Evidence map›Paper›PMID 33725746›Full record

ArticleNursing in critical care2022

Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS-CoV-2 pulmonary infection.

María Dolores Rodríguez-Huerta, Ana Díez-Fernández, María Jesús Rodríguez-Alonso, María Robles-González, María Martín-Rodríguez, Alberto González-García

Open access · bronzeAbstract read
In one paragraph

Article in Nursing in critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  11. Barriers to nutrition therapy in the critically ill patient with COVID-19.JPEN. Journal of parenteral and enteral nutrition · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

María Dolores Rodríguez-HuertaIntensive Care Unit, La Princesa University Hospital, Madrid, Spain.
Ana Díez-FernándezFaculty of Nursing, Universidad de Castilla-La Mancha, Cuenca, Spain.ORCID 0000-0002-7673-986X
María Jesús Rodríguez-AlonsoIntensive Care Unit, La Princesa University Hospital, Madrid, Spain.
María Robles-GonzálezIntensive Care Unit, La Princesa University Hospital, Madrid, Spain.
María Martín-RodríguezNuestra Señora de Sonsoles Hospital, Ávila, Spain.
Alberto González-GarcíaCentro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain.
Hospital Universitario de La Princesa · ESHospital Nuestra Señora de Alarcos · ESUniversidad de Granada · ESUniversity of Castilla-La Mancha · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of the coronavirus disease 2019 (COVID-19) pandemic, the use of prone positioning has dramatically increased in the intensive care unit (ICU). Because this manoeuvre is related to several complications, it must be performed in a protocolized manner by the appropriate personnel.

aimTo determine the prevalence of adverse events (AEs) in patients admitted to the ICU with a diagnosis of COVID-19-related acute respiratory distress syndrome (C-ARDS) undergoing mechanical ventilation in prone position (PP).

designDescriptive ambispective study of patients admitted to the ICU diagnosed with C-ARDS undergoing mechanical ventilation who were in the PP at least once. The number of PP manoeuvres and the time spent in the PP were recorded for each subject. AEs proportions and frequencies were calculated, and analysis of variance was used to assess mean differences in the number of manoeuvres and total hours in PP stratified by the number of facial pressure ulcers. IBM SPSS Statistics v.25.0. and EPIDAT 4.1 software were used.

resultsForty-four patients were analysed, and 130 PP manoeuvres were performed. The most frequently observed AEs were facial oedema in 26 patients (80.3%) and facial pressure ulcers in 20 (60.6%). There was a significant positive association between the time spent in PP and the development of facial pressure ulcers (P < .001). Enteral nutrition was well tolerated, and no serious AEs or sentinel events were noted.

conclusionDespite the stressful, demanding situation during the peak of the pandemic, the large number of PP manoeuvres, and long duration spent in this position, no serious AEs occurred. This study highlights the need to implement preventive measures to avoid the development of pressure ulcers secondary to prone positioning. RELEVANCE TO PRACTICE: Prone positioning requires a nursing protocol to prevent the occurrence of AEs that may reduce the quality of nursing care.

Indexed as

COVID-19Pressure UlcerRespiratory Distress SyndromeHumansPrevalenceProne PositionRespiration, ArtificialSARS-CoV-2adverse eventsCOVID-19nursing carepressure ulcersprone position

Identifiers

PMID33725746
PMCPMC8251070
OpenAlexW3136787535

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.