Evidence map›Paper›PMID 32995171›Full record

ArticleJournal of acute medicine2017

Adherence to Evidence-Base Endotracheal Intubation Practice Patterns by Intensivists and Emergency Department Physicians.

Amin Ur Rehman Nadeem, Raúl J Gazmuri, Irfan Waheed, Rashid Nadeem, Janos Molnar, Sajid Mahmood, Sukhjit K Dhillon, Paul Morgan

Open access · greenAbstract read
In one paragraph

Article in Journal of acute medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 60% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Amin Ur Rehman NadeemLovell Federal Healthcare Center Captain James A. North Chicago, IL United States.
Raúl J GazmuriLovell Federal Healthcare Center Captain James A. North Chicago, IL United States.
Irfan WaheedLovell Federal Healthcare Center Captain James A. North Chicago, IL United States.
Rashid NadeemRosalind Franklin University of Medicine and Science North Chicago, IL United States.
Janos MolnarRosalind Franklin University of Medicine and Science North Chicago, IL United States.
Sajid MahmoodLovell Federal Healthcare Center Captain James A. North Chicago, IL United States.
Sukhjit K DhillonRosalind Franklin University of Medicine and Science North Chicago, IL United States.
Paul MorganLovell Federal Healthcare Center Captain James A. North Chicago, IL United States.
Rosalind Franklin University of Medicine and Science · USCaptain James A. Lovell Federal Health Care Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndotracheal intubation outside the operating room (OR) is mainly performed by intensive care (IC) physicians and emergency department (ED) physicians. We hypothesized that difference in practice patterns exists between these two groups of physicians.

methodsA retrospective chart review was performed on all endotracheal intubations that were performed out of OR over a fi ve year period at our health care facility. Practice patterns of IC and ED physicians were compared regarding use of (a) video laryngoscopy, (b) paralytic agents, (c) waveform capnography, and (d) use of larger size of endotracheal tube (internal diameter ≥ 8 mm).

resultsA total of 201 patients underwent out of OR intubations over a 5 year period. IC physicians used more often than ED physicians video laryngoscopy (67% vs. 49%; p = 0.008), waveform capnography (99% vs. 86%; p = 0.001) and larger size endotracheal tubes (95% vs. 60%; p < 0.001). Conversely, paralytic agents were used less frequently by IC than ED physicians (12% vs. 51%; p < 0.001). The success of fi rst intubation attempt was higher by IC than ED physicians (82% vs. 67%; p = 0.018).

conclusionsIC physicians more often adhered to currently considered preferable practices for endotracheal intubation than ED physicians in this single center retrospective study. Although larger scale studies are needed to unveil the effects of different practice patterns on short and long term outcomes, the present study identifi es opportunity to bridge practice gaps that could lead to improved outcomes.

Indexed as

airway managementendotracheal intubationpractice patterns

Identifiers

PMID32995171
PMCPMC7517927
OpenAlexW3089602614

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.