Evidence map›Paper›PMID 33042559›Full record

ArticleAcute medicine & surgery

Personal protective equipment use by health-care workers in intensive care units during the COVID-19 pandemic in Japan: comparative analysis with the PPE-SAFE survey.

Takeshi Unoki, Mitsuhiro Tamoto, Akira Ouchi, Hideaki Sakuramoto, Asami Nakayama, Yukiko Katayama, Satoko Miyazaki, Toru Yamada, Shigeki Fujitani, Osamu Nishida and 2 more

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 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

12 authors at 10 institutions in 2 countries.

Takeshi UnokiDepartment of Acute and Critical Care Nursing School of Nursing Sapporo City University Sapporo Japan.ORCID https://orcid.org/0000-0002-7778-4355
Mitsuhiro TamotoDepartment of Nursing Kyoto University Hospital Kyoto Kyoto Japan.
Akira OuchiDepartment of Adult Health Nursing College of Nursing Ibaraki Christian University Hitachi Ibaraki Japan.
Hideaki SakuramotoDepartment of Adult Health Nursing College of Nursing Ibaraki Christian University Hitachi Ibaraki Japan.
Asami NakayamaDepartment of Nursing Dokkyo Medical University Hospital Mibu Tochigi Japan.
Yukiko KatayamaDepartment of Nursing Nihonkai General Hospital Sakata Yamagata Japan.
Satoko MiyazakiDepartment of Nursing Tokai University Hospital Isehara Kanagawa Japan.
Toru YamadaDepartment of Nursing Toho University Omori Medical Center Tokyo Japan.
Shigeki FujitaniDepartment of Emergency and Critical Care Medicine St. Marianna University School of Medicine Miyamae Kanagawa Japan.ORCID https://orcid.org/0000-0001-6327-682X
Osamu NishidaDepartment of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Aichi Japan.ORCID https://orcid.org/0000-0003-0140-283X
Alexis TabahIntensive Care Unit Faculty of Medicine Redcliffe Hospital University of Queensland Brisbane Australia.
PPE‐SAFE in Japan Project, International Exchange Committee, the Japan Society of Intensive Care Medicine
Ibaraki Christian University · JPDokkyo Medical University · JPFujita Health University · JPKyoto University Hospital · JPNihonkai General Hospital · JPSapporo City University · JPSt. Marianna University School of Medicine · JPThe University of Queensland · AUToho University · JPTokai University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: We investigated personal protective equipment (PPE) use and supply shortage, training, and adverse events among health-care workers (HCWs) in the intensive care unit (ICU) during the coronavirus disease (COVID-19) pandemic in Japan and compared the results with an international survey that used the same methodology. Methods: This Web-based survey was carried out from 14 April to 6 May, 2020, in Japan and included HCWs directly involved in ICU management of COVID-19 patients. A survey invitation was emailed using the Japanese Society of Intensive Care Medicine's mailing list. Results: We analyzed 460 valid responses from among 976 responses. The N95/FFP2 mask (77%) was the most frequently used, although half of our respondents reported reuse of single-use N95/FFP2 masks. The median duration (1 h) of uninterrupted PPE use per shift was less than that in the international study. The most common PPE-related adverse event was experiencing intense heat (75%). Logistic regression analysis revealed that being a nurse was independently associated with experiencing intense heat. Conclusion: Shortage of PPE and frequent mask reuse were prevalent during the COVID-19 pandemic in Japan. Intense heat is the most significant symptom, especially for nurses, even with short-duration PPE use. Strategies to protect HCWs from dehydration and intense heatstroke are needed.

Indexed as

Health‐care workerheatintensive care unitpersonal protective equipmentsafety

Identifiers

PMID33042559
PMCPMC7537292
OpenAlexW3091199424

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.