Evidence map›Paper›PMID 36451285›Full record

ArticleInfection control and hospital epidemiology2023

Bloodstream infection and ventilator-associated pneumonia in patients with coronavirus disease 2019 (COVID-19) supported by extracorporeal membrane oxygenation.

Charlie Tan, Susy S Hota, Eddy Fan, Krista Marquis, Elisa Vicencio, Alon Vaisman

Open access · hybridAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  6. Journal of clinical medicine · 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

6 authors at 2 institutions in 1 country.

Charlie TanDivision of Infectious Diseases, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-0763-4132
Susy S HotaDivision of Infectious Diseases, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3911-7033
Eddy FanInterdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada.
Krista MarquisInfection Prevention and Control, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-1740-3610
Elisa VicencioInfection Prevention and Control, University Health Network, Toronto, Ontario, Canada.
Alon VaismanDivision of Infectious Diseases, University of Toronto, Toronto, Ontario, Canada.
University Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExtracorporeal membrane oxygenation (ECMO) has been widely used in the care of patients with respiratory failure from coronavirus disease 2019 (COVID-19). We characterized bloodstream infections (BSIs) and ventilator-associated pneumonias (VAPs) in COVID-19 patients supported with ECMO, and we investigated their impact on patient outcomes.

designRetrospective cohort study from March 1, 2020, to June 30, 2021.

settingAcademic tertiary-care referral center. PATIENTS: Consecutive adult patients admitted for COVID-19 who received ECMO.

methodsWe identified BSIs and VAPs and described their epidemiology and microbiology. Cumulative antimicrobial use and the specific management of BSIs were determined. Multivariate time-dependent Cox proportional hazards models were constructed to evaluate the impact of BSIs and VAPs on mortality, controlling for age, receipt of COVID-19-specific therapeutics, and new renal replacement therapy.

resultsWe identified 136 patients who received ECMO for COVID-19 pneumonia during the study period. BSIs and VAPs occurred in 81 patients (59.6%) and 93 patients (68.4%), respectively. The incidence of BSIs was 29.5 per 1,000 ECMO days and increased with duration of ECMO cannulation. Enterococci, Enterobacterales, and

conclusionsBSIs and VAPs are common in COVID-19 ECMO-supported patients. Efforts to optimize their diagnosis, prevention, and management should be prioritized.

Indexed as

COVID-19Extracorporeal Membrane OxygenationPneumonia, Ventilator-AssociatedSepsisAdultHumansRetrospective StudiesStaphylococcus aureus

Identifiers

PMID36451285
PMCPMC10507515
OpenAlexW4310526126

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.