Evidence map›Paper›PMID 35156050›Full record

ArticleCritical care explorations2022

Initiation of a Lung Protective Ventilation Strategy in the Emergency Department: Does an Emergency Department-Based ICU Make a Difference?

Carrie E Harvey, Nathan L Haas, Chiu-Mei Chen, James A Cranford, Joseph A Hamera, Renee A Havey, Ryan E Tsuchida, Benjamin S Bassin

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 55% 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

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

  1. Pooled it
  2. 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

8 authors at 3 institutions in 1 country.

Carrie E HarveyDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Nathan L HaasDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Chiu-Mei ChenDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
James A CranfordDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Joseph A HameraDepartment of Emergency Medicine, University of Maryland, Baltimore, MD.
Renee A HaveyAdult Emergency Services, Michigan Medicine, Ann Arbor, MI.
Ryan E TsuchidaDepartment of Emergency Medicine, University of Wisconsin, Madison, WI.
Benjamin S BassinDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
University of Michigan–Ann Arbor · USUniversity of Maryland, Baltimore · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung protective ventilation (LPV) is a key component in the management of acute respiratory distress syndrome and other acute respiratory pathology. Initiation of LPV in the emergency department (ED) is associated with improved patient-centered and system outcomes, but adherence to LPV among ED patients is low. The impact of an ED-based ICU (ED-ICU) on LPV adherence is not known.

methodsThis single-center, retrospective, cohort study analyzed rates of adherence to a multifaceted LPV strategy pre- and post-implementation of an ED-ICU. LPV strategy components included low tidal volume ventilation, avoidance of severe hyperoxia and high plateau pressures, and positive end-expiratory pressure settings in alignment with best-evidence recommendations. The primary outcome was adherence to the LPV strategy at time of ED departure. RESULTS AND

conclusionsA total of 561 ED visits were included in the analysis, of which 60.0% received some portion of their emergency care in the ED-ICU. Adherence to the LPV strategy was statistically significantly higher in the ED-ICU cohort compared with the pre-ED-ICU cohort (65.8% vs 41.4%;

Indexed as

emergency medicinehyperoxiaintensive care unitmechanical ventilationquality improvementtidal volume

Identifiers

PMID35156050
PMCPMC8826963
OpenAlexW4210898725

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.