ArticleAnnals of intensive care2020
Organizational factors associated with adherence to low tidal volume ventilation: a secondary analysis of the CHECKLIST-ICU database.
Article in Annals of intensive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Determinants of Adoption of a Mechanical Ventilation Dashboard in Intensive Care: Measurement Instrument for Determinants of Innovations-Based, Single-Center, Cross-Sectional Evaluation.JMIR human factors · 2026Article
- ICU Implementation Determinants and Delivery of Lung Protective Ventilation: A Multihospital Survey and Cohort Study.CHEST critical care · 2026Article
- Lung-protective ventilation strategy in acute respiratory distress syndrome: a critical reappraisal of current practice.Critical care (London, England) · 2025Review
- Evidence, implementation, and challenges in mechanical ventilation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025Article
- Knowledge, attitudes, and practice about protective ventilation among physical therapists.PloS one · 2025Article
- The impact of nursing workforce skill-mix on patient outcomes in intensive care units in Victoria, Australia.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024Article
- Article
- Scientific output and organizational characteristics in Brazilian intensive care units: a multicenter cross-sectional study.Critical care science · 2024Article
- Nonadherence to appropriate tidal volume and PEEP in children with pARDS at a single center.Pediatric pulmonology · 2022Article
- Article
- Hospital Variation in Management and Outcomes of Acute Respiratory Distress Syndrome Due to COVID-19.Critical care explorations · 2022Article
- Characterisation of the first 250,000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data.The Lancet. Respiratory medicine · 2021Article
- Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective.Critical care (London, England) · 2020Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurvival benefit from low tidal volume (V
methodsSecondary analysis of the database of a multicenter two-phase study (prospective cohort followed by a cluster-randomized trial) performed in 118 Brazilian intensive care units. Patients under mechanical ventilation at day 2 were included. LTVV was defined as a V
resultsThe study included 5719 patients; 3340 (58%) patients received LTVV. A greater number of hospital beds (absolute difference 7.43% [95% confidence interval 0.61-14.24%]; p = 0.038), use of structured checklist during multidisciplinary rounds (5.10% [0.55-9.81%]; p = 0.030), and presence of at least one nurse per 10 patients during all shifts (17.24% [0.85-33.60%]; p = 0.045) were the only three factors that had an independent association with adherence to LTVV.
conclusionsNumber of hospital beds, use of a structured checklist during multidisciplinary rounds, and nurse staffing are organizational factors associated with adherence to LTVV. These findings shed light on organizational factors that may improve ventilation in critically ill patients.
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