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Record W4400284289 · doi:10.1097/pcc.0000000000003480

Executive Summary: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE (PEACE) Consensus Conference*

2024· review· en· W4400284289 on OpenAlexaff
Peta Alexander, Melania M. Bembea, Katherine Cashen, Ira M. Cheifetz, Heidi J. Dalton, Adam S. Himebauch, Oliver Karam, Katie M. Moynihan, Marianne E. Nellis, Caroline Ozment, Lakshmi Raman, Natalie E. Rintoul, Ahmed S. Said, Arun Saini, Marie E. Steiner, Ravi R. Thiagarajan, Kevin Watt, Ariane Willems, Nicole D. Zantek, Ryan P. Barbaro, Katherine Steffen, Adam M. Vogel, Christopher S. Almond, Marc Anders, Gail M. Annich, Leonardo R. Brandão, Wayne L. Chandler, Megan Delaney, Robert DiGeronimo, Sitaram M. Emani, Samir K. Gadepalli, Alejandro V. Garcia, Bereketeab Haileselassie, Robert Hyslop, Martin C. J. Kneyber, Lisa Baumann Kreuziger, Jennifer Lê, Laura L. Loftis, Ali McMichael, D. Michael McMullan, Paul Monagle, Kathleen Nicol, Matthew L. Paden, Jason Patregnani, John R. Priest, Leslie Raffini, Lindsay M. Ryerson, Steven R. Sloan, Jun Teruya, Andrew R. Yates, Alison Gehred, Elizabeth Lyman, Jennifer A. Muszynski

Bibliographic record

VenuePediatric Critical Care Medicine · 2024
Typereview
Languageen
FieldEngineering
TopicMechanical Circulatory Support Devices
Canadian institutionsUniversity of AlbertaStollery Children's HospitalHospital for Sick Children
FundersResearch Institute, Nationwide Children's HospitalOhio State UniversityNational Institutes of HealthNationwide Children's HospitalGrifolsNational Heart, Lung, and Blood InstituteEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentU.S. Department of DefenseChildren's Healthcare of AtlantaSociety of Thoracic SurgeonsNational Institute of Child Health and Human DevelopmentIntensive Care Society
KeywordsMedicineExtracorporeal membrane oxygenationMEDLINEData extractionCochrane LibraryIntensive care medicineSystematic reviewGrading (engineering)Evidence-based medicineConsensus conferenceEvidence-based practiceRandomized controlled trialAlternative medicineSurgeryPathology

Abstract

fetched live from OpenAlex

OBJECTIVES: To present recommendations and consensus statements with supporting literature for the clinical management of neonates and children supported with extracorporeal membrane oxygenation (ECMO) from the Pediatric ECMO Anticoagulation CollaborativE (PEACE) consensus conference. DATA SOURCES: Systematic review was performed using PubMed, Embase, and Cochrane Library (CENTRAL) databases from January 1988 to May 2021, followed by serial meetings of international, interprofessional experts in the management ECMO for critically ill children. STUDY SELECTION: The management of ECMO anticoagulation for critically ill children. DATA EXTRACTION: Within each of eight subgroup, two authors reviewed all citations independently, with a third independent reviewer resolving any conflicts. DATA SYNTHESIS: A systematic review was conducted using MEDLINE, Embase, and Cochrane Library databases, from January 1988 to May 2021. Each panel developed evidence-based and, when evidence was insufficient, expert-based statements for the clinical management of anticoagulation for children supported with ECMO. These statements were reviewed and ratified by 48 PEACE experts. Consensus was obtained using the Research and Development/UCLA Appropriateness Method. Results were summarized using the Grading of Recommendations Assessment, Development, and Evaluation method. We developed 23 recommendations, 52 expert consensus statements, and 16 good practice statements covering the management of ECMO anticoagulation in three broad categories: general care and monitoring; perioperative care; and nonprocedural bleeding or thrombosis. Gaps in knowledge and research priorities were identified, along with three research focused good practice statements. CONCLUSIONS: The 91 statements focused on clinical care will form the basis for standardization and future clinical trials.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.756
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0010.003
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.049
GPT teacher head0.338
Teacher spread0.290 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations43
Published2024
Admission routes1
Has abstractyes

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