Evidence map›Paper›PMID 33870210›Full record

ArticleArchives of academic emergency medicine2021

The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial.

Sedigheh Samimian, Sadra Ashrafi, Tahereh Khaleghdoost Mohammadi, Mohammad Reza Yeganeh, Ali Ashraf, Hamideh Hakimi, Maryam Dehghani

Registry-linked trialAbstract read
In one paragraph

Article in Archives of academic emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06409897 (Respiratory Mechanics Assessment at Different Head of the Bed Elevations in Mechanically Ventilated 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.

NCT06409897 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Respiratory Mechanics Assessment at Different Head of the Bed Elevations in Mechanically Ventilated Patients

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2023 to 2025Enrolled40ConditionsRespiratory Failure, Pulmonary DiseaseArmsSequencial increasing of head of the bed elevation and alveolar recruitment maneuver followed by a PEEP titration with 10° of head of the elevation
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

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

7 authors.

Sedigheh SamimianClinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Sadra AshrafiStudent Research Committee, Chronic Kidney Disease Research Center(CKDRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tahereh Khaleghdoost MohammadiDepartment of Medical-Surgical Nursing, Shahid Beheshti Faculty of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Mohammad Reza YeganehDepartment of Medical-Surgical Nursing, Shahid Beheshti Faculty of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Ali AshrafClinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Hamideh HakimiDepartment of Nursing, Lahijan Branch, Islamic Azad University, Lahijan, Iran.
Maryam DehghaniNahavand School of Allied Medical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe recommended position for measuring Intra-Abdominal Pressure (IAP) is the supine position. However, patients put in this position are prone to Ventilator-associated pneumonia. This study was done to evaluate the relationship between bed head angle and IAP measurements of intubated patients in the intensive care unit.

methodsIn this clinical trial, seventy-six critically ill patients under mechanical ventilation were enrolled. IAP measurement was performed every 8 hours for 24 hours using the KORN method in three different degrees of the head of bed (HOB) elevation (0

resultsThe prevalence of intra-abdominal hypertension was 18.42%. Mean ± standard deviation (SD) of IAP were 8.44 ± 4.02 mmHg for HOB angle 0°, 9.58 ± 4.52 for HOB angle 15

conclusionElevation of HOB angle from 0 to 30 degree significantly increases IAP. It seems that the measurement of IAP at HOB angle 15° was more reliable than 30°.

Indexed as

Compartment syndromeCritical careHead of BedIntra-abdominal HypertensionPressureSupine Position

Identifiers

PMID33870210
PMCPMC8035694

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