Evidence map›Paper›PMID 38267635›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates.

Lydia Goodyear, Rakesh Rao, Julia Huck, Marcy Buckles, Jordan Murphy, Zeyna Naufel, Angela Niesen, Zachary O'Connor, Abigail Winterbauer, Carly Wheeler and 3 more

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Lydia GoodyearSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Rakesh RaoWashington University School of Medicine, Department of Pediatrics, Division of Newborn Medicine, St. Louis, MO, USA.ORCID 0000-0002-8250-1858
Julia HuckSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Marcy BucklesSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Jordan MurphySt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Zeyna NaufelSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Angela NiesenSt. Louis Children's Hospital, Department of Quality, Safety, and Practice Excellence, St. Louis, MO, USA.
Zachary O'ConnorSt. Louis Children's Hospital, Medical 3D Printing Center, St. Louis, MO, USA.
Abigail WinterbauerSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Carly WheelerSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Colette PenalozaSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Ashley BarthelSt Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Gillian C PetWashington University School of Medicine, Department of Pediatrics, Division of Newborn Medicine, St. Louis, MO, USA. gpet@wustl.edu.ORCID 0000-0002-8673-7112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUse of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV). STUDY

designWe identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.

resultsThe incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3-4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.

conclusionsWith appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized.

Indexed as

Bronchopulmonary DysplasiaInfant, Very Low Birth WeightIntensive Care Units, NeonatalNoninvasive VentilationPressure UlcerPrinting, Three-DimensionalEquipment DesignHumansInfant, NewbornInfant, PrematureMasks

Identifiers

PMID38267635

What OpenQuestion holds

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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.