Evidence map›Paper›PMID 37997786›Full record

ArticleJournal of global health2023

Evaluation of feasibility phase of adaptive version of locally made bubble continuous positive airway pressure oxygen therapy for the treatment of COVID-19 positive and negative adults with severe pneumonia and hypoxaemia.

Mohammod Jobayer Chisti, Ahmed Ehsanur Rahman, Taufiq Hasan, Tahmeed Ahmed, Shams El Arifeen, John David Clemens, Abu Sayem Mirza Md Hasibur Rahman, Md Fakhar Uddin, Md Robed Amin, Md Titu Miah and 18 more

Open access · goldAbstract read
In one paragraph

Article in Journal of global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

28 authors at 7 institutions in 4 countries.

Mohammod Jobayer ChistiInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Ahmed Ehsanur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Taufiq HasanBangladesh University of Engineering and Technology (BUET), Dhaka, Bangladesh.
Tahmeed AhmedInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Shams El ArifeenInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
John David ClemensInternational Vaccine Institute, Seoul, Korea.
Abu Sayem Mirza Md Hasibur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Md Fakhar UddinInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Md Robed AminLine director, NCD, DGHS, Dhaka, Bangladesh.
Md Titu MiahDG, DGME, Dhaka, Bangladesh.
Md Khairul IslamDhaka Medical College Hospital (DMCH), Dhaka, Bangladesh.
Mohiuddin SharifDhaka Medical College Hospital (DMCH), Dhaka, Bangladesh.
Abu Sadat Mohammad Sayeem Bin ShahidInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Anisuddin AhmedInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Goutom BanikInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Meemnur RashidBangladesh University of Engineering and Technology (BUET), Dhaka, Bangladesh.
Md Kawsar AhmedBangladesh University of Engineering and Technology (BUET), Dhaka, Bangladesh.
Lubaba ShahrinInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Farzana AfrozeInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Monira SarminInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Sharika NuzhatInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Supriya SarkarDirectorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Jahurul IslamDirectorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Muhammad Shariful IslamDirectorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
John NorrieNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, Scotland, UK.
Harry CampbellNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, Scotland, UK.
Harish NairNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, Scotland, UK.
Steve CunninghamNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, Scotland, UK.
International Centre for Diarrhoeal Disease Research · BDUniversity of Edinburgh · GBBangladesh University of Engineering and Technology · BDDhaka Medical College and Hospital · BDDirectorate General of Health Services · BDMinistry of Health and Family Welfare · BDInternational Vaccine Institute · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bubble continuous positive airway pressure (bCPAP) oxygen therapy has been shown to be safe and effective in treating children with severe pneumonia and hypoxaemia in Bangladesh. Due to lack of adequate non-invasive ventilatory support during coronavirus disease 2019 (COVID-19) crisis, we aimed to evaluate whether bCPAP was safe and feasible when adapted for use in adults with similar indications. Methods: Adults (18-64 years) with severe pneumonia and moderate hypoxaemia (80 to <90% oxygen saturation (SpO Results: We enrolled 30 adults (median age 52, interquartile range (IQR) 40-60 years) with severe pneumonia and hypoxaemia and/or acute respiratory distress syndrome (ARDS) irrespective of coronavirus disease 2019 (COVID-19) test results to receive bCPAP. At baseline mean SpO Discussion: If the tertiary hospitals in Bangladesh are supplied with well-functioning good quality pulse oximeters and enhanced training of the doctors and nurses on proper use of adapted version of bCPAP, in treating adults with severe pneumonia and hypoxaemia with or without ARDS, the bCPAP was found to be safe, well tolerated and not associated with treatment failure across all study participants. These observations increase the confidence level of the investigators to consider a future efficacy trial of adaptive bCPAP oxygen therapy compared to WHO standard low flow oxygen therapy in such patients. Conclusion: s Although bCPAP oxygen therapy was found to be safe and feasible in this pilot study, several challenges were identified that need to be taken into account when planning a definitive clinical trial.

Indexed as

COVID-19PneumoniaRespiratory Distress SyndromeAdultBangladeshChildContinuous Positive Airway PressureFeasibility StudiesHumansHypoxiaMiddle AgedOxygenPilot ProjectsTertiary Care CentersTreatment OutcomeWaterOxygenWater

Identifiers

PMID37997786
PMCPMC10668204
OpenAlexW4388972979

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.