Evidence map›Paper›PMID 36888829›Full record

ArticleRevista Brasileira de terapia intensiva

Refusal of beds and triage of patients admitted to intensive care units in Brazil: a cross-sectional national survey.

Rafaela de Lemos Lepre, Ana Luiza Mezzaroba, Lucienne Tibery Queiroz Cardoso, Tiemi Matsuo, Cíntia Magalhães Carvalho Grion

Abstract read
In one paragraph

Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. Perceptions of intensive care triage in Australia and New Zealand in 2009 and 2023.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023
    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

5 authors.

Rafaela de Lemos LepreDepartamento de Clínica Cirúrgica, Universidade Estadual de Londrina - Londrina (PR), Brasil.ORCID http://orcid.org/0000-0001-6950-1274
Ana Luiza MezzarobaDepartamento de Clínica Médica, Universidade Estadual de Londrina - Londrina (PR), Brasil.ORCID http://orcid.org/0000-0001-7318-8276
Lucienne Tibery Queiroz CardosoDepartamento de Clínica Médica, Universidade Estadual de Londrina - Londrina (PR), Brasil.ORCID http://orcid.org/0000-0003-4507-0494
Tiemi MatsuoDepartamento de Estatística, Universidade Estadual de Londrina - Londrina (PR), Brasil.ORCID http://orcid.org/0000-0002-8582-2390
Cíntia Magalhães Carvalho GrionDepartamento de Clínica Médica, Universidade Estadual de Londrina - Londrina (PR), Brasil.ORCID http://orcid.org/0000-0001-9669-2010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo obtain data on bed refusal in intensive care units in Brazil and to evaluate the use of triage systems by professionals.

methodsA cross-sectional survey. Using the Delphi methodology, a questionnaire was created contemplating the objectives of the study. Physicians and nurses enrolled in the research network of the Associação de Medicina Intensiva Brasileira (AMIBnet) were invited to participate. A web platform (SurveyMonkey®) was used to distribute the questionnaire. The variables in this study were measured in categories and expressed as proportions. The chi-square test or Fisher's exact test was used to verify associations. The significance level was set at 5%.

resultsIn total, 231 professionals answered the questionnaire, representing all regions of the country. The national intensive care units had an occupancy rate of more than 90% always or frequently for 90.8% of the participants. Among the participants, 84.4% had already refused admitting patients to the intensive care unit due to the capacity of the unit. Half of the Brazilian institutions (49.7%) did not have triage protocols for admission to intensive beds.

conclusionsBed refusal due to high occupancy rates is common in Brazilian intensive care units. Even so, half of the services in Brazil do not adopt protocols for triage of beds.

Indexed as

Intensive Care UnitsTriageBrazilCross-Sectional StudiesHospitalizationHumans

Identifiers

PMID36888829
PMCPMC9987007

What OpenQuestion holds

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Registered trials

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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.