Evidence map›Paper›PMID 38744476›Full record

SynthesisRespiratory care2024

Effect of Continuous Lateral Rotation Therapy on Clinical Outcomes in Mechanically Ventilated Critically Ill Adults.

Anna Luísa A Brito, Amanda Caroline A Ferreira, Layane Santana P Costa, Emanuel Fernandes F Silva Júnior, Shirley Lima Campos

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Respiratory care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07323472 (Analysis of Respiratory Drive Activation, Ventilation, and Pulmonary Aeration Resulting From Body Lateralization in Critically Ill Patients Under Mechanical Ventilation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT07323472 narecruitingnot on this mapstarted 2026, after this paper: background citation

Analysis of Respiratory Drive Activation, Ventilation, and Pulmonary Aeration Resulting From Body Lateralization in Critically Ill Patients Under Mechanical Ventilation

TypeinterventionalSponsorUniversity of PernambucoRan2026 to 2027Enrolled30ConditionsIntensive Care Units (ICUs)ArmsAutomatic Lateralization Therapy, Supine Positioning
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Anna Luísa A BritoRehabilitation Sciences Program at the Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Amanda Caroline A FerreiraRehabilitation Sciences Program at the Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Layane Santana P CostaRehabilitation Sciences Program at the Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Emanuel Fernandes F Silva JúniorHealth-Applied Biology Graduate Program at the Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Shirley Lima CamposRehabilitation Sciences Program and the Health-Applied Biology Graduate Program at the Federal University of Pernambuco, Recife, Pernambuco, Brazil. shirley.campos@ufpe.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis Population, Intervention, Comparison, and Outcomes-guided systematic review assesses continuous lateral rotation therapy versus conventional position changes in mechanically ventilated critically ill adults, evaluating mortality, ICU length of stay (LOS), and hospital LOS as primary outcomes and respiratory function, mechanical ventilation duration, pulmonary complications, and adverse events as secondary outcomes.

methodsThis systematic review follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria (International Prospective Register of Systematic Reviews CRD42022384258). Searches spanned databases MEDLINE/PubMed, Embase, Scopus, ScienceDirect, Cochrane, CINAHL, and Web of Science, without language or publication year restrictions. Inclusion criteria involved randomized controlled trials (RCTs) and quasi-randomized trials, comparing continuous lateral rotation therapy (intervention) with conventional position changes (control). Risk of bias and quality of evidence for RCTs were assessed using the Cochrane Collaboration and Grading of Recommendations Assessment, Development, and Evaluation tools. For the quasi-randomized trials, the Risk of Bias in Non-Randomized Studies-of Interventions tool was used.

resultsIn 18 studies with 1,466 participants (intervention,

conclusionsContinuous lateral rotation therapy showed no significant difference in primary outcomes (mortality, ICU and hospital LOS) but revealed significant differences in secondary outcomes (consistently reduced nosocomial pneumonia, with a minor effect on mechanical ventilation duration), supported by moderate certainty. Very low certainty for other outcomes highlights the need for current studies in diverse clinical settings and protocols to assess continuous lateral rotation therapy effectiveness.

Indexed as

Critical IllnessLength of StayRespiration, ArtificialAdultHumansIntensive Care UnitsMotion Therapy, Continuous PassivePatient PositioningPneumonia, Ventilator-AssociatedRandomized Controlled Trials as TopicRotationTreatment OutcomebedsICUsmechanicalpatient positioningrespiratory therapyventilators

Identifiers

PMID38744476
PMCPMC11572998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.