Evidence map›Paper›PMID 34705947›Full record

ArticleEinstein (Sao Paulo, Brazil)2021

Who is going to turn on the ventilators?

Marcelo Cunio Machado Fonseca, Gabriela Tannus Branco de Araújo, Fulvio Alexandre Scorza, Paulo Sérgio Lucas da Silva, Teresa Raquel de Moraes Andrade, Daniela Farah, Dayan Sansone

Abstract read
In one paragraph

Article in Einstein (Sao Paulo, Brazil), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

7 authors.

Marcelo Cunio Machado FonsecaEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-0803-3715
Gabriela Tannus Branco de AraújoEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5324-2762
Fulvio Alexandre ScorzaEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0694-8674
Paulo Sérgio Lucas da SilvaHospital do Servidor Público Municipal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-7284-1683
Teresa Raquel de Moraes AndradeEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-6137-3658
Daniela FarahEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-9727-9460
Dayan SansoneEscola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2924-4936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the COVID-19 pandemic in Brazil, a continental-sized country, considered as an emerging economy but with several regional nuances, focusing on the availability of human resources, especially for intensive care units.

methodsThe database of the National Registry of Health Facilities was accessed. Healthcare professionals in the care of COVID-19 were georeferenced. We correlated the number of professionals with the parameters used by the World Health Organization. According to the Brazilian Intensive Care Medicine Association, we correlated the data for adult intensive care unit beds in each state with the number of professionals for each ten intensive care unit beds. The number of professionals, beds, and cases were then organized by state.

resultsThe number of physicians per 100 thousand inhabitants followed the World Health Organization recommendations; however, the number of nurses did not. The number of intensivists, registered nurses, nurse technicians specialized in intensive care, and respiratory therapists, necessary for every ten intensive care beds, was not enough for any of these professional categories. A complete team of critical care specialists was available for 10% of intensive care unit beds in Brazil.

conclusionThere is a shortage of professionals for intensive care unit, as we demonstrated for Brazil. Intensive care physical resources to be efficiently used require extremely specialized human resources; therefore, planning human resources is just as crucial as planning physical and structural resources.

Indexed as

COVID-19PandemicsAdultHumansIntensive Care UnitsSARS-CoV-2Ventilators, Mechanical

Identifiers

PMID34705947
PMCPMC8522706

What OpenQuestion holds

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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.