Evidence map›Paper›PMID 37191845›Full record

ArticleJournal of Korean medical science2023

The Profile of Early Sedation Depth and Clinical Outcomes of Mechanically Ventilated Patients in Korea.

Dong-Gon Hyun, Jee Hwan Ahn, Ha-Yeong Gil, Chung Mo Nam, Choa Yun, Jae-Myeong Lee, Jae Hun Kim, Dong-Hyun Lee, Ki Hoon Kim, Dong Jung Kim and 24 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

34 authors at 4 institutions in 4 countries.

Dong-Gon Hyun *Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5434-2223
Jee Hwan Ahn *Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6653-998X
Ha-Yeong GilMedical Research Project Team, IM Medical, Pfizer Korea Pharmaceuticals Limited Company, Seoul, Korea.ORCID https://orcid.org/0000-0001-6645-6594
Chung Mo NamDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0985-0928
Choa YunDivision of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5541-1662
Jae-Myeong LeeDivision of Acute Care Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5494-0653
Jae Hun KimDepartment of Trauma and Surgical Critical Care and Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-4504-9898
Dong-Hyun LeeDepartment of Intensive Care Medicine, Dong-A University Hospital, Busan, Korea.ORCID https://orcid.org/0000-0001-6253-3396
Ki Hoon KimDepartment of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-2008-7572
Dong Jung KimDepartment of Thoracic & Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0003-0332-3430
Sang-Min LeeDepartment of Critical Care Medicine, Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-1388-9318
Ho-Geol RyuDepartment of Critical Care Medicine, Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8952-6049
Suk-Kyung HongDepartment of Acute Care Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5698-0122
Jae-Bum KimDepartment of Thoracic and Cardiovascular Surgery, Keimyung University School of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0002-8820-9866
Eun Young ChoiDivision of Pulmonology and Allergy, Department of Internal Medicine, Regional Center for Respiratory Diseases, Yeungnam University Medical Center, College of Medicine, Yeungnam University, Daegu, Korea.ORCID https://orcid.org/0000-0003-2974-5447
JongHyun BaekDepartment of Thoracic and Cardiovascular Surgery, Yeungnam University Medical Center, College of Medicine, Yeungnam University, Daegu, Korea.ORCID https://orcid.org/0000-0001-6430-0035
Jeoungmin KimDivision of Critical Care Medicine, Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0468-8012
Eun Jin KimDepartment of Internal Medicine, Daegu Catholic University Medical Center, Daegu Catholic University School of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0001-9791-8077
Tae Yun ParkDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-4142-2755
Je Hyeong KimDepartment of Critical Care Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.ORCID https://orcid.org/0000-0002-8995-7460
Sunghoon ParkDepartment of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0001-7004-6985
Chi-Min ParkDepartment of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8496-3546
Won Jai JungDepartment of Pulmonary, Allergy, and Critical Care Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4124-1770
Nak-Jun ChoiDivision of Acute Care Surgery, Department of Surgery, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-7390-4364
Hang-Jea JangDepartment of Internal Medicine, Inje University Haeundae Paik Hospital, Busan, Korea.ORCID https://orcid.org/0000-0001-7733-4365
Su Hwan LeeDivision of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3487-2574
Young Seok LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0144-2033
Gee Young SuhDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5473-1712
Woo-Sung ChoiDepartment of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0002-0011-0985
Keu Sung LeeDepartment of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0001-9748-9225
Hyung Won KimDivision of Acute Care Surgery, Department of Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0003-2329-2248
Young-Gi MinDepartment of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0003-0478-3789
Seok Jeong LeeDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID https://orcid.org/0000-0001-6648-5985
Chae-Man LimDepartment of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. cmlim@amc.seoul.kr.ORCID https://orcid.org/0000-0001-5400-6588
Ulsan College · KRSeoul National University · KRYeungnam University Medical Center · KRYonsei University · KR

Funding

Pfizer Korea Pharmaceuticals Limited Company
6 · The paper itself

Abstract

backgroundCurrent international guidelines recommend against deep sedation as it is associated with worse outcomes in the intensive care unit (ICU). However, in Korea the prevalence of deep sedation and its impact on patients in the ICU are not well known.

methodsFrom April 2020 to July 2021, a multicenter, prospective, longitudinal, noninterventional cohort study was performed in 20 Korean ICUs. Sedation depth extent was divided into light and deep using a mean Richmond Agitation-Sedation Scale value within the first 48 hours. Propensity score matching was used to balance covariables; the outcomes were compared between the two groups.

resultsOverall, 631 patients (418 [66.2%] and 213 [33.8%] in the deep and light sedation groups, respectively) were included. Mortality rates were 14.1% and 8.4% in the deep and light sedation groups (

conclusionIn many Korean ICUs, early deep sedation was highly prevalent in mechanically ventilated patients and was associated with delayed extubation, but not prolonged ICU stay or in-hospital death.

Indexed as

DeliriumHypnotics and SedativesCohort StudiesHospital MortalityHumansIntensive Care UnitsProspective StudiesRepublic of KoreaRespiration, ArtificialHypnotics and SedativesCritical CareCritical IllnessDeep SedationMortalityVentilator

Identifiers

PMID37191845
PMCPMC10186077
OpenAlexW4366371288

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.