Evidence map›Paper›PMID 34107929›Full record

SynthesisBMC pulmonary medicine2021

Systematic review of studies investigating ventilator associated pneumonia diagnostics in intensive care.

Basem Al-Omari, Peter McMeekin, A Joy Allen, Ahsan R Akram, Sara Graziadio, Jana Suklan, William S Jones, B Clare Lendrem, Amanda Winter, Milo Cullinan and 4 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.6field-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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Observational
  4. Guidelines for Antibiotics Prescription in Critically Ill Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Clinical Value of Bronchoscopy in Acute Respiratory Failure.Diagnostics (Basel, Switzerland) · 2021
    Review
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

14 authors at 8 institutions in 2 countries.

Basem Al-OmariCollege of Medicine and Health Sciences, Khalifa University, PO Box 127788, Abu Dhabi, UAE. basem.alomari@ku.ac.ae.ORCID http://orcid.org/0000-0002-7804-8050
Peter McMeekinSchool of Health and Life Science, University of Northumbria, Newcastle upon Tyne, UK.
A Joy AllenNIHR Newcastle In Vitro Diagnostics Co-operative, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Ahsan R AkramTranslational Healthcare Technologies Group, Centre for Inflammation Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Sara GraziadioNIHR Newcastle In Vitro Diagnostics Co-operative, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Jana SuklanNIHR Newcastle In Vitro Diagnostics Co-operative, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
William S JonesNIHR Newcastle In Vitro Diagnostics Co-operative, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
B Clare LendremNIHR Newcastle In Vitro Diagnostics Co-operative, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Amanda WinterNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Milo CullinanLaboratory Medicine, Newcastle-Upon-Tyne Hospitals Foundation Trust, Newcastle upon Tyne, UK.
Joanne GraySchool of Health and Life Science, University of Northumbria, Newcastle upon Tyne, UK.
Kevin DhaliwalTranslational Healthcare Technologies Group, Centre for Inflammation Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Timothy S WalshEdinburgh Critical Care Research Group, University of Edinburgh, Edinburgh, UK.
Thomas H CravenTranslational Healthcare Technologies Group, Centre for Inflammation Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
NIHR Leeds In Vitro Diagnostics Co-operative · GBQueen's Medical Centre · GBNorthumbria University · GBKhalifa University of Science and Technology · AELeeds and York Partnership NHS Foundation Trust · GBNewcastle upon Tyne Hospital · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Edinburgh · GB

Funding

CARB-X https://carb-x.org 4500003353
6 · The paper itself

Abstract

backgroundVentilator-associated pneumonia (VAP) is an important diagnosis in critical care. VAP research is complicated by the lack of agreed diagnostic criteria and reference standard test criteria. Our aim was to review which reference standard tests are used to evaluate novel index tests for suspected VAP.

methodsWe conducted a comprehensive search using electronic databases and hand reference checks. The Cochrane Library, MEDLINE, CINHAL, EMBASE, and web of science were searched from 2008 until November 2018. All terms related to VAP diagnostics in the intensive treatment unit were used to conduct the search. We adopted a checklist from the critical appraisal skills programme checklist for diagnostic studies to assess the quality of the included studies.

resultsWe identified 2441 records, of which 178 were selected for full-text review. Following methodological examination and quality assessment, 44 studies were included in narrative data synthesis. Thirty-two (72.7%) studies utilised a sole microbiological reference standard; the remaining 12 studies utilised a composite reference standard, nine of which included a mandatory microbiological criterion. Histopathological criteria were optional in four studies but mandatory in none.

conclusionsNearly all reference standards for VAP used in diagnostic test research required some microbiological confirmation of infection, with BAL culture being the most common reference standard used.

Indexed as

Critical CareHumansPneumonia, Ventilator-AssociatedRespiration, ArtificialCritical careDiagnosticsIntensive careVentilator-associated pneumonia

Identifiers

PMID34107929
PMCPMC8189711
OpenAlexW3171411658

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.