Evidence map›Paper›PMID 33837183›Full record

ArticleSpinal cord series and cases2021

Transcutaneous electrical diaphragmatic stimulation reduces the duration of invasive mechanical ventilation in patients with cervical spinal cord injury: retrospective case series.

Gregory Lui Duarte, Aldrin Lucas Bethiol, Ligia Dos Santos Roceto Ratti, Gabriel Franco, Rui Moreno, Rodrigo Marques Tonella, Antonio Luis Eiras Falcão

Open access · bronzeAbstract read
In one paragraph

Article in Spinal cord series and cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Review
  8. Regulation of Human Respiration by Electrical Stimulation.Journal of evolutionary biochemistry and physiology · 2022
    Article
  9. Article
  10. 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

7 authors at 4 institutions in 2 countries.

Gregory Lui DuarteIntensive Care Unit, Campinas State University-UNICAMP, Campinas, SP, Brazil. gregoryluiduarte@hotmail.com.ORCID 0000-0003-2070-9124
Aldrin Lucas BethiolHospital Sancta Maggiore de Pinheiros, São Paulo, SP, Brazil.
Ligia Dos Santos Roceto RattiClinical Hospital of Campinas State University, Campinas, SP, Brazil.
Gabriel FrancoDepartment of Statistics, Campinas State University-UNICAMP, Campinas, SP, Brazil.
Rui MorenoNeurocritical and Trauma Intensive Care Unit, Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Nova Medical School, Lisbon, Portugal.
Rodrigo Marques TonellaDepartment of Physiotherapy, School of Physical Education, Physiotherapy and Occupational Therapy-EEFFTO-Federal University of Minas Gerais-UFMG, Belo Horizonte, Minas Gerais, Brazil.
Antonio Luis Eiras FalcãoDepartment of Surgery, School of Medical Sciences, Campinas State University-UNICAMP, Campinas, SP, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BRHospital de São José · PTHospital do Coração · BRUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective case series.

objectivesTo compare individuals with cervical spinal cord injury (SCI) submitted to transcutaneous electrical diaphragmatic stimulation (TEDS) or a standard weaning protocol (SWP) according to the following variables: invasive mechanical ventilation (IMV) time, ventilator weaning time, intensive care unit (ICU) length of stay, and overall hospital length of stay. SETTINGS: Tertiary university hospital. Clinical Hospital of Campinas State University-UNICAMP-Campinas (SP), Brazil.

methodsRetrospective case study investigating ICU patients submitted to tracheostomy due to cervical SCI at a tertiary university hospital (Clinical Hospital of Campinas State University, Brazil). Data were extracted from medical records of patients seen between January 2007 and December 2016. According to medical records, four patients were submitted to TEDS and six to a SWP. Provision of training to patients in the TEDS group was based on consensus medical decision, preference of the physical therapy team and availability of electrostimulation equipment in the ICU.

resultsTotal IMV time in the TEDS and the SWP group was 33 ± 15 and 60 ± 22 days, respectively. Length of stay in ICU in the TEDS and the SWP group was 31 ± 18 and 63 ± 45 days, respectively.

conclusionTEDS appears to influence the duration of IMV as well as the length of stay in ICU. This physiotherapeutic intervention may be a potentially promising tool for treatment of patients with SCI. However, randomized clinical trials are warranted to support this assumption.

Indexed as

Cervical CordRespiration, ArtificialHumansIntensive Care UnitsRetrospective StudiesVentilator Weaning

Identifiers

PMID33837183
PMCPMC8033093
OpenAlexW3147268274

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.