Evidence map›Paper›PMID 39972357›Full record

ReviewCritical care (London, England)2025

The green ICU: how to interpret green? A multiple perspective approach.

Elisabeth Smale, Heather Baid, Marko Balan, Forbes McGain, Scott McAlistar, Jan J de Waele, Jan Carel Diehl, Erik van Raaij, Michel van Genderen, Dick Tibboel and 1 more

Abstract readReview
In one paragraph

Review in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

11 authors.

Elisabeth SmaleDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Heather BaidSchool of Education, Sport and Health Sciences, University of Brighton, Brighton, UK.
Marko BalanDivision of Critical Care, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Forbes McGainThe Healthcare Carbon Lab, Department of Critical Care Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
Scott McAlistarWestern Health, Departments of Intensive Care and Anaesthesia, Melbourne, VIC, Australia.
Jan J de WaeleDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
Jan Carel DiehlDepartment of Sustainable Design Engineering, Delft University of Technology, Delft, The Netherlands.
Erik van RaaijErasmus School of Health Policy & Management and Rotterdam School of Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Michel van GenderenDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Dick TibboelDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Nicole HunfeldDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands. n.hunfeld@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitigating environmental impacts is an urgent challenge supported by (scientific) intensive care societies worldwide. However, making green choices without compromising high-quality care for critically ill patients may be challenging. The current paper describes a three-step approach towards green intensive care units. Starting with the measurement of environmental sustainability, intensive care units can identify hotspots, quantify the environmental impacts of products and procedures, and monitor sustainable progress. Subsequently, a multidisciplinary approach is proposed to improve environmental sustainability, including a collaboration of procurement specialists and healthcare professionals, using co-creation and green teams as efficient grassroots change agents. A context-specific approach for enhancing sustainable healthcare practices is key in order to fit local regulatory requirements and create support of professionals. A final step is to share results and create momentum, including publishing initiatives and participating in online (inter)national networks. Based on the core sustainability principles, this three-step approach towards green ICUs provides a valuable tool to professionals worldwide to facilitate change towards environmentally responsible intensive care units.

Indexed as

Conservation of Natural ResourcesIntensive Care UnitsHumansEnvironmental ImpactIntensive care unitMultidisciplinarySustainabilitySustainability Transitions

Identifiers

PMID39972357
PMCPMC11837716

What OpenQuestion holds

Textmetadata
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.