Cochrane · systematic review · CD013379
Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support
Rose, L, Sutt, A-L, Amaral, AC, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
10
No studies
6
Included studies
NR
No studies 6 · 37.5%Ungraded 0 · 0%Very low 4 · 25%Low 6 · 37.5%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Non‐vocal communication aid compared to usual care without an aid for adults requiring an artificial airway with or without mechanical ventilator support
Population: adults requiring an artificial airway with or without mechanical ventilator support
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion able to communicate or phonate Non‐vocal communication aid vs usual care without an aid | no estimate extracted | NR | No studies |
Health‐related quality of life Non‐vocal communication aid vs usual care without an aid | no estimate extracted | NR | No studies |
Emotional and psychological distress Non‐vocal communication aid vs usual care without an aid | no estimate extracted | 2 studies · 90 participants | Very low Downgraded: risk of bias, imprecision |
ICU length of stay (days) Non‐vocal communication aid vs usual care without an aid | no estimate extracted | 2 studies · 1500 participants | Low Downgraded: risk of bias, imprecision |
Costs Non‐vocal communication aid vs usual care without an aid | no estimate extracted | 1 study · 1440 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Non‐vocal communication aid vs usual care without an aid | no estimate extracted | 1 study · 1440 participants | Low Downgraded: risk of bias, imprecision |
Non‐vocal communication aid compared to usual care with an aid for adults requiring an artificial airway with or without mechanical ventilator support
Population: adults requiring an artificial airway with or without mechanical ventilator support
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion able to communicate or phonate Non‐vocal communication aid vs usual care with an aid | no estimate extracted | NR | No studies |
Health‐related quality of life Non‐vocal communication aid vs usual care with an aid | no estimate extracted | NR | No studies |
Emotional and psychological distress Non‐vocal communication aid vs usual care with an aid | no estimate extracted | 1 study · 58 participants | Very low Downgraded: risk of bias, imprecision |
ICU length of stay and healthcare costs Non‐vocal communication aid vs usual care with an aid | no estimate extracted | NR | No studies |
Adverse events Non‐vocal communication aid vs usual care with an aid | no estimate extracted | NR | No studies |
Voice‐enabling communication aid compared to usual care with an aid for adults requiring an artificial airway with or without mechanical ventilator support
Population: adults requiring an artificial airway with or without mechanical ventilator support
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion able to communicate Voice‐enabling communication aid vs usual care with an aid | RR 3.03 [0.18, 50.08] | 2 studies · 50 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Health‐related quality of life Voice‐enabling communication aid vs usual care with an aid | no estimate extracted | 2 studies · 63 participants | Low Downgraded: risk of bias, imprecision |
Emotional and psychological distress Voice‐enabling communication aid vs usual care with an aid | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision |
ICU length of stay (days) and healthcare costs Voice‐enabling communication aid vs usual care with an aid | no estimate extracted | 3 studies · 100 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Voice‐enabling communication aid vs usual care with an aid | no estimate extracted | 2 studies · 50 participants | Low Downgraded: risk of bias, imprecision |