Evidence map›Paper›PMID 34098888›Full record

ArticleBMC infectious diseases2021

Infection related catheter complications in patients undergoing prone positioning for acute respiratory distress syndrome: an exposed/unexposed study.

Guillaume Louis, Thibaut Belveyre, Audrey Jacquot, Hélène Hochard, Nejla Aissa, Antoine Kimmoun, Christophe Goetz, Bruno Levy, Emmanuel Novy

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
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

9 authors at 2 institutions in 1 country.

Guillaume LouisIntensive Care Unit, Metz-Thionville Regional Hospital, Mercy Hospital, 1 allée de Château, 57085, Metz, France. g.louis@chr-metz-thionville.fr.ORCID https://orcid.org/0000-0002-4208-8122
Thibaut Belveyre *Intensive Care Unit, Metz-Thionville Regional Hospital, Mercy Hospital, 1 allée de Château, 57085, Metz, France.
Audrey Jacquot *Medical intensive Care Unit, University Hospital of Nancy, Brabois, France.
Hélène HochardDepartment of Bacteriology, Metz-Thionville Regional Hospital, Mercy Hospital, Metz, France.
Nejla AissaDepartment of Bacteriology, University Hospital of Nancy, Nancy, France.
Antoine KimmounMedical intensive Care Unit, University Hospital of Nancy, Brabois, France.
Christophe GoetzClinical Research Support Unit, Metz-Thionville Regional Hospital, Metz, France.
Bruno LevyMedical intensive Care Unit, University Hospital of Nancy, Brabois, France.
Emmanuel NovyIntensive Care Unit, Metz-Thionville Regional Hospital, Mercy Hospital, 1 allée de Château, 57085, Metz, France.
Centre Hospitalier Régional de Metz-Thionville · FRCentre Hospitalier Régional et Universitaire de Nancy · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProne positioning (PP) is a standard of care for patients with moderate-severe acute respiratory distress syndrome (ARDS). While adverse events associated with PP are well-documented in the literature, research examining the effect of PP on the risk of infectious complications of intravascular catheters is lacking.

methodAll consecutive ARDS patients treated with PP were recruited retrospectively over a two-year period and formed the exposed group. Intensive care unit (ICU) patients during the same period without ARDS for whom PP was not conducted but who had an equivalent disease severity were matched 1:1 to the exposed group based on age, sex, centre, length of ICU stay and SAPS II (unexposed group). Infection-related catheter complications were defined by a composite criterion, including catheter tip colonization or intravascular catheter-related infection.

resultsA total of 101 exposed patients were included in the study. Most had direct ARDS (pneumonia). The median [Q1-Q3] PP session number was 2 [1-4]. These patients were matched with 101 unexposed patients. The mortality rates of the exposed and unexposed groups were 31 and 30%, respectively. The incidence of the composite criterion was 14.2/1000 in the exposed group compared with 8.2/1000 days in the control group (p = 0.09). Multivariate analysis identified PP as a factor related to catheter colonization or infection (p = 0.04).

conclusionOur data suggest that PP is associated with a higher risk of CVC infectious complications.

Indexed as

AgedCatheter-Related InfectionsCritical CareFemaleHumansIncidenceIntensive Care UnitsMaleMiddle AgedPatient PositioningProne PositionRespiratory Distress SyndromeRetrospective StudiesSeverity of Illness IndexARDSCatheter-related infectionColonizationProne positioning

Identifiers

PMID34098888
PMCPMC8182343
OpenAlexW3167271178

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.