions. The intention is to assist PICUs and intensivists in rapidly preparing for care of adult coronavirus disease 2019 patients should the need arise.

Indexed as

Advanced Cardiac Life SupportBetacoronavirusClinical CompetenceComorbidityCoronavirus InfectionsCOVID-19Critical IllnessEquipment and Supplies, HospitalHumansIntensive Care Units, PediatricPandemicsPatient PositioningPediatriciansPneumonia, ViralPrescription DrugsReferral and ConsultationPrescription Drugs

Identifiers

PMID32420720
PMCPMC7331597
OpenAlexW3021058719

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.