Evidence map›Paper›PMID 34362146›Full record

ArticleJournal of clinical medicine2021

A Nationwide Cross-Sectional Online Survey on the Treatment of COVID-19-ARDS: High Variance in Standard of Care in German ICUs.

Steffen Dickel, Clemens Grimm, Maria Popp, Claudia Struwe, Alexandra Sachkova, Martin Golinski, Christian Seeber, Falk Fichtner, Daniel Heise, Peter Kranke and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. 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

16 authors at 5 institutions in 1 country.

Steffen DickelDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.ORCID 0000-0002-1404-785X
Clemens GrimmDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.ORCID 0000-0002-2903-8454
Maria PoppDepartment of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, 97080 Wuerzburg, Germany.ORCID 0000-0002-1155-3060
Claudia StruweDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.
Alexandra SachkovaDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.
Martin GolinskiDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.
Christian SeeberDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Leipzig, 04103 Leipzig, Germany.
Falk FichtnerDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Leipzig, 04103 Leipzig, Germany.
Daniel HeiseDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.
Peter KrankeDepartment of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, 97080 Wuerzburg, Germany.ORCID 0000-0001-5324-981X
Winfried MeissnerDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Jena, 07743 Jena, Germany.ORCID 0000-0003-2982-7696
Sven LaudiDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Leipzig, 04103 Leipzig, Germany.
Sebastian Voigt-RadloffInstitute for Evidence in Medicine, Faculty of Medicine and Medical Center, University of Freiburg, 79106 Freiburg, Germany.
Joerg MeerpohlInstitute for Evidence in Medicine, Faculty of Medicine and Medical Center, University of Freiburg, 79106 Freiburg, Germany.ORCID 0000-0002-1333-5403
Onnen MoererDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Göttingen, 37085 Göttingen, Germany.ORCID 0000-0002-4210-388X
On Behalf Of The German CEOsys Study Group
Universitätsmedizin Göttingen · DEUniversity Hospital Leipzig · DEUniversitätsklinikum Würzburg · DEUniversity of Freiburg · DEJena University Hospital · DE

Funding

Nationales Forschungsnetzwerk der Universitätsmedizin (NUM)) by the Federal Ministry of Education 341 and Research of Germany (Bundesministerium für Bildung und Forschung (BMBF) FKZ 01KX2021 CEOsys
6 · The paper itself

Abstract

introductionCoronavirus disease (COVID-19) has recently dominated scientific literature. Incomplete understanding and a lack of data concerning the pathophysiology, epidemiology, and optimal treatment of the disease has resulted in conflicting recommendations. Adherence to existing guidelines and actual treatment strategies have thus far not been studied systematically. We hypothesized that capturing the variance in care would lead to the discovery of aspects that need further research and-in case of proven benefits of interventions not being performed-better communication to care providers.

methodsThis article is based on a quantitative and qualitative cross-sectional mixed-methods online survey among intensive-care physicians in Germany during the COVID-19 pandemic by the CEOsys (COVID-19 Evidence Ecosystem) network, endorsed by the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) conducted from December 3 to 31 December 2020.

resultsWe identified several areas of care with an especially high variance in treatment among hospitals in Germany. Crucially, 51.5% of the participating ICUs (

conclusionsWe found that significant differences exist between reported treatment strategies and that adherence to published guidelines is variable. We describe necessary steps for future research based on our results highlighting significant clinical variability in care.

Indexed as

COVID-19ICUPEEPtracheotomyvariance of careventilation

Identifiers

PMID34362146
PMCPMC8347152
OpenAlexW3183454460

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.