Evidence map›Paper›PMID 37775039›Full record

ArticleChest2024

Low Tidal Volume Ventilation Is Poorly Implemented for Patients in North American and United Kingdom ICUs Using Electronic Health Records.

Romit J Samanta, Ari Ercole, Steven Harris, Charlotte Summers

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Chest, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
  5. Review
  6. Article
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  9. ARDS, guidelines and ANZ practice: The persistent disconnect.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
  10. 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

4 authors at 2 institutions in 3 countries.

Romit J SamantaVictor Phillip Dahdaleh Heart & Lung Research Institute, University of Cambridge, Cambridge, England.
Ari ErcoleCentre for AI in Medicine, University of Cambridge, Cambridge, England.
Steven HarrisBloomsbury Institute of Intensive Care Medicine, University College London, London, England.
Charlotte SummersVictor Phillip Dahdaleh Heart & Lung Research Institute, University of Cambridge, Cambridge, England. Electronic address: cs493@cam.ac.uk.
University of Cambridge · GBBury College · GB

Funding

Medical Research Council MR/P502091/1
6 · The paper itself

Abstract

backgroundLow tidal volume ventilation (LTVV; < 8 mL/kg predicted body weight [PBW]) is a well-established standard of care associated with improved outcomes. This study used data collated in multicenter electronic health record ICU databases from the United Kingdom and the United States to analyze the use of LTVV in routine clinical practice. RESEARCH QUESTION: What factors are associated with adherence to LTVV in the United Kingdom and North America? STUDY

designThis was a retrospective, multicenter study across the United Kingdom and United States of patients who were mechanically ventilated.

methodsFactors associated with adherence to LTVV were assessed in all patients in both databases who were mechanically ventilated for > 48 h. We observed trends over time and investigated whether LTVV was associated with patient outcomes (30-day mortality and duration of ventilation) and identified strategies to improve adherence to LTVV.

resultsA total of 5,466 (Critical Care Health Informatics Collaborative [CCHIC]) and 7,384 electronic ICU collaborative research database [eICU-CRD] patients were ventilated for > 48 h and had data of suitable quality for analysis. The median tidal volume (V

interpretationThere has been limited implementation of LTVV in routine clinical practice in the United Kingdom and the United States. V

Indexed as

Electronic Health RecordsRespiration, ArtificialFemaleHumansIntensive Care UnitsNorth AmericaRetrospective StudiesTidal Volumeacute hypoxemic respiratory failureelectronic health recordslow tidal volume ventilationoutcomes

Identifiers

PMID37775039
PMCPMC10851261
OpenAlexW4387108135

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.