Evidence map›Paper›PMID 31662961›Full record

SynthesisBioMed research international2019

Extracorporeal Life Support: The Next Step in Moderate to Severe ARDS-A Review and Meta-Analysis of the Literature.

Diamanto Aretha, Fotini Fligou, Panagiotis Kiekkas, Vasilis Karamouzos, Gregorios Voyagis

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

5 authors at 2 institutions in 1 country.

Diamanto ArethaDepartment of Anesthesiology and Intensive Care Medicine, General University Hospital of Patras, School of Medicine, University of Patras, Rion, 26504 Patras, Greece.ORCID https://orcid.org/0000-0003-4900-2456
Fotini FligouDepartment of Anesthesiology and Intensive Care Medicine, General University Hospital of Patras, School of Medicine, University of Patras, Rion, 26504 Patras, Greece.
Panagiotis KiekkasTechnological Educational Institute of Western Greece, Patras, Greece.
Vasilis KaramouzosDepartment of Anesthesiology and Intensive Care Medicine, General University Hospital of Patras, School of Medicine, University of Patras, Rion, 26504 Patras, Greece.
Gregorios VoyagisDepartment of Anesthesiology and Intensive Care Medicine, General University Hospital of Patras, School of Medicine, University of Patras, Rion, 26504 Patras, Greece.
University of Patras · GRTechnological Educational Institute of Western Greece · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the use of lung protective ventilation (LPV) strategies, a severe form of acute respiratory distress syndrome (ARDS) is unfortunately associated with high mortality rates, which sometimes exceed 60%. Recently, major technical improvements have been applied in extracorporeal life support (ECLS) systems, but as these techniques are costly and associated with very serious adverse events, high-quality evidence is needed before these techniques can become the "cornerstone" in the management of moderate to severe ARDS. Unfortunately, evaluation of previous randomized controlled and observational trials revealed major methodological issues. In this review, we focused on the most important clinical trials aiming at a final conclusion about the effectiveness of ECLS in moderate to severe ARDS patients. Totally, 20 published clinical studies were included in this review. Most studies have important limitations with regard to quality and design. In the 20 included studies (2,956 patients), 1,185 patients received ECLS. Of them, 976 patients received extracorporeal membrane oxygenation (ECMO) and 209 patients received extracorporeal carbon dioxide removal (ECCO

Indexed as

DyspneaExtracorporeal CirculationExtracorporeal Membrane OxygenationHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMortalityPulmonary Gas ExchangeRespiration, ArtificialRespiratory Distress SyndromeSalvage TherapyTreatment Outcome

Identifiers

PMID31662961
PMCPMC6791231
OpenAlexW2977044746

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.