{"id":"https://openalex.org/W3209398604","doi":"https://doi.org/10.4037/ajcc2021528","title":"Pepsin A in Tracheal Secretions From Patients Receiving Mechanical Ventilation","display_name":"Pepsin A in Tracheal Secretions From Patients Receiving Mechanical Ventilation","publication_year":2021,"publication_date":"2021-11-01","ids":{"openalex":"https://openalex.org/W3209398604","doi":"https://doi.org/10.4037/ajcc2021528","mag":"3209398604","pmid":"https://pubmed.ncbi.nlm.nih.gov/34719715","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189863"},"language":"en","primary_location":{"id":"doi:10.4037/ajcc2021528","doi":"https://doi.org/10.4037/ajcc2021528","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2021528","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189863","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090574839","display_name":"Steven Talbert","orcid":"https://orcid.org/0000-0001-6001-4269","observed_orcids":["https://orcid.org/0000-0001-6001-4269"]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Steven Talbert","raw_affiliation_strings":["Steven Talbert is interim director of the nursing PhD program and a clinical assistant professor, University of Central Florida College of Nursing, Orlando, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Steven Talbert is interim director of the nursing PhD program and a clinical assistant professor, University of Central Florida College of Nursing, Orlando, Florida","institution_ids":["https://openalex.org/I106165777"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008277718","display_name":"Annette M. Bourgault","orcid":"https://orcid.org/0000-0001-7679-5661","observed_orcids":["https://orcid.org/0000-0001-7679-5661"]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]},{"id":"https://openalex.org/I147878501","display_name":"Orlando Health","ror":"https://ror.org/0488cct49","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Annette M. Bourgault","raw_affiliation_strings":["Annette M. Bourgault is an associate professor, University of Central Florida College of Nursing and a nurse scientist, Orlando Health, Orlando, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Annette M. Bourgault is an associate professor, University of Central Florida College of Nursing and a nurse scientist, Orlando Health, Orlando, Florida","institution_ids":["https://openalex.org/I106165777","https://openalex.org/I147878501"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055667391","display_name":"Kimberly Paige Rathbun","orcid":"https://orcid.org/0000-0001-8465-6397","observed_orcids":["https://orcid.org/0000-0001-8465-6397"]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kimberly Paige Rathbun","raw_affiliation_strings":["Kimberly Paige Rathbun is a graduate research assistant, University of Central Florida College of Nursing"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kimberly Paige Rathbun is a graduate research assistant, University of Central Florida College of Nursing","institution_ids":["https://openalex.org/I106165777"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051764167","display_name":"Bassam Abomoelak","orcid":"https://orcid.org/0000-0003-4878-2059","observed_orcids":["https://orcid.org/0000-0003-4878-2059"]},"institutions":[{"id":"https://openalex.org/I2800715904","display_name":"Arnold Palmer Hospital for Children","ror":"https://ror.org/0086ms749","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501","https://openalex.org/I2800715904"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bassam Abomoelak","raw_affiliation_strings":["Bassam Abomoelak is a senior research associate, Pediatric Specialty Diagnostic Laboratory, Arnold Palmer Hospital, Orlando, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bassam Abomoelak is a senior research associate, Pediatric Specialty Diagnostic Laboratory, Arnold Palmer Hospital, Orlando, Florida","institution_ids":["https://openalex.org/I2800715904"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018510494","display_name":"Chirajyoti Deb","orcid":"https://orcid.org/0000-0002-9949-4279","observed_orcids":["https://orcid.org/0000-0002-9949-4279"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chirajyoti Deb","raw_affiliation_strings":["Chirajyoti Deb is a senior research associate, Pediatric Specialty Diagnostic Laboratory"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chirajyoti Deb is a senior research associate, Pediatric Specialty Diagnostic Laboratory","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103402201","display_name":"Devendra I. Mehta","orcid":"https://orcid.org/0000-0002-2267-866X","observed_orcids":["https://orcid.org/0000-0002-2267-866X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Devendra Mehta","raw_affiliation_strings":["Devendra Mehta is a pediatric gastroenterologist, Pediatric Specialty Diagnostic Laboratory"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Devendra Mehta is a pediatric gastroenterologist, Pediatric Specialty Diagnostic