Evidence map›Paper›PMID 35907774›Full record

Observational studyEnfermedades infecciosas y microbiologia clinica (English ed.)2023

Critical patients COVID-19 has changed the management and outcomes in the ICU after 1 year of the pandemic? A multicenter, prospective, observational study.

Pablo Rama-Maceiras, Yolanda Sanduende, Manuel Taboada, María Casero, Sonsoles Leal, Rafael Pita-Romero, Ricardo Fernández, Eva López, José Antonio López, Elvira Pita and 17 more

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Enfermedades infecciosas y microbiologia clinica (English ed.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

27 authors at 8 institutions in 1 country.

Pablo Rama-MaceirasServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
Yolanda SanduendeServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Pontevedra (CHUP), Pontevedra, Spain.
Manuel TaboadaServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, A Coruña, Spain. Electronic address: manutabo@yahoo.es.
María CaseroServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain.
Sonsoles LealServicio de Anestesiología y Reanimación, Hospital POVISA, Vigo, Pontevedra, Spain.
Rafael Pita-RomeroServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo (CHUVI), Vigo, Pontevedra, Spain.
Ricardo FernándezServicio de Anestesiología y Reanimación, Hospital Universitario Lucus Augusti (HULA), Lugo, Spain.
Eva LópezServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ourense (CHUO), Ourense, Spain.
José Antonio LópezServicio de Anestesiología y Reanimación, Hospital da Mariña, Burela, Lugo, Spain.
Elvira PitaServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
Ana TubíoServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, A Coruña, Spain.
Arancha RodríguezServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain.
Marina VarelaServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Pontevedra (CHUP), Pontevedra, Spain.
Daniel CampañaServicio de Anestesiología y Reanimación, Hospital POVISA, Vigo, Pontevedra, Spain.
Carla DelgadoServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo (CHUVI), Vigo, Pontevedra, Spain.
Mónica LombardíaServicio de Anestesiología y Reanimación, Hospital Universitario Lucus Augusti (HULA), Lugo, Spain.
Eva VillarServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ourense (CHUO), Ourense, Spain.
Pilar BlancoServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
Adrián MartínezServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, A Coruña, Spain.
Ana SarmientoServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain.
Pilar DíazServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Pontevedra (CHUP), Pontevedra, Spain.
María OjeaServicio de Anestesiología y Reanimación, Hospital POVISA, Vigo, Pontevedra, Spain.
Ángel RodríguezServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo (CHUVI), Vigo, Pontevedra, Spain.
Lorena MourizServicio de Anestesiología y Reanimación, Hospital Universitario Lucus Augusti (HULA), Lugo, Spain.
Milagros CidServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Ourense (CHUO), Ourense, Spain.
Lorena RamosServicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
Teresa Seoane-PilladoThe Preventive Medicine and Public Health Sciences, University of A Coruña, A Coruña, Spain.
Complexo Hospitalario Universitario A Coruña · ESComplejo Hospitalario de Ourense · ESComplejo Hospitalario de Pontevedra · ESComplejo Hospitalario Universitario de Santiago · ESHospital Universitario Lucus Augusti · ESUniversity Hospital Complex Of Vigo · ESPovisa Hospital · ESUniversidade da Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical characteristics, treatments, and evolution of critical patients with COVID-19 pneumonia treated in Intensive Care Units (ICU) after one year of pandemic. METHODOLOGY: Multicenter, prospective study, which included critical COVID-19 patients in 9 ICUs in northwestern Spain. The clinical characteristics, treatments, and evolution of patients admitted to the ICU during the months of March-April 2020 (period 1) were compared with patients admitted in January-February 2021 (period 2).

results337 patients were included (98 in period 1 and 239 in period 2). In period 2, fewer patients required invasive mechanical ventilation (IMV) (65% vs 84%, p < 0.001), using high-flow nasal cannulas (CNAF) more frequently (70% vs 7%, p < 0.001), ventilation non-invasive mechanical (NIMV) (40% vs 14%, p < 0.001), corticosteroids (100% vs 96%, p = 0.007) and prone position in both awake (42% vs 28%, p = 0.012), and intubated patients (67% vs 54%, p = 0.034). The days of IMV, ICU stay and hospital stay were lower in period 2. Mortality was similar in the two periods studied (16% vs 17%).

conclusionsAfter 1 year of pandemic, we observed that in patients admitted to the ICU, CNAF, NIMV, use of the prone position, and corticosteroids have been used more frequently, reducing the number of patients in IMV, and the length of stay in the ICU and hospital stay. Mortality was similar in the two study periods.

Indexed as

COVID-19HumansIntensive Care UnitsPandemicsProspective StudiesSARS-CoV-2Acute respiratory distress syndrome (ARDS)CorticoidesCorticosteroidsCOVID-19Critical patientsDecúbito pronoPacientes críticosProne positionSARS-CoV-2Síndrome de distrés respiratorio agudo (SDRA)

Identifiers

PMID35907774
PMCPMC9903149
OpenAlexW3183294545

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.