Interventional procedure overview of intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure from high spinal cord injuries
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Methods
NICE identified studies and reviews relevant to intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure caused by high spinal cord injuries from the medical literature. The following databases were searched between the date they started to 20 July 2022: MEDLINE, PREMEDLINE, EMBASE, Cochrane Library and other databases. Trial registries and the internet were also searched (see the literature search strategy). Relevant published studies identified during consultation or resolution that are published after this date may also be considered for inclusion.
The following inclusion criteria were applied to the abstracts identified by the literature search.
Publication type: clinical studies were included with emphasis on identifying good quality studies. Abstracts were excluded if they did not report clinical outcomes. Reviews, editorials, and laboratory or animal studies, were also excluded and so were conference abstracts, because of the difficulty of appraising study methodology, unless they reported specific adverse events that not available in the published literature.
Patients with ventilator-dependent chronic respiratory failure caused by high spinal cord injuries.
Intervention or test: intramuscular diaphragm stimulation.
Outcome: articles were retrieved if the abstract contained information relevant to the safety, efficacy, or both.
If selection criteria could not be determined from the abstracts the full paper was retrieved.
Potentially relevant studies not included in the main evidence summary are listed in the section on other relevant studies.
Find out more about how NICE selects the evidence for the committee.
Databases | Date searched | Version/files |
|---|---|---|
MEDLINE (Ovid) | 20/07/2022 | 1946 to July 19, 2022 |
MEDLINE In-Process (Ovid) | 20/07/2022 | 1946 to July 19, 2022 |
MEDLINE Epubs ahead of print (Ovid) | 20/07/2022 | July 19, 2022 |
EMBASE (Ovid) | 20/07/2022 | 1974 to 2022 July 19 |
EMBASE Conference (Ovid) | 20/07/2022 | 1974 to 2022 July 19 |
Cochrane Database of Systematic Reviews – CDSR (Cochrane Library) | 20/07/2022 | Issue 7 of 12, July 2022 |
Cochrane Central Database of Controlled Trials – CENTRAL (Cochrane Library) | 20/07/2022 | Issue 7 of 12, July 2022 |
International HTA database (INAHTA) | 20/07/2022 | n/a |
The following search strategy was used to identify papers in MEDLINE. A similar strategy was used to identify papers in other databases.
1 (diaphragm* adj4 (stimulat* or technique* or system*)).tw.
2 (diaphragm* adj4 pac*).tw.
3 IDS.tw.
4 DPS.tw
5 (respirat* adj4 stimulat* adj4 system*).tw.
6 or/1-5
7 diaphragm/
8 diaphrag*.tw.
9 Respiration/
10 breathing/
11 respirat*.tw.
12 or/7-11
13 Electric Stimulation Therapy/
14 electrotherapy/
15 (electric* adj4 stimulat* adj4 therap*).tw.
16 electrotherap*.tw.
17 or/13-16
18 12 and 17
19 6 or 18
20 respiratory failure/
21 Respiratory Paralysis/
22 Respiratory Insufficiency/
23 ((Respirator* or ventilat* or diaphrag*) adj4 (insufficien* or weakness* or deficienc* or paralysis* or fail*)).tw.
24 spinal cord disease/
25 (spin* adj4 cord* adj4 injur*).tw.
26 amyotrophic lateral sclerosis/
27 (Amyotrophic* adj4 Latera* adj4 Sclero*).tw.
28 ALS.tw.
29 (gehrig* adj4 diseas*).tw.
30 motor neuron disease/
31 (motor* adj4 neuron* adj4 diseas*).tw.
32 exp multiple sclerosis/
33 (multipl* adj4 scleros*).tw.
34 MS.tw.
35 quadriplegia/
36 paraplegia/
37 (Quadripleg* or parapleg* or tetrapleg*).tw.
38 or/20-37
39 19 and 38
40 Animals/ not Humans/
41 39 not 40
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