Evidence map›Paper›PMID 34583874›Full record

ReviewJournal of tissue viability2021

Skin damage prevention in the prone ventilated critically ill patient: A comprehensive review and gap analysis (PRONEtect study).

Anika Fourie, Maarit Ahtiala, Joyce Black, Heidi Hevia, Fiona Coyer, Amit Gefen, Kim LeBlanc, Steven Smet, Kathleen Vollman, Yolanda Walsh and 1 more

Registry-linked trialOpen access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of tissue viability, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05238870 (Prevention of Skin Damage in the Patient in Prone Position), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
11.2field-weighted citation impact, top 1% 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.

NCT05238870 completednot on this mapstarted 2022, after this paper: background citation

Prevention of Skin Damage in the Patient in Prone Position: Development of the "ProneTection" Education and Training Package and Study of Implementation Conditions in an Intensive Care Setting in Belgium and Sweden.

TypeobservationalSponsorUniversity GhentRan2022 to 2022Enrolled21ConditionsPressure Ulcer, Skin Lesion, Acute Respiratory Distress SyndromeArmsInterviews for the needs analysis. No intervention.
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 25 citations in OpenAlex.

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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

11 authors at 11 institutions in 10 countries.

Anika FourieSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: anika.fourie@ugent.be.
Maarit AhtialaService Division, Perioperative Services, Intensive Care Medicine and Pain Management, Turku University Hospital, Turku, Finland. Electronic address: Maarit.Ahtiala@tyks.fi.
Joyce BlackNiedfeft Professor of Nursing, University of Nebraska Medical Center, College of Nursing, Omaha NE, USA. Electronic address: JBlack@unmc.edu.
Heidi HeviaNursing School, Nursing Department, Andres Bello University, Viña del Mar, Chile. Electronic address: hhevia@unab.cl.
Fiona CoyerIntensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, Australia; School of Nursing, Queensland University of Technology, Brisbane, Australia. Electronic address: f.coyer@qut.edu.au.
Amit GefenThe Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Israel. Electronic address: gefen@tauex.tau.ac.il.
Kim LeBlancSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada; Wound Ostomy Continence Institute/Association of Nurses Specialized in Wound Ostomy Continence, Ottawa, ON, Canada. Electronic address: kleblanc@wocinstitute.ca.
Steven SmetSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: steven.smet@ugent.be.
Kathleen VollmanAdvancing Nursing LLC, Adjunct faculty Michigan State University, Northville MI, USA. Electronic address: kvollman@comcast.net.
Yolanda WalshYL Walsh (Pty) Ltd, Adjunct Lecturer Stellenbosch University, Western Cape, South Africa. Electronic address: Yolanda.Walsh@gmail.com.
Dimitri BeeckmanSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Swedish Centre for Skin and Wound Research, School of Health Sciences, Örebro University, Örebro, Sweden; Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Odense, Denmark. Electronic address: dimitri.beeckman@ugent.be.
Canadian Nurses Association · CAGhent University · BEGhent University Hospital · BEMichigan State University · USNebraska Medical Center · USÖrebro University · SEQueensland University of Technology · AUTel Aviv University · ILTurku University Hospital · FIUniversidad Andrés Bello · CLWalsh University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentilating critically ill patients with acute respiratory distress syndrome in the prone position is a life-saving strategy, but it is associated with adverse consequences such as skin damage.

aimTo identify, review and evaluate international proning and skin care guidelines and make an inventory of commonly used equipment and training resources.

designA gap analysis methodology was applied.

methods1) Comprehensive search and evaluation of proning and skin care guidelines, 2) extensive search and listing equipment and educational resources, and 3) international consultation with 11 experts (8 countries). DATA SOURCES: A variety of sources researched through July 2021 were used to identify relevant literature: (1) scientific literature databases and clinical trials registries, (2) intensive care and wound care associations, (3) healthcare organisations, (4) guideline development organisations, and (5) the Google search engine. Eleven international experts reviewed the literature and provided insights in two, 2-h online sessions.

findingsThe search yielded 24 guidelines. One clinical practice guideline had high methodological quality. Twenty-five devices/equipment and sixteen teaching materials were identified and discussed with the expert panel. The gap analysis identified a lack of concise, accessible, evidence-based guidelines and educational materials of short duration.

conclusionThis analysis forms the basis for designing a competency-based education and training intervention for an interdisciplinary team caring for the skin of critically ill patients in the prone position. IMPACT: The results can assist the multidisciplinary team to review their current protocol for prone positioning. This is a first step in developing a training package for clinicians.

Indexed as

Prone PositionCritical CareCritical IllnessHumansIntensive Care UnitsPatient PositioningRespiration, ArtificialRespiratory Distress SyndromeRespiratory InsufficiencyCOVID-19Critical carePressure ulcerProne positionRespiratory distress syndromeSkin damage

Identifiers

PMID34583874
PMCPMC8463934
OpenAlexW3202025958

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.