Evidence map›Paper›PMID 40617603›Full record

ArticleBMJ open2025

Effect of strategies to improve interhospital transports of critically ill patients on safety and costs: protocol for a systematic review and meta-analysis.

Fabian Severino, Maria-Cecilia Gallani, Eric Mercier, Simon Ouellet, Jean-Sébastien Tremblay-Roy, Alexandra Lapierre, Christian Malo, Anick Boivin, Melanie Berube

Abstract read
In one paragraph

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 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. Article
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

9 authors.

Fabian SeverinoFaculty of Nursing, Laval University, Quebec, Quebec, Canada fabian.severino.1@ulaval.ca.ORCID http://orcid.org/0000-0002-6742-3097
Maria-Cecilia GallaniFaculty of Nursing, Laval University, Quebec, Quebec, Canada.
Eric MercierCHU de Québec-Université Laval, Quebec, Quebec, Canada.ORCID http://orcid.org/0000-0003-4365-2220
Simon OuelletDepartment of Health Sciences, Université du Québec à Rimouski, Rimouski, Quebec, Canada.ORCID http://orcid.org/0000-0001-5572-7504
Jean-Sébastien Tremblay-RoyDepartment of Pediatrics, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.
Alexandra LapierreResearch Center CHU de Québec, Université Laval (Hôpital de l'Enfant-Jésus), CHU de Québec-Université Laval, Quebec, Quebec, Canada.
Christian MaloCHU de Québec-Université Laval, Quebec, Quebec, Canada.
Anick BoivinCHU de Québec-Université Laval, Quebec, Quebec, Canada.
Melanie BerubeFaculty of Nursing, Laval University, Quebec, Quebec, Canada.ORCID http://orcid.org/0000-0002-6657-3915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransporting critically ill patients between medical facilities can be hazardous and costly. Whether by road, fixed-wing aircraft or helicopter, many professional associations have proposed strategies to efficiently and safely transport patients at high risk of instability. Although these strategies have been assessed in some studies, no comprehensive synthesis of their benefits has been conducted to date. The aim of this study is to assess the effect of strategies to improve the safety and costs of interhospital transports for critically ill patients. METHODS AND ANALYSIS: We will conduct a systematic review according to the Cochrane guidelines. The review will include randomised controlled trials (RCTs), cohort studies and case-control studies assessing the effect of interventions to improve interhospital transports of critically ill patients on safety and costs. We will search multiple electronic databases (PubMed, EMBASE, CINAHL, Web of Science, Cochrane Library) from inception to 6 months prior to the submission of the final manuscript. Screening by title and abstract, full-text screening, data extraction and quality assessment will be performed by two independent reviewers. We will assess the risk of bias with the Cochrane revised tool for RCTs and with the risk of bias in non-randomised studies of interventions tool. If possible, we will calculate pooled effect estimates and 95% CIs to assess the effect of the interventions. We will also assess heterogeneity using the I ETHICS AND DISSEMINATION: Ethics approval is not required for this review. The results of this systematic review will be shared through publication in a peer-reviewed journal, conference presentations and our network of knowledge user collaborators. PROSPERO REGISTRATION NUMBER: International Prospective Register of Systematic Reviews (CRD42024595080).

Indexed as

Critical IllnessPatient SafetyPatient TransferTransportation of PatientsHumansMeta-Analysis as TopicResearch DesignSystematic Reviews as TopicAVIATION MEDICINEEmergency DepartmentsHealth Care CostsINTENSIVE & CRITICAL CARESafety

Identifiers

PMID40617603
PMCPMC12228454

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.