Evidence map›Paper›PMID 38159215›Full record

ReviewTherapeutic advances in respiratory disease

Prone positioning during CPAP therapy in SARS-CoV-2 pneumonia: a concise clinical review.

Chiara Chiappero, Alessio Mattei, Luca Guidelli, Serena Millotti, Emiliano Ceccherini, Simon Oczkowski, Raffaele Scala

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 4 institutions in 2 countries.

Chiara ChiapperoCardiovascular and Thoracic Department, Pneumology, AOU Città della Salute e della Scienza di Torino - Molinette hospital, c.so Bramante 88, Turin 10126, Italy.ORCID 0000-0003-1041-7259
Alessio MatteiCardiovascular and Thoracic Department, Pneumology, AOU Città della Salute e della Scienza di Torino - Molinette hospital, Turin, Italy.
Luca GuidelliCardioThoraco-Neuro-Vascular Department, Pulmonology and RICU, S Donato Hospital USL Toscana Sudest, Arezzo, Italy.
Serena MillottiUOP RF Arezzo, Department of Healthcare technical professions, Rehabilitation and Prevention, USL Toscana Sudest, Arezzo, Italy.
Emiliano CeccheriniUOP RF Arezzo, Department of Healthcare technical professions, Rehabilitation and Prevention, USL Toscana Sudest, Arezzo, Italy.
Simon OczkowskiDepartment of Medicine, Division of Critical Care, McMaster University, Hamilton, ON, Canada.
Raffaele ScalaCardioThoraco-Neuro-Vascular Department, Pulmonology and RICU, S Donato Hospital USL Toscana Sudest, Arezzo, Italy.
Azienda Usl 8 Arezzo · ITFondazione Ricerca Molinette · ITOspedale San Donato · ITImpact · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the COVID-19 pandemic, the number of patients with hypoxemic acute respiratory failure (ARF) due to SARS-CoV-2 pneumonia threatened to overwhelm intensive care units. To reduce the need for invasive mechanical ventilation (IMV), clinicians tried noninvasive strategies to manage ARF, including the use of awake prone positioning (PP) with continuous positive airway pressure (CPAP). In this article, we review the patho-physiologic rationale, clinical effectiveness and practical issues of the use of PP during CPAP in non-intubated, spontaneously breathing patients affected by SARS-CoV-2 pneumonia with ARF. Use of PP during CPAP appears to be safe and feasible and may have a lower rate of adverse events compared to IMV. A better response to PP is observed among patients in early phases of acute respiratory distress syndrome. While PP during CPAP may improve oxygenation, the impact on the need for intubation and mortality remains unclear. It is possible to speculate on the role of PP during CPAP in terms of improvement of ventilation mechanics and reduction of strain stress.

Indexed as

COVID-19Respiratory InsufficiencyContinuous Positive Airway PressureHumansPandemicsProne PositionSARS-CoV-2acute respiratory failurecontinuous positive airway pressurenon-invasive positive pressure ventilationpronationprone positionSARS-CoV-2

Identifiers

PMID38159215
PMCPMC10757797
OpenAlexW4390443937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.