ArticleBMJ open2025
Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Knowledge, attitudes, and practices regarding transfusion-related acute lung injury among healthcare providers in Jiangsu: a multicenter cross-sectional study.Scientific reports · 2026Article
- Knowledge, attitudes, and practices regarding traditional Chinese medicine therapies among COPD patients: a cross-sectional study.Frontiers in public health · 2026Article
- Critical care, critical gaps: assessment of burnout and behavioral profiles of ICU healthcare workers in China-a multicenter cross-sectional study.Frontiers in public health · 2025Article
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9 authors.
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Abstract
objectivesThis study aimed to assess the knowledge, attitudes and practices (KAP) of intensive care unit (ICU) physicians in China towards acute respiratory distress syndrome (ARDS).
designA cross-sectional study was conducted between September and November 2022.
participantsA total of 497 ICU physicians participated, with 258 (51.91%) being male and the majority aged 30-40 years (56.74%).
interventionsParticipants were surveyed to evaluate their KAP regarding ARDS, with mediation analysis employed to elucidate the association between demographic characteristics and KAP scores. PRIMARY AND SECONDARY OUTCOME MEASURES: The mean scores for KAP were 11.89±2.64 (range: 0-17), 44.73±4.85 (range: 12-60) and 18.26±3.43 (range: 1-48), respectively. Pearson correlation analysis showed positive correlations between knowledge and attitude (0.367), knowledge and practice (0.582) and attitude and practice (0.314) (all p<0.001).
resultsMediation analysis indicated that attitude (β=0.07, p<0.001) and hospital type (β=-0.84, p=0.005) had direct effects on practice, while knowledge had significant direct (β=0.68, p<0.001) and indirect (β=0.03, p=0.019) effects. Additionally, education (β=0.47, p<0.001), work experience (β=0.25, p<0.001), hospital classification (β=-0.91, p<0.001), ICU type (β=-0.61, p=0.001) and ARDS experience (β=-1.57, p<0.001) showed various indirect effects on practice.
conclusionsICU physicians in China exhibited inadequate knowledge, moderate attitudes and suboptimal practices regarding ARDS management. Enhancing education and work experience is crucial, along with practical, scenario-based training, to improve KAP in ARDS management.
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