Evidence map›Paper›PMID 36819546›Full record

ArticleAnnals of translational medicine2023

Changes of blood gas analysis in moderate-to-severe acute respiratory distress syndrome patients during long-term prone position ventilation: a retrospective cohort study.

Qiuxue Deng, Baozhu Zhang, Wenjing Li, Hanwen Liang, Zhenjie Jiang, Jiesen Zhang, Yonghao Xu, Weiqun He, Xiaoqing Liu, Ling Sang and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2023. 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
1.0field-weighted citation impact, top 22% 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, 4 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

12 authors at 3 institutions in 1 country.

Qiuxue Deng *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Baozhu Zhang *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Wenjing Li *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hanwen LiangDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhenjie JiangDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jiesen ZhangDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yonghao XuDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Weiqun HeDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xiaoqing LiuDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Ling SangDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Huiqing ZengDepartment of Pulmonary and Critical Care Medicine, Zhongshan Hospital Xiamen University, Xiamen, China.
Yuanda XuDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
First Affiliated Hospital of Guangzhou Medical University · CNGuangzhou Medical University · CNZhongshan Hospital of Xiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prone position ventilation (PPV) has been recommended for patients with acute respiratory distress syndrome (ARDS) to improve oxygenation. However, whether prolonged prone ventilation will aggravate hyperoxia and whether abdominal compression will aggravate permissive hypercapnia acidosis are topics of concern. We carried out a retrospective analysis to investigate the issues above. Methods: Clinical data were collected from 97 moderate-to-severe ARDS patients who received PPV as part of their treatment in the intensive care unit (ICU) of the First Affiliated Hospital of Guangzhou Medical University from November 2015 to May 2021. We collected arterial blood gas of patients according to the 3 periods: supine position ventilation (SPV), PPV early stage (within 4 hours), and PPV middle and late stage (6 hours or later). We established a linear mixed-effects models with "body position changes, times of PPV, gender, age, baseline SOFA, and baseline APACHE II" as fixed effects, and individual and the number of prone positions as random intercept and random slope to investigate the effect of body position changes on blood gas analysis. Results: Among the 97 patients received PPV included, 51 were ICU survivors. Arterial partial pressure of oxygen (PaO Conclusions: Although PPV improves the patients' oxygenation, the associated incidence of hyperoxia exceeds 33%. Down-regulate FiO

Indexed as

Acute respiratory distress syndrome (ARDS)hyperoxiapermissive hypercapniaprone position ventilation (PPV)

Identifiers

PMID36819546
PMCPMC9929834
OpenAlexW4320007605

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.