Laboratory","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040398424","display_name":"Mary Lou Sole","orcid":"https://orcid.org/0000-0003-0295-4329","observed_orcids":["https://orcid.org/0000-0003-0295-4329"]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]},{"id":"https://openalex.org/I147878501","display_name":"Orlando Health","ror":"https://ror.org/0488cct49","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Lou Sole","raw_affiliation_strings":["Mary Lou Sole is dean, professor, and Orlando Health Endowed Chair in Nursing, University of Central Florida College of Nursing and clinical scientist, Orlando Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mary Lou Sole is dean, professor, and Orlando Health Endowed Chair in Nursing, University of Central Florida College of Nursing and clinical scientist, Orlando Health","institution_ids":["https://openalex.org/I106165777","https://openalex.org/I147878501"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5090574839"],"corresponding_institution_ids":["https://openalex.org/I106165777"],"apc_list":null,"apc_paid":null,"fwci":0.8935,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.73584299,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"30","issue":"6","first_page":"443","last_page":"450"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11681","display_name":"Nosocomial Infections in ICU","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11681","display_name":"Nosocomial Infections in ICU","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.004800000227987766,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pepsin-a","display_name":"pepsin A","score":0.9940000176429749},{"id":"https://openalex.org/keywords/tracheal-aspirate","display_name":"tracheal aspirate","score":0.843999981880188},{"id":"https://openalex.org/keywords/microaspiration","display_name":"microaspiration","score":0.8240000009536743},{"id":"https://openalex.org/keywords/gastric-aspiration","display_name":"gastric aspiration","score":0.824999988079071},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.9660000205039978},{"id":"https://openalex.org/keywords/intensive-care-unit","display_name":"intensive care unit","score":0.6700000166893005},{"id":"https://openalex.org/keywords/ventilator-associated-pneumonia","display_name":"ventilator-associated pneumonia","score":0.722000002861023},{"id":"https://openalex.org/keywords/biomarkers","display_name":"biomarkers","score":0.4959999918937683},{"id":"https://openalex.org/keywords/duration-of-mechanical-ventilation","display_name":"mechanical ventilation duration","score":0.7129999995231628},{"id":"https://openalex.org/keywords/icu-length-of-stay","display_name":"ICU length of stay","score":0.7929999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9197463393211365},{"id":"https://openalex.org/C16311235","wikidata":"https://www.wikidata.org/wiki/Q190265","display_name":"Pepsin","level":3,"score":0.8716678619384766},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.84636390209198},{"id":"https://openalex.org/C43396882","wikidata":"https://www.wikidata.org/wiki/Q2197000","display_name":"Exhalation","level":2,"score":0.6679806709289551},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.5638259649276733},{"id":"https://openalex.org/C2777963132","wikidata":"https://www.wikidata.org/wiki/Q737510","display_name":"Pulmonary aspiration","level":2,"score":0.4760061204433441},{"id":"https://openalex.org/C200457457","wikidata":"https://www.wikidata.org/wiki/Q584049","display_name":"Ventilation (architecture)","level":2,"score":0.45437026023864746},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3960891664028168},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3944537937641144},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3530918061733246},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C181199279","wikidata":"https://www.wikidata.org/wiki/Q8047","display_name":"Enzyme","level":2,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007442","descriptor_name":"Intubation, Intratracheal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010434","descriptor_name":"Pepsin A","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012121","descriptor_name":"Respiration, Artificial","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D014132","descriptor_name":"Trachea","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.4037/ajcc2021528","doi":"https://doi.org/10.4037/ajcc2021528","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2021528","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},{"id":"pmid:34719715","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34719715","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of critical care : an official publication, American Association of Critical-Care Nurses","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9189863","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189863","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Am J Crit Care","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:9189863","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189863","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Am