Evidence map›Paper›PMID 33148779›Full record

Observational studyBMJ open respiratory research2020

Acute hypoxaemic respiratory failure in a low-income country: a prospective observational study of hospital prevalence and mortality.

Arthur Kwizera, Jane Nakibuuka, Lydia Nakiyingi, Cornelius Sendagire, Janat Tumukunde, Catherine Katabira, Ronald Ssenyonga, Noah Kiwanuka, David Patrick Kateete, Moses Joloba and 3 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07460427 (Bag CPAP Versus Standard Oxygen Care for the Management of Acute Hypoxemic Respiratory Failure in Adults), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 18% 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.

NCT07460427 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Bag CPAP Versus Standard Oxygen Care for the Management of Acute Hypoxemic Respiratory Failure in Adults: A Randomized Controlled Trial

TypeinterventionalSponsorProf RWABIHAMA Jean PaulRan2026 to 2027Enrolled250ConditionsAcute Hypoxemic Respiratory FailureArmsBag CPAP, Standard oxygen
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Oxygen as an Essential Medicine.Critical care clinics · 2022
    Review
  11. Article
  12. 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

13 authors at 5 institutions in 2 countries.

Arthur KwizeraAnaesthesia and Critical Care, Makerere University College of Health Sciences, Kampala, Uganda kwizera.arthur@gmail.com.ORCID http://orcid.org/0000-0002-7025-0465
Jane NakibuukaIntensive Care, Mulago National Referral Hospital, Kampala, Uganda.
Lydia NakiyingiInternal Medicine, Makerere University Faculty of Medicine, Kampala, Uganda.
Cornelius SendagireAnaesthesia and Critical Care, Makerere University College of Health Sciences, Kampala, Uganda.
Janat TumukundeAnaesthesia and Critical Care, Makerere University College of Health Sciences, Kampala, Uganda.
Catherine KatabiraRespiratory medicine department, Royal Papworth Hospital NHS Foundation Trust, Cambridge, United Kingdom.
Ronald SsenyongaSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Noah KiwanukaSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
David Patrick KateeteImmunology and Molecular Biology, Makerere University College of Health Sciences, Kampala, Uganda.
Moses JolobaImmunology and Molecular Biology, Makerere University College of Health Sciences, Kampala, Uganda.
Daphne KabatoroAnaesthesia and Critical Care, Makerere University College of Health Sciences, Kampala, Uganda.
Diana AtwineOffice of the permanent secretary, Republic of Uganda Ministry of Health, Kampala, Uganda.
Charlotte SummersDept of Medicine, University of Cambridge, Cambridge, UK.
Makerere University · UGMinistry of Health · UGMulago Hospital · UGPapworth Hospital NHS Foundation Trust · GBUniversity of Cambridge · GB

Funding

Wellcome TrustWellcome Trust 107742/Z/15/Z
6 · The paper itself

Abstract

introductionLimited data exist on the epidemiology of acute hypoxaemic respiratory failure (AHRF) in low-income countries (LICs). We sought to determine the prevalence of AHRF in critically ill adult patients admitted to a Ugandan tertiary referral hospital; determine clinical and treatment characteristics as well as assess factors associated with mortality. MATERIALS AND

methodsWe conducted a prospective observational study at the Mulago National Referral and Teaching Hospital in Uganda. Critically ill adults who were hospitalised at the emergency department and met the criteria for AHRF (acute shortness of breath for less than a week) were enrolled and followed up for 90 days. Multivariable analyses were conducted to determine the risk factors for death.

resultsA total of 7300 patients was screened. Of these, 327 (4.5%) presented with AHRF. The majority (60 %) was male and the median age was 38 years (IQR 27-52). The mean plethysmographic oxygen saturation (SpO

conclusionsThe prevalence of AHRF among emergency department patients in a tertiary hospital in an LIC was low but was associated with very high mortality. Pneumonia was the most common cause of AHRF. Mortality was associated with higher severity of hypoxaemia, high LIPS, anaemia, HIV co-infection, thrombocytopenia and being male.

Indexed as

Respiratory InsufficiencyAdultHumansHypoxiaMalePrevalenceProspective StudiesTertiary Care CentersARDSclinical epidemiologyrespiratory infection

Identifiers

PMID33148779
PMCPMC7643509
OpenAlexW3094907018

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.