Evidence map›Paper›PMID 39316892›Full record

ArticleClinics (Sao Paulo, Brazil)2024

Use of continuous positive airway pressure in drainage of pleural effusion: Educational intervention for evidence-based practice.

Elinaldo da Conceição Dos Santos, Adilson Mendes, Daniela Gonçalves Ohara, Hiago Vinicius Costa Silva, Jhéssica Crhistina Veiga Nascimento, João Paulo Rodrigues Pacheco, William Poncin, Gregory Reychler, Juliana Ribeiro Fonseca Franco de Macedo, Adriana Claudia Lunardi

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2024. 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
–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. Review
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

10 authors.

Elinaldo da Conceição Dos SantosMaster's and Doctoral Programs in Physical Therapy of Universidade Cidade de São Paulo, São Paulo, SP, Brazil; Department of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil. Electronic address: drelinaldo@yahoo.com.br.
Adilson MendesDepartment of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
Daniela Gonçalves OharaAcademic Unit of Health Sciences, Universidade Federal de Jataí, Jataí, GO, Brazil.
Hiago Vinicius Costa SilvaDepartment of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
Jhéssica Crhistina Veiga NascimentoDepartment of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
João Paulo Rodrigues PachecoDepartment of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
William PoncinDepartment of Health Sciences. Catholic University of Louvain, Belgium.
Gregory ReychlerDepartment of Health Sciences. Catholic University of Louvain, Belgium.
Juliana Ribeiro Fonseca Franco de MacedoDepartment of Health Sciences. Catholic University of Louvain, Belgium.
Adriana Claudia LunardiMaster's and Doctoral Programs in Physical Therapy of Universidade Cidade de São Paulo, São Paulo, SP, Brazil; Department of Physical Therapy of School of Medicine of Universidade de São Paulo, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo create an educational intervention for health professionals and test its effectiveness in implementing the use of CPAP in hospitalized patients with pleural effusion undergoing thoracic drainage.

methodsThis implementation study was developed in 5 hospitals in Brazil and one in Belgium within four phases: (I) Situational diagnosis (professionals and patients' knowledge about CPAP usage for drained pleural effusion and checking medical records for the last 6 months); (II) Education and training of professionals; (III) New situational diagnosis (equal to phase I); (IV) Follow-up for two years.

results65 professionals, 117 patients' medical records, and 64 patients were enrolled in this study. Initially, only 72% of medical records presented a description of interventions. CPAP usage was mentioned in only one patient with a chest tube. After phase III, the number of professionals who used CPAP for their patients with drained pleural effusion increased from 28.8% to 66.7%, p < 0.001. Similarly, the acceptability of this therapy for this clinical situation also increased among professionals from 6.4 ± 1.3 to 7.8 ± 1.4, p < 0.001. However, before the implementation, only one medical record described the use of CPAP in one patient with drained pleural effusion. After two years, the use of CPAP therapy by healthcare professionals for patients with drained thoracic drainage was sustained in 3 hospitals.

conclusionsThe educational intervention for the use of CPAP in patients with drained pleural effusion was effective for health professionals. Results were sustained after two years in three of the six hospitals.

Indexed as

Continuous Positive Airway PressureDrainagePleural EffusionAdultAgedBelgiumBrazilEvidence-Based PracticeFemaleHealth PersonnelHumansMaleMiddle AgedTreatment OutcomeChest drainageCPAP ventilationImplementation sciencePleural effusion

Identifiers

PMID39316892
PMCPMC11462229

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