J Crit Care","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.5899999737739563,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G232173320","display_name":"Oral Suction Intervention to Reduce Aspiration and Ventilator Events: NO-ASPIRATE","funder_award_id":"R01NR014508","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"}],"funders":[{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W25127794","https://openalex.org/W1546342978","https://openalex.org/W1668552140","https://openalex.org/W1803784511","https://openalex.org/W1840124080","https://openalex.org/W1903712712","https://openalex.org/W1970325963","https://openalex.org/W1996207711","https://openalex.org/W1997433483","https://openalex.org/W1998889641","https://openalex.org/W2006152016","https://openalex.org/W2017263467","https://openalex.org/W2026879385","https://openalex.org/W2034324051","https://openalex.org/W2051857059","https://openalex.org/W2054076896","https://openalex.org/W2078321899","https://openalex.org/W2108205735","https://openalex.org/W2121446842","https://openalex.org/W2126863035","https://openalex.org/W2131097027","https://openalex.org/W2142732266","https://openalex.org/W2146501997","https://openalex.org/W2151529790","https://openalex.org/W2156524466","https://openalex.org/W2167301168","https://openalex.org/W2169749391","https://openalex.org/W2170969697","https://openalex.org/W2181918950","https://openalex.org/W2184095647","https://openalex.org/W2283987856","https://openalex.org/W2289502825","https://openalex.org/W2596419318","https://openalex.org/W2620241325","https://openalex.org/W2784398517","https://openalex.org/W2803043738","https://openalex.org/W2902312294","https://openalex.org/W2944604439","https://openalex.org/W2955911378","https://openalex.org/W3011208998","https://openalex.org/W3042867356","https://openalex.org/W4235427570"],"related_works":["https://openalex.org/W3093081297","https://openalex.org/W4310892873","https://openalex.org/W2034324051","https://openalex.org/W4312140499","https://openalex.org/W4312083949","https://openalex.org/W4283777365","https://openalex.org/W1903712712","https://openalex.org/W2617794351","https://openalex.org/W2885286430","https://openalex.org/W2121446842"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1],"patients":[2,58,118,134,152,196],"in":[3,26,69,80,100,131,142,192,211],"the":[4,40,212,233],"intensive":[5],"care":[6],"unit":[7],"(ICU)":[8],"receiving":[9,71],"mechanical":[10,72,160,205],"ventilation,":[11],"aspiration":[12,65],"of":[13,32,34,56,66,102,108,111,133,188,195,204,224,235],"gastric":[14,35,189],"contents":[15,190],"may":[16,229],"lead":[17],"to":[18,50,75,238],"ventilator-associated":[19],"events":[20,242],"and":[21,46,113,170,197,207,222],"other":[22],"adverse":[23],"outcomes.":[24],"Pepsin":[25],"pulmonary":[27],"secretions":[28,68],"is":[29],"a":[30,60,90,158,182,201,208],"biomarker":[31],"microaspiration":[33,94,140,241],"contents.":[36],"OBJECTIVES:":[37],"To":[38],"evaluate":[39],"association":[41],"between":[42],"tracheal":[43,82,154],"pepsin":[44,77,98,155,236],"A":[45,54,78,85,99,156],"clinical":[47,62],"outcomes":[48],"related":[49],"ventilator":[51],"use.":[52],"METHODS:":[53],"subset":[55],"297":[57],"from":[59],"larger":[61],"trial":[63],"on":[64],"oral":[67],"adults":[70],"ventilation":[73,161,206],"consented":[74],"have":[76],"measured":[79],"their":[81],"aspirate":[83],"samples.":[84,103],"concentration":[86],"\u22656.25":[87],"ng/mL":[88],"indicated":[89],"positive":[91],"result.":[92],"Abundant":[93],"was":[95,129,149,198],"defined":[96],"as":[97],"\u226530%":[101],"Statistical":[104],"analyses":[105],"included":[106],"analysis":[107,110],"variance,":[109],"covariance,":[112],"\u03c72":[114],"tests.":[115],"RESULTS:":[116],"Most":[117],"were":[119],"White":[120],"men,":[121],"mean":[122],"age":[123],"59.7":[124],"(SD,":[125],"18.8)":[126],"years.":[127],"Microaspiration":[128,187],"found":[130],"43.8%":[132],"(n":[135,144],"=":[136,145,178],"130),":[137],"with":[138,153,200],"abundant":[139],"detected":[141],"17.5%":[143],"52).":[146],"After":[147],"acuity":[148],"controlled":[150],"for,":[151],"had":[157],"longer":[159,183,202,209],"duration":[162,203],"(155":[163],"vs":[164,174],"104":[165],"hours,":[166],"P":[167,177],"<":[168],".001)":[169],"ICU":[171],"stay":[172,210],"(9.9":[173],"8.2":[175],"days,":[176],".04),":[179],"but":[180],"not":[181],"hospital":[184],"stay.":[185],"CONCLUSIONS:":[186],"occurred":[191],"nearly":[193],"half":[194],"associated":[199],"ICU.":[213],"Additional":[214],"preventative":[215],"interventions":[216],"beyond":[217],"backrest":[218],"elevation,":[219],"oropharyngeal":[220],"suctioning,":[221],"management":[223],"endotracheal":[225],"tube":[226],"cuff":[227],"pressure":[228],"be":[230],"needed.":[231],"Also,":[232],"timing":[234],"measurements":[237],"capture":[239],"all":[240],"requires":[243],"additional":[244],"exploration.":[245]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-11-08T00:00:00"}
