Evidence map›Paper›PMID 34556057›Full record

ArticleBMC pulmonary medicine2021

Renaming COPD exacerbations: the UK respiratory nursing perspective.

Christine Mwasuku, Joanne King, Richard E K Russell, Mona Bafadhel

Open access · goldAbstract read
In one paragraph

Article 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

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

  1. Pooled it
  2. Article
  3. 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

4 authors at 2 institutions in 1 country.

Christine MwasukuRespiratory Medicine Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.
Joanne KingWindsor King Edward VII Hospital and Wexham Park Hospital Slough, Frimley NHS Foundation Trust, Windsor, UK.
Richard E K RussellRespiratory Medicine Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.
Mona BafadhelRespiratory Medicine Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK. mona.bafadhel@ndm.ox.ac.uk.
University of Oxford · GBWexham Park Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with COPD experience acute worsenings, termed 'exacerbations'. While other terms to describe these events have been proposed there is no consensus on terminology which has led to multiple terms being used across the UK. Respiratory nurses are part of a multi-disciplinary team managing COPD patients, however, the nursing perspective on the term 'exacerbation' is unknown.

methodsAn anonymised survey of 17 questions was sent to respiratory nurses through an email invitation link. The survey link was open for one month. The aim was to understand the nurse perspective on 'exacerbation'. Alternative terms used in the UK were compared versus the term 'exacerbation'.

resultsResponses were received from 113 nurses. The majority (88%) were female. There was no consensus on preference or meaning for the term 'exacerbation' between nurses. Less than 5% of nurses thought that patients with COPD would understand the term 'exacerbation'. In ranked order, the nurses preferred the following terms: 'flare-up', 'lung attack', 'crisis', 'exacerbation' and 'chest infection'. The term 'crisis', although new, was considered to be the term that most resonated with clinical practice.

conclusionRespiratory nurses in the UK report that the term 'exacerbation' is not fit for purpose for patients, and alternatives should be sought.

Indexed as

Disease ProgressionTerminology as TopicAttitude of Health PersonnelFemaleHumansMaleNursing StaffPulmonary Disease, Chronic ObstructiveQualitative ResearchSurveys and QuestionnairesUnited KingdomCOPD CrisisExacerbationNursesPatients

Identifiers

PMID34556057
PMCPMC8459136
OpenAlexW3200565833

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.