Evidence map›Paper›PMID 34535241›Full record

ArticleAir medical journal

The State of Neonatal and Pediatric Interfacility Transport During the Coronavirus Disease 2019 Pandemic.

Michael H Stroud, Franscesca F Miquel-Verges, Ranna A Rozenfeld, Robert G Holcomb, Clare C Brown, Keith Meyer

Abstract read
In one paragraph

Article in Air medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
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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

6 authors.

Michael H StroudUniversity of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR. Electronic address: stroudmichaelh@uams.edu.
Franscesca F Miquel-VergesUniversity of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR.
Ranna A RozenfeldThe Warren Alpert Medical School, Brown University, Hasbro Children's Hospital, Providence, RI.
Robert G HolcombOverland Park Regional Medical Center, Overland Park, KS.
Clare C BrownFay W Boozman College of Public Health, Department of Health Policy and Management, University of Arkansas for Medical Sciences, Little Rock, AR.
Keith MeyerFIU Herbert Wertheim College of Medicine, Nicklaus Children's Hospital, Miami, FL.

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
NCATS NIH HHS UL1 TR003107
6 · The paper itself

Abstract

objectiveThe coronavirus disease 2019 (COVID-19) pandemic has altered the provision of health care, including interfacility transport of critically ill neonatal and pediatrics patients. Transport medicine faces unique challenges in the care of persons infected with the severe acute respiratory syndrome coronavirus 2. In particular, the multitude of providers, confined spaces for prolonged time periods, varying modes (ground, rotor wing, and fixed wing) of transport, and the need for frequent aerosol-generating procedures place transport personnel at high risk. This study describes the clinical practices, personal protective equipment, and potential exposure risks of a large cohort of neonatal and pediatric interfacility transport teams.

methodsData for this study came from a survey distributed to members of the American Academy of Pediatrics Section on Transport Medicine.

resultsFifty-four teams responded, and 47 reported transporting COVID-19-positive patients. Among the 47 teams, 25% indicated having at least 1 team member convert to COVID-19 positive. A small percentage of teams (40% ground, 40% fixed wing, and 18% rotor wing) reported allowing parental accompaniment during transport. There was no difference in teams with a positive team member among those that do (26%) and do not (25%) allow parents. There was a higher percentage of teams with a positive team member among teams that intubate (32% vs. 0%) and place laryngeal mask airways (34% vs. 0%) during transport.

conclusionOur study shows that exceptional care during interfacility transport, including a family-centered approach, can continue during the COVID-19 pandemic. Teams must take steps to protect themselves, as well as the patients and families they serve, in order to mitigate the transmission of the SARS-CoV-2 virus.

Indexed as

COVID-19PediatricsChildHumansInfant, NewbornPandemicsSARS-CoV-2Transportation of PatientsUnited States

Identifiers

PMID34535241
PMCPMC8106880

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Registered trials

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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.