Evidence map›Paper›PMID 35169487›Full record

ArticleAcute medicine & surgery

Efficacy of awake prone positioning for severe illness coronavirus disease 2019 patients: a propensity score-adjusted cohort study.

Kenji Numata, Daiki Kobayashi, Tomohiro Hosoda, Yutaka Saito, Ayu Minoura, Satsuki Yamazaki, Shigeki Fujitani

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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 at 3 institutions in 1 country.

Kenji NumataDepartment of Emergency and Critical Care Medicine St Marianna University School of Medicine Kawasaki Japan.ORCID https://orcid.org/0000-0001-9813-5592
Daiki KobayashiDivision of General Internal Medicine St Luke's International Hospital Tokyo Japan.
Tomohiro HosodaDepartment of Infectious Diseases Kawasaki Municipal Hospital Kawasaki Japan.
Yutaka SaitoDepartment of Emergency Medicine Kawasaki Municipal Hospital Kawasaki Japan.
Ayu MinouraDepartment of Emergency and Critical Care Medicine St Marianna University School of Medicine Kawasaki Japan.
Satsuki YamazakiDepartment of Emergency and Critical Care Medicine St Marianna University School of Medicine Kawasaki Japan.
Shigeki FujitaniDepartment of Emergency and Critical Care Medicine St Marianna University School of Medicine Kawasaki Japan.
St. Marianna University School of Medicine · JPKawasaki Municipal Hospital · JPSt. Luke's International Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAwake prone positioning (PP) in patients with coronavirus disease 2019 (COVID-19) can improve oxygenation. However, evidence showing that it can prevent intubation is lacking. This study investigated the efficacy of awake PP in patients with COVID-19 who received remdesivir, dexamethasone, and anticoagulant therapy.

methodsThis was a two-center cohort study. Patients admitted to the severe COVID-19 patient unit were included. The primary outcome was the intubation rate and secondary outcome was length of stay in the severe COVID-19 unit. After propensity score adjustment, we undertook multivariable regression to calculate the estimates of outcomes between patients who received awake PP and those who did not.

resultsOverall, 108 patients were included (54 [50.0%] patients each who did and did not undergo awake PP), of whom 25 (23.2%) were intubated (with awake PP, 5 [9.3%] vs. without awake PP, 20 [37.0%];

conclusionAwake PP could be correlated with intubation rate in patients with COVID-19 who are receiving remdesivir, dexamethasone, and anticoagulant therapy.

Indexed as

Coronavirus disease 2019dexamethasoneintubationprone positioningrespiratory failure

Identifiers

PMID35169487
PMCPMC8840898
OpenAlexW4213346288

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.