Evidence map›Paper›PMID 37712730›Full record

ArticleCritical care science2023

Knowledge regarding extracorporeal membrane oxygenation management among Brazilian pediatric intensivists: a cross-sectional survey.

José Colleti, Arnaldo Prata-Barbosa, Orlei Ribeiro Araujo, Cristian Tedesco Tonial, Felipe Rezende Caino de Oliveira, Daniela Carla de Souza, Fernanda Lima-Setta, Thiago Silveira Jannuzzi de Oliveira, Mary Lucy Ferraz Maia Fiuza de Mello, Carolina Amoretti and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care science, 2023. 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. 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

15 authors.

José ColletiDepartment of Pediatrics, Hospital Israelita Albert Einstein - São Paulo (SP), Brazil.ORCID 0000-0001-6734-5765
Arnaldo Prata-BarbosaInstituto D'Or de Pesquisa e Ensino - Rio de Janeiro (RJ), Brazil.ORCID 0000-0002-4726-9782
Orlei Ribeiro AraujoGrupo de Apoio ao Adolescente e à Criança com Câncer, Instituto de Oncologia Pediátrica, Universidade Federal de São Paulo - São Paulo (SP), Brazil.ORCID 0000-0001-8230-6801
Cristian Tedesco TonialDepartment of Pediatrics, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil.ORCID 0000-0001-6643-2090
Felipe Rezende Caino de OliveiraDepartment of Pediatrics, Hospital Alvorada Moema - São Paulo (SP), Brazil.ORCID 0000-0003-2729-0602
Daniela Carla de SouzaDepartment of Pediatrics, Hospital Universitário, Universidade de São Paulo - São Paulo (SP), Brazil.ORCID 0000-0002-1968-6773
Fernanda Lima-SettaInstituto D'Or de Pesquisa e Ensino - Rio de Janeiro (RJ), Brazil.ORCID 0000-0001-9171-2043
Thiago Silveira Jannuzzi de OliveiraDepartment of Pediatrics, Neocenter - Hospital Felício Rocho - Belo Horizonte (MG), Brazil.ORCID 0000-0001-8797-4112
Mary Lucy Ferraz Maia Fiuza de MelloDepartment of Pediatrics, Santa Casa do Pará - Belém (PA), Brazil.ORCID 0000-0003-4223-692X
Carolina AmorettiDepartment of Pediatrics, Hospital Universitário Professor Edgar Santos, Universidade Federal da Bahia - Salvador (BA), Brazil.ORCID 0000-0002-2859-4192
Paulo Ramos David JoãoDepartment of Pediatrics, Hospital Pequeno Príncipe - Curitiba (PR), Brazil.ORCID 0000-0002-2478-7886
Cinara Carneiro NevesDepartment of Pediatrics, Hospital Infantil Albert Sabin - Fortaleza (CE), Brazil.ORCID 0000-0002-8397-7444
Norma Suely OliveiraDepartment of Pediatrics, Universidade Federal do Espírito Santo - Vitória (ES), Brazil.ORCID 0000-0002-7015-1723
Cira Ferreira Antunes CostaDepartment of Pediatrics, Hospital Materno Infantil de Brasília - Brasília (DF), Brazil.ORCID 0000-0003-4661-3577
Daniel GarrosStollery Childrens Hospital, University of Alberta - Edmonton, Canada.ORCID 0000-0003-3331-7947

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess Brazilian pediatric intensivists' general knowledge of extracorporeal membrane oxygenation, including evidence for its use, the national funding model, indications, and complications.

methodsThis was a multicenter cross-sectional survey including 45 Brazilian pediatric intensive care units. A convenience sample of 654 intensivists was surveyed regarding their knowledge on managing patients on extracorporeal membrane oxygenation, its indications, complications, funding, and literature evidence.

resultsThe survey addressed questions regarding the knowledge and experience of pediatric intensivists with extracorporeal membrane oxygenation, including two clinical cases and 6 optional questions about the management of patients on extracorporeal membrane oxygenation. Of the 45 invited centers, 42 (91%) participated in the study, and 412 of 654 (63%) pediatric intensivists responded to the survey. Most pediatric intensive care units were from the Southeast region of Brazil (59.5%), and private/for-profit hospitals represented 28.6% of the participating centers. The average age of respondents was 41.4 (standard deviation 9.1) years, and the majority (77%) were women. Only 12.4% of respondents had taken an extracorporeal membrane oxygenation course. Only 19% of surveyed hospitals have an extracorporeal membrane oxygenation program, and only 27% of intensivists reported having already managed patients on extracorporeal membrane oxygenation. Specific extracorporeal membrane oxygenation management questions were responded to by only 64 physicians (15.5%), who had a fair/good correct response rate (median 63.4%; range 32.8% to 91.9%).

conclusionMost Brazilian pediatric intensivists demonstrated limited knowledge regarding extracorporeal membrane oxygenation, including its indications and complications. Extracorporeal membrane oxygenation is not yet widely available in Brazil, with few intensivists prepared to manage patients on extracorporeal membrane oxygenation and even fewer intensivists recognizing when to refer patients to extracorporeal membrane oxygenation centers.

Indexed as

Extracorporeal Membrane OxygenationBrazilChildCross-Sectional StudiesFemaleHospitalsHospitals, ProprietaryHumansMaleChildExtracorporeal membrane oxygenationHealth knowledge, attitudes, practicePediatric intensive care unitsSurvey and questionnaires

Identifiers

PMID37712730
PMCPMC10275299

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.