Evidence map›Paper›PMID 32681412›Full record

Observational studyInternal and emergency medicine2021

Influence of ventilatory strategies on outcomes and length of hospital stay: assist-control and synchronized intermittent mandatory ventilation modes.

Thais Bruno de Godoi, Fernando Augusto Lima Marson, Camila Vantini Capasso Palamim, Gianna Carla Cannonieri-Nonose

Abstract readObservational Study
In one paragraph

Observational study in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Thais Bruno de GodoiMultiprofessional Internship Program in Adult Intensive Healthcare, São Francisco University, Avenida São Francisco de Assis, 218, Jardim São José, Bragança Paulista, São Paulo, CEP 12916-900, Brazil. thais.brunog@gmail.com.ORCID http://orcid.org/0000-0002-6818-8025
Fernando Augusto Lima MarsonLaboratory of Human and Medical Genetics, Postgraduate Program in Health Sciences, São Francisco University, Avenida São Francisco de Assis, 218, Jardim São José, Bragança Paulista, São Paulo, CEP 12916-900, Brazil.ORCID https://orcid.org/0000-0003-4955-4234
Camila Vantini Capasso PalamimMultiprofessional Internship Program in Adult Intensive Healthcare, São Francisco University, Avenida São Francisco de Assis, 218, Jardim São José, Bragança Paulista, São Paulo, CEP 12916-900, Brazil.ORCID https://orcid.org/0000-0001-6825-1154
Gianna Carla Cannonieri-NonoseMultiprofessional Internship Program in Adult Intensive Healthcare, São Francisco University, Avenida São Francisco de Assis, 218, Jardim São José, Bragança Paulista, São Paulo, CEP 12916-900, Brazil. gianna.cannonieri@usf.edu.br.ORCID https://orcid.org/0000-0001-5110-2849

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of synchronized intermittent mandatory ventilation with pressure support ventilation (SIMV + PSV) mode has been discontinued. This study analyzed the association between medical outcomes related to the use of assist-control (A/C) and SIMV + PSV in an intensive care unit. In this observational and retrospective study, modes of ventilation and medical data were collected from electronic medical records for three consecutive years and were related to medical outcomes (mortality), duration of mechanical ventilation, length of hospital stay and the need for tracheostomy. Participants were divided into groups according to the modes of ventilation: A/C and SIMV + PSV. Statistical analyses were performed in the R environment. Alpha = 0.05. The using chi-square, Fisher's exact, Mann-Whitney and Kruskal-Wallis tests were used. 345 adult participants were included; 211/345 (61.16%) were males. Of the participants, 151/345 (43.77%) were on SIMV + PSV and 194/345 (56.23%) were on A/C. The comparative analysis between the modes of ventilation showed no significant differences in length of hospital stay (p = 0.675), duration of mechanical ventilation (p = 0.952), mortality (p = 0.241), failed extubation (p = 0.411) and the need for tracheostomy (p = 0.301). SIMV + PSV as a mode of ventilation showed similar statistical results to the A/C mode, when compared to analyzed medical outcomes.

Indexed as

Intensive Care UnitsIntermittent Positive-Pressure VentilationPositive-Pressure RespirationAdolescentAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesTime FactorsTracheostomyIntensive care unitLength of hospital stayMechanical ventilationMode of ventilationMortalityVentilator weaning

Identifiers

PMID32681412
PMCPMC7366557

What OpenQuestion holds

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Registered trials

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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.