Evidence map›Paper›PMID 38478292›Full record

Trial reportIndian journal of pediatrics2025

Open versus Closed Suctioning Among Mechanically Ventilated Pediatric Patients: A Randomised Control Trial.

Subhranshu Sekhar Dhal, Rajiv Aggarwal, Hiremath Sagar, Nirmal Kumar Mohakud, Anilkumar Sapare, Sourav Padhee, Manaswinee Sahoo

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Subhranshu Sekhar DhalDepartment of Pediatrics, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India.
Rajiv AggarwalDepartment of Pediatrics, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India.
Hiremath SagarDepartment of Pediatrics, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India.
Nirmal Kumar MohakudDepartment of Pediatrics, Kalinga Institute of Medical Sciences, KIIT Deemed University, Bhubaneswar, Odisha, India.
Anilkumar SapareDepartment of Pediatrics, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India.
Sourav PadheeDepartment of Research and Development, Kalinga Institute of Medical Sciences, KIIT Deemed University, Bhubaneswar, Odisha, India.
Manaswinee SahooDepartment of Neonatology, Kalinga Institute of Medical Sciences, KIIT Deemed University, Bhubaneswar, 751024, Odisha, India. manaswineesahoo7@gmail.com.ORCID 0000-0002-4756-9232
Narayana Health · INInstitute of Medical Sciences · INKIIT University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the difference in efficacy of closed tracheal suction system (CTSS) to open tracheal suction system (OTSS) in reducing incidence of ventilator associated pneumonia (VAP). Also to evaluate their efficacy in stabilizing cardio-respiratory parameters, reducing mortality and duration of intubation.

methodsThis study was a single centre, parallel group, open label, randomized controlled study with an equal allocation (1:1) in pediatric patients requiring mechanical ventilation. A specific suction system of CTSS or OTSS was assigned to the two groups based on randomization. All the demographic, clinical, laboratory parameters and treatment outcomes were noted in the preformed sheet.

resultsTotal 116 eligible pediatric ventilated patients were studied. Total incidence of VAP was 9 (7.75%) of which 3 occurred in open and 6 in closed suction group. Rate of VAP was similar among both the groups with RR 2.11 (95% CI 0.50-8.9). However, significant number of infection-related ventilator associated condition (IVAC) were found in CTSS (17) compared to OTSS (6) group with RR 3.5 (95% CI 1.3-9.9). SpO

conclusionsIncidence of VAP was similar between open and closed suction groups.

Indexed as

Pneumonia, Ventilator-AssociatedRespiration, ArtificialChildChild, PreschoolFemaleHumansIncidenceInfantIntubation, IntratrachealMaleSuctionTreatment OutcomeClosed tracheal suctioningIVACOpen tracheal suctioningPICUVAP

Identifiers

PMID38478292
OpenAlexW4392761059

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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.