Evidence map›Paper›PMID 34567395›Full record

ArticleThe Neurohospitalist2021

Preparing Neurology Residents and Advanced Practice Providers for the COVID-19 ICU-A Neurocritical Care Led Intervention.

Judy H Ch'ang, Jenna Ford, Laura Cifrese, Elliott Woodward, Jennifer Mears, Rachel Lowrie, Chloe Holland, Aaron Kaplan, Cenai Zhang, Elan L Guterman

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Judy H Ch'angDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA.ORCID https://orcid.org/0000-0001-9017-9830
Jenna FordDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA.
Laura CifreseDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA.
Elliott WoodwardDepartment of Anesthesiology, University of California, San Francisco, San Francisco, CA, USA.
Jennifer MearsDepartment of Neurology, New York-Presbyterian Hospital-Weill Cornell, New York, NY, USA.
Rachel LowrieDepartment of Neurosurgery, New York-Presbyterian Hospital-Weill Cornell, New York, NY, USA.
Chloe HollandDepartment of Neurosurgery, New York-Presbyterian Hospital-Weill Cornell, New York, NY, USA.
Aaron KaplanDepartment of Neurology, New York-Presbyterian Hospital-Weill Cornell, New York, NY, USA.
Cenai ZhangBrain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.
Elan L GutermanDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.

Funding

The Care Ecosystem: Navigating patients and caregivers through stages of dementia careR01AG056715 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2017 to 2021
$6.0M
Prehospital Management of Status EpilepticusK23NS116128 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUTERMAN, ELAN · 2020 to 2024
$1.1M
NIA NIH HHS R01 AG056715NINDS NIH HHS K23 NS116128
6 · The paper itself

Abstract

background and purposeWith the surge of critically ill COVID-19 patients, neurology and neurosurgery residents and advanced practice providers (APPs) were deployed to intensive care units (ICU). These providers lacked relevant critical care training. We investigated whether a focused video-based learning curriculum could effectively teach high priority intensive care topics in this unprecedented setting to these neurology providers.

methodsNeurocritical care clinicians led a multidisciplinary team in developing a 2.5-hour lecture series covering the critical care management of COVID-19 patients. We examined whether provider confidence, stress, and knowledge base improved after viewing the lectures.

resultsA total of 88 residents and APPs participated across 2 academic institutions. 64 participants (73%) had not spent time as an ICU provider. After viewing the lecture series, the proportion of providers who felt moderately, quite, or extremely confident increased from 11% to 72% (60% difference, 95% CI 49-72%) and the proportion of providers who felt nervous/stressed, very nervous/stressed, or extremely nervous/stressed decreased from 78% to 48% (38% difference, 95% CI 26-49%). Scores on knowledge base questions increased an average of 2.5 out of 12 points (SD 2.1; p < 0.001).

conclusionA targeted, asynchronous curriculum on critical care COVID-19 management led to significantly increased confidence, decreased stress, and improved knowledge among resident trainees and APPs. This curriculum could serve as an effective didactic resource for neurology providers preparing for the COVID-19 ICU.

Indexed as

COVID-19critical carecurriculumneurologysevere acute respiratory syndrome coronavirus 2

Identifiers

PMID34567395
PMCPMC8442159

What OpenQuestion holds

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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.