The GATE frame: critical appraisal with pictures

Jackson, Rod; Ameratunga, Shanthi; Broad, Joanna; Connor, Jennie; Lethaby, Anne; Robb, G. L.; Wells, Sue; Glasziou, Paul; Heneghan, Carl

doi:10.1136/ebm.11.2.35

Cited by 182 publications

(81 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As revisões sistemáticas foram avaliadas segundo protocolos específicos 23,24 , e os trabalhos randomizados controlados foram avaliados pelo escore de Jadad.…”

Section: Critérios De Seleção Das Publicaçõesunclassified

See 1 more Smart Citation

Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children

Alves¹,

Troster²,

Oliveira³

2011

J Pediatr (Rio J)

View full text Add to dashboard Cite

Objectives: This review aims to evaluate if the use of hypotonic saline solutions as maintenance intravenous fluid therapy in hospitalized children increases the risk of hyponatremia, if the administration of isotonic fluids is able to protect against acquired hyponatremia and if the isotonic solutions increase the risks of deleterious effects such as hypernatremia or fluid overload. Sources:We researched the relevant literature on the PubMed (Jan 01 1969 to Jul 13 2011), EMBASE (1989to 2011) and Cochrane Library (1989to 2011 databases. Furthermore, references of selected studies were included. Summary of the findings:Hospitalized children are potentially at risk of developing hyponatremia and the use of hypotonic saline solutions is the main risk factor for this disease. Isotonic saline solutions have shown a protective effect against hyponatremia, and, so far, there have been no significant deleterious effects such as fluid overload, hypernatremia or phlebitis. Conclusions:The evidence found indicates that the traditional recommendation of Holliday and Segar to use maintenance fluid therapy for sick and hospitalized children deserves to be reconsidered due to the adverse effects found to arise from it, apart from the better results obtained by using isotonic solutions.J Pediatr (Rio J). 2011;87(6):478-86: Isotonic solutions, hypotonic solutions, fluid therapy, hyponatremia, child, hospitalization. ResumoObjetivos: Avaliar se o uso de soluções salinas hipotônicas como fluidoterapia de manutenção em crianças hospitalizadas aumenta o risco de hiponatremia, se a administração de fluidos isotônicos é capaz de proteger contra a hiponatremia adquirida e se as soluções isotôni-cas aumentam os riscos de efeitos deletérios como hipernatremia ou sobrecarga hídrica. Síntese dos dados:Crianças hospitalizadas têm riscos potenciais para hiponatremia, e o uso de soluções salinas hipotônicas é o principal fator de risco para esse agravo. As soluções salinas isotônicas têm mostrado efeito protetor para hiponatremia e, até o momento, sem efeitos deletérios significativos, como sobrecarga hídrica, hipernatremia ou flebites. Conclusões:As evidências indicam que a tradicional recomendação de Holliday & Segar quanto à fluidoterapia de manutenção para crianças doentes e hospitalizadas merece ser reconsiderada em virtude das evidên-cias sobre os efeitos adversos dela advindos, assim como dos melhores resultados obtidos com o emprego das soluções isotônicas. J Pediatr (Rio J) IntroduçãoA hiponatremia é definida como a concentração do sódio sérico inferior a 136 mmol/L. Quando sintomático, esse distúrbio pode manifestar-se por disfunção do sistema nervoso central (SNC), caracterizado por: cefaleia, náuseas, vômitos, letargia, desorientação, depressão de reflexos tendinosos, convulsões, disfunção neurológica permanente, morte por

show abstract

“…As revisões sistemáticas foram avaliadas segundo protocolos específicos 23,24 , e os trabalhos randomizados controlados foram avaliados pelo escore de Jadad.…”

Section: Critérios De Seleção Das Publicaçõesunclassified

“…-A duração pequena e variável do seguimento (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) horas) limita a extrapolação dos achados para períodos maiores.…”

Section: Limitações Do Estudo Segundo Os Autoresunclassified

Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children

Alves¹,

Troster²,

Oliveira³

2011

J Pediatr (Rio J)

View full text Add to dashboard Cite

show abstract

“…Any disagreement was resolved through discussion. Each article was assessed using the GATE-Lite (Jackson et al, 2006) and CanChild forms (Lammi & Law, 2003) while applying a predetermined data abstraction procedure. Questions about articles were discussed among the authors to resolve any lack of clarity.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of the Effects of Exercise on Activities of Daily Living in People With Alzheimer’s Disease

Rao

Chou

Bursley

et al. 2014

The American Journal of Occupational Therapy

100

View full text Add to dashboard Cite

OBJECTIVE. Alzheimer's disease (AD) results in a loss of independence in activities of daily living (ADLs), which in turn affects the quality of life of affected people and places a burden on caretakers. Limited research has examined the influence of physical training (aerobic, balance, and strength training) on ADL performance of people with AD.METHOD. Six randomized controlled trials (total of 446 participants) fit the inclusion criteria. For each study, we calculated effect sizes for primary and secondary outcomes.RESULTS. Average effect size (95% confidence interval) for exercise on the primary outcome (ADL performance) was 0.80 (p < .001). Exercise had a moderate impact on the secondary outcome of physical function (effect size 5 0.53, p 5 .004). CONCLUSION. Occupational therapy intervention that includes aerobic and strengthening exercises mayhelp improve independence in ADLs and improve physical performance in people with AD. Additional research is needed to identify specific components of intervention and optimal dosage to develop clinical guidelines.

show abstract

“…independently appraised the quality of studies using the Cochrane Collaboration's Risk of Bias tool 13 for randomized controlled trials (RCTs) or an 18-question checklist for nonrandomized studies and case series that was adapted from several sources. [14][15][16][17] This tool has been used previously for systematic reviews that have included nonrandomized evidence.…”

Section: Review Processmentioning

confidence: 99%

Incentives to Promote Breastfeeding: A Systematic Review

et al. 2015

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Few women in industrialized countries achieve the World Health Organization's recommendation to breastfeed exclusively for 6 months. Governments are increasingly seeking new interventions to address this problem, including the use of incentives. The goal of this study was to assess the evidence regarding the effectiveness of incentive interventions, delivered within or outside of health care settings, to individuals and/or their families seeking to increase and sustain breastfeeding in the first 6 months after birth.

show abstract

The GATE frame: critical appraisal with pictures

Cited by 182 publications

References 3 publications

Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children

Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children

Systematic Review of the Effects of Exercise on Activities of Daily Living in People With Alzheimer’s Disease

Incentives to Promote Breastfeeding: A Systematic Review

Contact Info

Product

Resources

About