Evidence map›Paper›PMID 33015144›Full record

ArticleERJ open research2020

The combination of inspiratory muscle training and high-flow nasal cannula oxygen therapy for promoting weaning outcomes in difficult-to-wean patients: protocol for a randomised controlled trial.

Irini Patsaki, Anna Christakou, Emmanouel Papadopoulos, Martha Katartzi, Alexandros Kouvarakos, Ilias Siempos, Dimitris Tsimouris, Anastasia Skoura, Antonina Xatzimina, Sotirios Malachias and 4 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.1field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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

14 authors at 4 institutions in 1 country.

Irini PatsakiPhysiotherapy Dept, General Hospital of Athens "Evaggelismos", Athens, Greece.
Anna ChristakouPhysiotherapy Dept, General Hospital of Athens "Evaggelismos", Athens, Greece.
Emmanouel PapadopoulosPhysiotherapy Dept, General Hospital of Athens "Evaggelismos", Athens, Greece.
Martha KatartziPhysiotherapy Dept, General Hospital of Athens "Evaggelismos", Athens, Greece.
Alexandros KouvarakosPhysiotherapy Dept, General Hospital of Athens "Evaggelismos", Athens, Greece.
Ilias Siempos1st Critical Care Dept, National and Kapodistrian University of Athens, General Hospital of Athens "Evaggelismos", Athens, Greece.
Dimitris TsimourisCare and Rehabilitation Center "Kallisto", Athens, Greece.
Anastasia SkouraMetropolitan Hospital of Athens, Athens, Greece.
Antonina XatziminaDept of Physiotherapy, University of West Attica, Athens, Greece.
Sotirios Malachias1st Critical Care Dept, National and Kapodistrian University of Athens, General Hospital of Athens "Evaggelismos", Athens, Greece.
Νikolaos Koulouris1st Respiratory Dept, National and Kapodistrian University of Athens, Athens, Greece.
Eirini GrammatopoulouDept of Physiotherapy, University of West Attica, Athens, Greece.
Spiros Zakinthinos1st Critical Care Dept, National and Kapodistrian University of Athens, General Hospital of Athens "Evaggelismos", Athens, Greece.
Eleni Ischaki1st Critical Care Dept, National and Kapodistrian University of Athens, General Hospital of Athens "Evaggelismos", Athens, Greece.
National and Kapodistrian University of Athens · GRUniversity of West Attica · GRAthens Medical Center · GRMetropolitan Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to the literature, 20-30% of intubated patients are difficult to wean off mechanical ventilation and have a prolonged intensive care unit (ICU) stay with detrimental effects on muscle strength, functional ability and quality of life. Inspiratory muscle training (IMT) MATERIAL AND

methodsA randomised controlled trial was designed to assess the efficacy of combining IMT and HFNC as therapeutic strategies for patients with high risk for weaning failure. Once patients with prognostic factors of difficult weaning are awake, ventilated with support settings and cooperative, they will be randomised to one of the two following study groups: intervention group (IMT and HFNC) and control group (IMT and Venturi mask). IMT will start as soon as possible. Each allocated oxygen delivery device will be applied immediately after extubation. IMT intervention will continue until patients' discharge from ICU. The primary outcome is the rate of weaning failure. Secondary outcomes are maximal inspiratory and expiratory strength, endurance of respiratory muscles, global muscle strength, functional ability and quality of life along with duration of ventilation (days) and ICU and hospital length of stay.

conclusionThe present study could significantly contribute to knowledge of how best to treat patients with difficult weaning and high risk of re-intubation.

Identifiers

PMID33015144
PMCPMC7520168
OpenAlexW3089082604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.