Evidence map›Paper›PMID 36972632›Full record

ArticleClinics (Sao Paulo, Brazil)2023

Aging-related predictive factors for oxygenation improvement and mortality in COVID-19 and acute respiratory distress syndrome (ARDS) patients exposed to prone position: A multicenter cohort study.

Marieta C A Cunha, Jociane Schardong, Natiele C Righi, Adriana C Lunardi, Guadalupe N Sant'Anna, Larissa P Isensee, Rafaela F Xavier, Jose E Pompeu, Renata M Weigert, Darlan L Matte and 9 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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

19 authors at 8 institutions in 1 country.

Marieta C A CunhaPulmonary Division, Heart Institute, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Jociane SchardongPhysiotherapy Service, Irmandade Santa Casa de Misericórdia de Porto Alegre, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Natiele C RighiPhysiotherapy Service, Irmandade Santa Casa de Misericórdia de Porto Alegre, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Adriana C LunardiDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Guadalupe N Sant'AnnaDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Larissa P IsenseeDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Rafaela F XavierDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Jose E PompeuDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Renata M WeigertDepartment of Physical Therapy, Tacchini Hospital, Bento Gonçalves, RS, Brazil.
Darlan L MatteDepartment of Neuroscience, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Rozana A CardosoDepartment of Physical Therapy, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG, Brazil.
Ana C V AbrasDepartment of Physical Therapy, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG, Brazil.
Antonio M V SilvaDepartment of Physiotherapy and Rehabilitation, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.
Camila C DornelesSanta Maria University Hospital, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
Roberta W WerleSanta Maria University Hospital, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
Ana C StarkeUniversity Hospital Polydoro Ernani de São Thiago, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Juliana C FerreiraPulmonary Division, Heart Institute, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Rodrigo D M PlentzPhysiotherapy Service, Irmandade Santa Casa de Misericórdia de Porto Alegre, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Celso R F CarvalhoDepartment of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address: cscarval@usp.br.
Universidade de São Paulo · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversidade Federal de Santa Maria · BRGrupo Santa Casa de Belo Horizonte · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRLaboratório Bacchi · BRUniversidade do Estado de Santa Catarina · BRUniversidade Federal de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly patients are more susceptible to Coronavirus Disease-2019 (COVID-19) and are more likely to develop it in severe forms, (e.g., Acute Respiratory Distress Syndrome [ARDS]). Prone positioning is a treatment strategy for severe ARDS; however, its response in the elderly population remains poorly understood. The main objective was to evaluate the predictive response and mortality of elderly patients exposed to prone positioning due to ARDS-COVID-19.

methodsThis retrospective multicenter cohort study involved 223 patients aged ≥ 65 years, who received prone position sessions for severe ARDS due to COVID-19, using invasive mechanical ventilation. The PaO

resultsMost patients were male, with arterial hypertension and diabetes mellitus as the most prevalent comorbidities. The non-responders group had higher SAPS III and SOFA scores, and a higher incidence of complications. There was no difference in mortality rate. A lower SAPS III score was a predictor of oxygenation response, and the male sex was a risk predictor of mortality.

conclusionThe present study suggests the oxygenation response to prone positioning in elderly patients with severe COVID-19-ARDS correlates with the SAPS III score. Furthermore, the male sex is a risk predictor of mortality.

Indexed as

COVID-19Respiratory Distress SyndromeAgedAgingCohort StudiesFemaleHumansMaleProne PositionRespiration, ArtificialAcute respiratory distress syndromeAdult respiratory distress syndromeCoronavirus infectionsCOVID-19Prone position

Identifiers

PMID36972632
PMCPMC9995337
OpenAlexW4323664261

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.