Evidence map›Paper›PMID 33834169›Full record

ArticleCritical care explorations2021

Automated Near Real-Time Ventilator Data Feedback Reduces Incidence of Ventilator-Associated Events: A Retrospective Observational Study.

Harold Julius Augustus Oglesby, Steven H Cataldo, Michael J Pedro

Abstract read
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Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Harold Julius Augustus OglesbyDepartment of Respiratory Therapy, St. Joseph's Candler Hospital System, Savannah, GA.
Steven H CataldoDepartment of Anesthesiology, CareMount Medical, P.C., Mount Kisco, NY.
Michael J PedroDepartment of Anesthesiology, Southern New Hampshire Medical Center, Nashua, NH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCritical care teams are encouraged to follow best practice protocols to help wean mechanically ventilated patients from the ventilator to reduce ventilator-associated events including ventilator-associated conditions, probable ventilator-associated pneumonias, and infection-related ventilator-associated conditions. Providers monitor for alerts suggestive of possible ventilator-associated events and advise when patients should undergo spontaneous breathing trials. Compliance with protocols in most units is suboptimal.

designRetrospective review of clinical data over 24 months.

settingSt. Joseph Mercy Hospital Candler Hospital Medical-Surgical ICU. PATIENTS: All mechanically ventilated patients.

interventionsThe Respiratory Knowledge Portal was implemented in our ICU. For 13 months, Respiratory Knowledge Portal data were ported to ICU workstations (control). For the following 11 months, Respiratory Knowledge Portal data were also presented on tablet computers (intervention) for use during multidisciplinary rounds. We performed a retrospective review of Respiratory Knowledge Portal data from before and after the implementation of the tablet computers. MEASUREMENTS AND MAIN

resultsData were collected from 337 patients (187 control group, 150 intervention group). A decrease in the occurrence of ventilator-associated events was observed during the intervention group compared with the control group. Only 2.0% of patients in the intervention group experienced any category of ventilator-associated event, while 11.2% of patients in the control group experienced one event (

conclusionsFewer ventilator-associated events, ventilator-associated conditions, infection-related ventilator-associated conditions, and probable ventilator-associated pneumonias were seen during the period when Respiratory Knowledge Portal monitoring data was presented on tablet computers. There was no difference in time on ventilator nor overall length of stay.

Indexed as

length of staymechanical ventilationspontaneous breathing trialventilator-associated eventventilator-associated pneumoniaweaning

Identifiers

PMID33834169
PMCPMC8021382

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