Evidence map›Paper›PMID 36671377›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Infection-Related Ventilator-Associated Complications in Critically Ill Patients with Trauma: A Retrospective Analysis.

Emanuele Russo, Marta Velia Antonini, Andrea Sica, Cristian Dell'Amore, Costanza Martino, Emiliano Gamberini, Luca Bissoni, Alessandro Circelli, Giuliano Bolondi, Domenico Pietro Santonastaso and 4 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Observational
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

14 authors at 4 institutions in 1 country.

Emanuele RussoAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0002-6531-5527
Marta Velia AntoniniAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0003-4276-3404
Andrea SicaAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0002-8072-4492
Cristian Dell'AmoreAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0001-9256-0942
Costanza MartinoAnesthesia and Intensive Care Unit, Umberto I Hospital, AUSL Romagna, 48022 Lugo, Italy.
Emiliano GamberiniAnesthesia and Intensive Care Unit, Infermi Hospital, AUSL della Romagna, 47923 Rimini, Italy.ORCID 0000-0001-9403-5244
Luca BissoniAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.
Alessandro CircelliAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.
Giuliano BolondiAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0002-5627-8445
Domenico Pietro SantonastasoAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.
Francesco CristiniInfectious Diseases Unit, Forlì-Cesena Hospitals, AUSL Romagna, 47121 Forlì-Cesena, Italy.ORCID 0000-0001-8643-2565
Luigi RaumerInfectious Diseases Unit, Forlì-Cesena Hospitals, AUSL Romagna, 47121 Forlì-Cesena, Italy.
Fausto CatenaDepartment of Emergency Surgery and Trauma, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.ORCID 0000-0001-5558-9965
Vanni AgnolettiAnesthesia and Intensive Care Unit, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.
Ospedale “M. Bufalini” di Cesena · ITAzienda-Unita' Sanitaria Locale Di Cesena · ITOspedale Infermi di Rimini · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma is a leading cause of death and disability. Patients with trauma undergoing invasive mechanical ventilation (IMV) are at risk for ventilator-associated events (VAEs) potentially associated with a longer duration of IMV and increased stay in the intensive care unit (ICU).

methodsWe conducted a retrospective cohort study aimed to evaluate the incidence of infection-related ventilator-associated complications (IVACs), possible ventilator-associated pneumonia (PVAP), and their characteristics among patients experiencing severe trauma that required ICU admission and IMV for at least four days. We also determined pathogens implicated in PVAP episodes and characterized the use of antimicrobial therapy.

resultsIn total, 88 adult patients were included in the main analysis. In this study, we observed that 29.5% of patients developed a respiratory infection during ICU stay. Among them, five patients (19.2%) suffered from respiratory infections due to multi-drug resistant bacteria. Patients who developed IVAC/PVAP presented lower total GCS (median value, 7; (IQR, 9) vs. 12.5, (IQR, 8);

conclusionsWe observed that less than one-third of trauma patients fulfilling criteria for ventilator associated events developed a respiratory infection during the ICU stay.

Indexed as

anti-infective agentsantimicrobial stewardshipintensive care unitmechanical ventilatorstraumatraumatic brain injuryventilator associated pneumonia

Identifiers

PMID36671377
PMCPMC9854794
OpenAlexW4316466216

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.