Evidence map›Paper›PMID 33529356›Full record

ArticleActa anaesthesiologica Scandinavica2021

Training non-intensivist doctors to work with COVID-19 patients in intensive care units.

Morten Engberg, Jan Bonde, Sigurdur T Sigurdsson, Kirsten Møller, Leizl J Nayahangan, Marianne Berntsen, Camilla T Eschen, Nicolai Haase, Søren Bache, Lars Konge and 1 more

Abstract read
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. The COVID-19 Patient in the Surgical Intensive Care Unit.The Surgical clinics of North America · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

11 authors.

Morten EngbergCopenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, Copenhagen, Denmark.ORCID 0000-0002-5241-7268
Jan BondeDepartment of Intensive Care, University of Copenhagen, Copenhagen, Denmark.
Sigurdur T SigurdssonDepartment of Intensive Care, University of Copenhagen, Copenhagen, Denmark.
Kirsten MøllerDepartment of Neuroanaesthesiology, Neuroscience Centre, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-3058-1072
Leizl J NayahanganCopenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, Copenhagen, Denmark.
Marianne BerntsenDepartment of Neuroanaesthesiology, Neuroscience Centre, Rigshospitalet, Copenhagen, Denmark.
Camilla T EschenDepartment of Cardiothoracic Anaesthesiology, University of Copenhagen, Copenhagen, Denmark.
Nicolai HaaseDepartment of Intensive Care, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-8176-404X
Søren BacheDepartment of Intensive Care, University of Copenhagen, Copenhagen, Denmark.
Lars KongeCopenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, Copenhagen, Denmark.
Lene RussellCopenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, Copenhagen, Denmark.ORCID 0000-0001-7352-8728

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to an expected surge of COVID-19 patients in need of mechanical ventilation, the intensive care capacity was doubled at Rigshospitalet, Copenhagen, in March 2020. This resulted in an urgent need for doctors with competence in working with critically ill COVID-19 patients. A training course and a theoretical test for non-intensivist doctors were developed. The aims of this study were to gather validity evidence for the theoretical test and explore the effects of the course.

methodsThe 1-day course was comprised of theoretical sessions and hands-on training in ventilator use, hemodynamic monitoring, vascular access, and use of personal protective equipment. Validity evidence was gathered for the test by comparing answers from novices and experts in intensive care. Doctors who participated in the course completed the test before (pretest), after (posttest), and again within 8 weeks following the course (retention test).

resultsFifty-four non-intensivist doctors from 15 different specialties with a wide range in clinical experience level completed the course. The test consisted of 23 questions and demonstrated a credible pass-fail standard at 16 points. Mean pretest score was 11.9 (SD 3.0), mean posttest score 20.6 (1.8), and mean retention test score 17.4 (2.2). All doctors passed the posttest.

conclusionNon-intensivist doctors, irrespective of experience level, can acquire relevant knowledge for working in the ICU through a focused 1-day evidence-based course. This knowledge was largely retained as shown by a multiple-choice test supported by validity evidence. The test is available in appendix and online.

Indexed as

Critical CarePhysiciansSARS-CoV-2AdultClinical CompetenceCOVID-19FemaleHealth Knowledge, Attitudes, PracticeHumansIntensive Care UnitsMaleMiddle AgedassessmentCOVID-19curriculumeducationICUpandemic responseskills preparationtesttrainingviral outbreak

Identifiers

PMID33529356
PMCPMC8013477

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.