Evidence map›Paper›PMID 35615242›Full record

ArticleJournal of the Intensive Care Society2022

Critical care transfers and COVID-19: Managing capacity challenges through critical care networks.

Eleanor Pett, Hai Lin Leung, Emily Taylor, Martin Shao Foong Chong, Teddy Tun Win Hla, Giulia Sartori, Vivian Sathianathan, Tariq Husain, Ganesh Suntharalingam, Alexander Rosenberg and 2 more

Abstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Critical care and pandemic preparedness and response.British journal of anaesthesia · 2023
    Review
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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

12 authors.

Eleanor PettNorth West London Critical Care Network, London, UK.ORCID https://orcid.org/0000-0002-6206-3539
Hai Lin LeungNorth West London Critical Care Network, London, UK.
Emily TaylorNorth West London Critical Care Network, London, UK.
Martin Shao Foong ChongDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.
Teddy Tun Win HlaDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.
Giulia SartoriDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.ORCID https://orcid.org/0000-0003-2867-9193
Vivian SathianathanDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.
Tariq HusainDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.
Ganesh SuntharalingamDepartment of Anaesthesia and Intensive Care, Northwick Park Hospital, Harrow, UK.ORCID https://orcid.org/0000-0002-5165-3277
Alexander RosenbergDepartment of Anaesthesia and Intensive Care, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
Angela WalshNorth West London Critical Care Network, London, UK.
Timothy WigmoreNorth West London Critical Care Network, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The intensive care units in North West London are part of one of the oldest critical care networks in the UK, forming a mature and established strategic alliance to share resources, experience and knowledge for the benefit of its patients. North West London saw an early surge in COVID-19 admissions, which urgently threatened the capacity of some of its intensive care units even before the UK government announced lockdown. The pre-existing relationships and culture within the network allowed its members to unite and work rapidly to develop agile and innovative solutions, protecting any individual unit from becoming overwhelmed, and ultimately protecting its patients. Within a short 50-day period 223 patients were transferred within the network to distribute pressures. This unprecedented number of critical care transfers, combined with the creation of extra capacity and new pathways, allowed the region to continue to offer timely and unrationed access to critical care for all patients who would benefit from admission. This extraordinary response is a testament to the power and benefits of a regionally networked approach to critical care, and the lessons learned may benefit other healthcare providers, managers and policy makers, especially in regions currently facing new outbreaks of COVID-19.

Indexed as

COVID-19critical care capacityCritical care networkemergency preparednesstransfer medicine

Identifiers

PMID35615242
PMCPMC9125445

What OpenQuestion holds

Textmetadata
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.