Evidence map›Paper›PMID 33439949›Full record

ArticleRevista latino-americana de enfermagem2021

Prone positioning as an emerging tool in the care provided to patients infected with COVID-19: a scoping review.

Marília Souto de Araújo, Marina Marisa Palhano Dos Santos, Carlos Jordão de Assis Silva, Rejane Maria Paiva de Menezes, Alexsandra Rodrigues Feijão, Soraya Maria de Medeiros

Registry-linked trialAbstract readScoping Review
In one paragraph

Article in Revista latino-americana de enfermagem, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05198167 (Efficacy of Hyperoxygenated Fatty Acids Versus Hydrocolloid Dressings in the Prevention of Pressure Ulcers in Critically Ill Prone Patients), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05198167 narecruitingnot on this map

Efficacy of Hyperoxygenated Fatty Acids Versus Hydrocolloid Dressings in the Prevention of Pressure Ulcers in Critically Ill Prone Patients

TypeinterventionalSponsorPuerta de Hierro University HospitalRan2021 to 2027Enrolled262ConditionsProne Position, Pressure UlcerArmsHyperoxygenated fatty acids, Hydrocolloid dressings
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Marília Souto de AraújoUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-6975-8683
Marina Marisa Palhano Dos SantosUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0003-3536-3728
Carlos Jordão de Assis SilvaUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-9575-9030
Rejane Maria Paiva de MenezesUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-0600-0621
Alexsandra Rodrigues FeijãoUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-8686-9502
Soraya Maria de MedeirosUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.ORCID http://orcid.org/0000-0003-2833-9762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto describe scientific evidence regarding the use of prone positioning in the care provided to patients with acute respiratory failure caused by COVID-19.

methodthis is a scoping review. PRISMA Extension for Scoping Reviews was used to support the writing of this study. The search was conducted in seven databases and resulted in 2,441 studies, 12 of which compose the sample. Descriptive statistics, such as relative and absolute frequencies, was used to analyze data.

resultsprone positioning was mainly adopted in Intensive Care Units, lasted from a minimum of 12 up to 16 hours, and its prescription was based on specific criteria, such as PaO2/FiO2 ratio, oxygen saturation, and respiratory rate. The most prevalent complications were: accidental extubation, pressure ulcer, and facial edema. Decreased hypoxemia and mortality rates were the main outcomes reported.

conclusionpositive outcomes outweighed complications. Various cycles of prone positioning are needed, which may cause potential work overload for the health staff. Therefore, an appropriate number of trained workers is necessary, in addition to specific institutional protocols to ensure patient safety in this context.

Indexed as

COVID-19Respiratory Distress SyndromeHumansPatient PositioningProne PositionRespiration, ArtificialSARS-CoV-2

Identifiers

PMID33439949
PMCPMC7798394

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.