Evidence map›Paper›PMID 36716353›Full record

ArticleAmerican journal of respiratory and critical care medicine2023

Technical Innovation in Critical Care in a World of Constraints: Lessons from the COVID-19 Pandemic.

Armand Mekontso Dessap, Jean-Christophe Marie Richard, Tim Baker, Aurélie Godard, Guillaume Carteaux

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06051526 (The African Critical Illness Outcomes Study), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

NCT06051526 completednot on this map

The African Critical Illness Outcomes Study

TypeobservationalSponsorUniversity of Cape TownRan2023 to 2024Enrolled20,159ConditionsCritical Illness, Mortality
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Renal Replacement Therapy in a World of Constraints: Lessons from the COVID-19 Pandemic.American journal of respiratory and critical care medicine · 2023
    Article
  11. Reply to: GaudryAmerican journal of respiratory and critical care medicine · 2023
    Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Armand Mekontso DessapService de Médecine Intensive Réanimation, AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.ORCID 0000-0001-5961-5577
Jean-Christophe Marie RichardVent'Lab, Medical ICU, Angers University Hospital, University of Angers, Angers, France.
Tim BakerEmergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Aurélie GodardMédecins Sans Frontières - Centre Opérationel Paris, Paris, France.
Guillaume CarteauxService de Médecine Intensive Réanimation, AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.ORCID 0000-0003-1175-8821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 crisis was characterized by a massive need for respiratory support, which has unfortunately not been met globally. This situation mimicked those which gave rise to critical care in the past. Since the polio epidemic in the 50's, the technological evolution of respiratory support has enabled health professionals to save the lives of critically-ill patients worldwide every year. However, much of the current innovation work has turned around developing sophisticated, complex, and high-cost standards and approaches whose resilience is still questionable upon facing constrained environments or contexts, as seen in resuscitation work outside intensive care units, during pandemics, or in low-income countries. Ventilatory support is an essential life-saving tool for patients with respiratory distress. It requires an oxygen source combined to a ventilatory assistance device, an adequate monitoring system, and properly trained caregivers to operate it. Each of these elements can be subject to critical constraints, which we can no longer ignore. The innovation process should incorporate them as a

Indexed as

COVID-19Critical CareHumansIntensive Care UnitsOxygenPandemicsOxygenconstraintCOVID-19frugalinnovationrespiratory support

Identifiers

PMID36716353
PMCPMC10161748

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.