Evidence map›Paper›PMID 36265246›Full record

Observational studyJournal of critical care2023

Lung ultrasound to predict gas-exchange response to prone positioning in COVID-19 patients: A prospective study in pilot and confirmation cohorts.

M L A Heldeweg, A Mousa, J van Ekeren, A W E Lieveld, R S Walburgh-Schmidt, J M Smit, M E Haaksma, H J de Grooth, L M A Heunks, P R Tuinman

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of critical care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Advances in bedside imaging: lung ultrasound.Intensive care medicine experimental · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

M L A HeldewegDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Amsterdam Leiden IC Focused Echography (ALIFE, http://www.alifeofpocus.com), the Netherlands. Electronic address: m.heldeweg@amsterdamumc.nl.
A MousaDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Amsterdam Leiden IC Focused Echography (ALIFE, http://www.alifeofpocus.com), the Netherlands. Electronic address: a.mousa1@amsterdamumc.nl.
J van EkerenDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands.
A W E LieveldDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Section Acute Medicine, Department of Internal Medicine, Amsterdam UMC, location, VUmc, Amsterdam, the Netherlands; Amsterdam Leiden IC Focused Echography (ALIFE, http://www.alifeofpocus.com), the Netherlands. Electronic address: a.lieveld@amsterdamumc.nl.
R S Walburgh-SchmidtDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands. Electronic address: r.walburgh@amsterdamumc.nl.
J M SmitDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Section Acute Medicine, Department of Internal Medicine, Amsterdam UMC, location, VUmc, Amsterdam, the Netherlands. Electronic address: j.smit6@amsterdamumc.nl.
M E HaaksmaDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Amsterdam Leiden IC Focused Echography (ALIFE, http://www.alifeofpocus.com), the Netherlands. Electronic address: M.haaksma@amsterdamumc.nl.
H J de GroothDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands. Electronic address: h.degrooth@amsterdamumc.nl.
L M A HeunksDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands. Electronic address: l.heunks@erasmusmc.nl.
P R TuinmanDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands; Section Acute Medicine, Department of Internal Medicine, Amsterdam UMC, location, VUmc, Amsterdam, the Netherlands. Electronic address: p.tuinman@amsterdamumc.nl.
Amsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine whether lung ultrasound prior to prone positioning can predict the resulting gas-exchange response. MATERIALS AND

methodsThis is a prospective observational study on critically-ill COVID-19 patients with a pilot and confirmation cohort. Lung ultrasound examinations were performed before prone positioning and gas-exchange parameters were recorded before and after position change.

resultsA total of 79 patients, 36 in the pilot cohort and 43 in the confirmation cohort, were included. In the pilot cohort, a moderate correlation between pre-turn lung ultrasound score index (LUSI) and change in PaO2/FiO2 after prone positioning was found. These findings were corroborated and extended upon in the confirmation cohort. The confirmation cohort found that anterior LUSI had the strongest correlation with follow-up time-points 1, 6, 12, and 24 h after prone positioning, with strength of correlation gradually increasing up to 24 h. In a multivariate model anterior aeration loss (odds ratio 0.035; 95%CI 0.003-0.319 for anterior LUSI >50%) and higher pre-turn PaCO

conclusionsAnterior LUSI, in addition to other clinical parameters, may be used to aid COVID-19 respiratory strategy and a clinician's decision to prone.

Indexed as

COVID-19Respiratory Distress SyndromeHumansLungPositive-Pressure RespirationProne PositionProspective StudiesPulmonary Gas ExchangeRespiration, ArtificialCOVID-19LungProne positionRespiratory distress syndromeUltrasonography

Identifiers

PMID36265246
PMCPMC9576547
OpenAlexW4306676071

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.