Evidence map›Paper›PMID 35112100›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Development and efficacy testing of a portable negative pressure enclosure for airborne infection containment.

Benjamin S Roth, Phillip Moschella, Ehsan S Mousavi, Amanda S LeMatty, Robert J Falconer, Noah D Ashley, Ali Mohammadi Nafchi, Chris Gaafary, John D DesJardins

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. 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
0.6field-weighted citation impact, top 33% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
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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

9 authors at 2 institutions in 1 country.

Benjamin S RothPrisma Health Upstate University of South Carolina School of Medicine Greenville Greenville South Carolina USA.ORCID https://orcid.org/0000-0001-9339-6523
Phillip MoschellaPrisma Health Upstate University of South Carolina School of Medicine Greenville Greenville South Carolina USA.
Ehsan S MousaviDepartment of Construction Science and Management Clemson University Clemson South Carolina USA.
Amanda S LeMattyDepartment of Bioengineering Clemson University Clemson South Carolina USA.
Robert J FalconerDepartment of Bioengineering Clemson University Clemson South Carolina USA.
Noah D AshleyDepartment of Bioengineering Clemson University Clemson South Carolina USA.
Ali Mohammadi NafchiDepartment of Construction Science and Management Clemson University Clemson South Carolina USA.
Chris GaafaryPrisma Health Upstate University of South Carolina School of Medicine Greenville Greenville South Carolina USA.
John D DesJardinsDepartment of Bioengineering Clemson University Clemson South Carolina USA.
Clemson University · USPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo overcome the shortage of personal protective equipment and airborne infection isolation rooms (AIIRs) in the COVID-19 pandemic, a collaborative team of research engineers and clinical physicians worked to build a novel negative pressure environment in the hopes of improving healthcare worker and patient safety. The team then sought to test the device's efficacy in generating and maintaining negative pressure. The goal proved prescient as the US Food and Drug Administration (FDA) later recommended that all barrier devices use negative pressure.

methodsInitially, engineers observed simulations of various aerosol- and droplet-generating procedures using hospital beds and stretchers to determine the optimal working dimensions of the containment device. Several prototypes were made based on these dimensions which were combined with filters and various flow-generating devices. Then, the airflow generated and the pressure differential within the device during simulated patient care were measured, specifically assessing its ability to create a negative pressure environment consistent with standards published by the Centers for Disease Control and Prevention (CDC).

resultsThe portable fans were unable to generate any airflow and were dropped from further testing. The vacuums tested were all able to generate a negative pressure environment with the magnitude of pressure differential increasing with the vacuum horsepower. Only the 3.5-horsepower Shop-Vac, however, generated a -3.0 pascal (Pa) pressure gradient, exceeding the CDC-recommended minimum of -2.5 Pa for AIIRs.

conclusionA collaborative team of physicians and engineers demonstrated the efficacy of a prototype portable negative pressure environment, surpassing the negative pressure differential recommended by the CDC.

Indexed as

clinical engineeringCOVID‐19medical device designnegative pressure isolationnegative pressure podspersonal protective equipmentprotective devices

Identifiers

PMID35112100
PMCPMC8783378
OpenAlexW4207049345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.